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类胡萝卜素摄入与美国成年人代谢功能障碍相关脂肪性肝病的关系:一项横断面研究。

Association between carotenoid intake and metabolic dysfunction-associated fatty liver disease among US adults: A cross-sectional study.

机构信息

First Clinical Medical College, Shanxi Medical University, Taiyuan, China.

Intensive Care Unit, The Second Hospital of Tianjin Medical University, Tianjin, China.

出版信息

Medicine (Baltimore). 2023 Dec 22;102(51):e36658. doi: 10.1097/MD.0000000000036658.

Abstract

Carotenoids have been recognized for their potential health benefits due to their antioxidant properties. There is limited research on the association between metabolic dysfunction-associated fatty liver disease (MAFLD) and carotenoids. This study aimed to investigate the effect of carotenoid intake on the risk of MAFLD. We retrospectively analyzed 2722 adults aged ≥ 18 from the National Health and Nutrition Examination Survey 2017-2018. Hepatic steatosis was identified by elastography, and carotenoid consumption was evaluated through two 24-hour dietary recall interviews. Weighted logistic regression models, subgroup analyses, and restricted cubic splines were used for analyses. The weighted prevalence of MAFLD was 51.90%. Weighted logistic regression analysis demonstrated that intake of β-carotene, lutein/zeaxanthin, and lycopene was associated with a lower risk of MAFLD after adjusting for various covariates. Compared to the lowest tertile, a significant inverse correlation was observed between the highest total lycopene intake and MAFLD among females in the gender subgroup analysis. Restricted cubic spline regression analysis revealed a U-shaped association between lycopene consumption and MAFLD risk (P < .001), with an inflection point of approximately 9.48 mg/day. Moreover, the nonlinear relationship was particularly significant in females and absent in males. In summary, increased β-carotene, lutein/zeaxanthin, and lycopene consumption was associated with a decreased risk of MAFLD. The relationship between total lycopene intake and MAFLD was nonlinear, primarily in females. These findings have significant implications for the potential prevention and management of MAFLD.

摘要

类胡萝卜素因其抗氧化特性而被认为对健康有益。代谢相关脂肪性肝病(MAFLD)与类胡萝卜素之间的关联研究有限。本研究旨在探讨类胡萝卜素摄入与 MAFLD 风险之间的关系。我们回顾性分析了 2017-2018 年全国健康与营养调查(NHANES)中 2722 名年龄≥18 岁的成年人。通过弹性成像确定肝脂肪变性,通过两次 24 小时膳食回顾访谈评估类胡萝卜素的摄入量。采用加权逻辑回归模型、亚组分析和限制立方样条进行分析。MAFLD 的加权患病率为 51.90%。加权逻辑回归分析表明,在调整了各种协变量后,β-胡萝卜素、叶黄素/玉米黄质和番茄红素的摄入量与 MAFLD 的风险降低相关。与最低三分位相比,在性别亚组分析中,女性中最高的总番茄红素摄入量与 MAFLD 之间存在显著的负相关关系。限制立方样条回归分析显示,番茄红素的摄入量与 MAFLD 风险之间呈 U 形关联(P<0.001),拐点约为 9.48mg/天。此外,这种非线性关系在女性中尤为显著,而在男性中则不存在。总之,增加β-胡萝卜素、叶黄素/玉米黄质和番茄红素的摄入与 MAFLD 风险降低相关。总番茄红素摄入量与 MAFLD 之间的关系是非线性的,主要在女性中。这些发现对 MAFLD 的潜在预防和管理具有重要意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/caf8/10735096/8f5249c116f3/medi-102-e36658-g001.jpg

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