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预防代谢功能障碍相关脂肪性肝病(MASLD)的最佳蔬菜摄入量:来自意大利南部队列的见解

Optimal Vegetable Intake for Metabolic-Dysfunction-Associated Steatotic Liver Disease (MASLD) Prevention: Insights from a South Italian Cohort.

作者信息

Pastore Maria Noemy, Bonfiglio Caterina, Tatoli Rossella, Donghia Rossella, Pesole Pasqua Letizia, Giannelli Gianluigi

机构信息

Unit of Data Science, National Institute of Gastroenterology-IRCCS "Saverio de Bellis", Castellana Grotte, 70013 Bari, Italy.

Core Facility Biobank, National Institute of Gastroenterology-IRCCS "Saverio de Bellis", Castellana Grotte, 70013 Bari, Italy.

出版信息

Nutrients. 2025 Jul 29;17(15):2477. doi: 10.3390/nu17152477.


DOI:10.3390/nu17152477
PMID:40806062
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12348136/
Abstract

(1) Background: Metabolic-dysfunction-associated steatotic liver disease (MASLD) is now the most prevalent chronic liver disease worldwide, posing a growing public health concern. While dietary improvements are key to prevention, the impact of different vegetable types remains unclear. This study focuses on the association between vegetable consumption and the risk of MASLD in a cohort of Southern Italy. (2) Methods: This research involved 1297 participants from the NUTRIHEP study, examining overall vegetable intake and classifying them into color subgroups to determine optimal quantity and variety for risk reduction. (3) Results: Daily consumption of approximately 325 g (two servings) of total vegetables significantly reduces the risk of MASLD (OR: 0.521; 95% CI: 0.317; 0.858). Among the subgroups, green vegetables were most protective at 35 g/day, while red and orange vegetables offered protection at 130 g/day. A higher intake of the other vegetable category, specifically onions, was associated with a reduced probability of MASLD (OR = 0.995; 95%CI: 0.989; 0.999). (4) Conclusions: These findings suggest a threshold effect, where moderate but regular consumption of specific vegetables offers maximal protection. Consuming excessive amounts may not enhance this benefit within this cohort. Cultural and regional dietary patterns should be considered when designing targeted nutritional interventions.

摘要

(1)背景:代谢功能障碍相关脂肪性肝病(MASLD)是目前全球最普遍的慢性肝病,引起了越来越多的公共卫生关注。虽然饮食改善是预防的关键,但不同类型蔬菜的影响仍不明确。本研究聚焦于意大利南部一组人群中蔬菜消费与MASLD风险之间的关联。(2)方法:本研究纳入了NUTRIHEP研究中的1297名参与者,考察总体蔬菜摄入量,并将其分为不同颜色亚组,以确定降低风险的最佳数量和种类。(3)结果:每天食用约325克(两份)蔬菜可显著降低MASLD风险(OR:0.521;95%CI:0.317;0.858)。在亚组中,绿色蔬菜每天食用35克时保护作用最强,而红色和橙色蔬菜每天食用130克时具有保护作用。另一类蔬菜(特别是洋葱)摄入量较高与MASLD发生概率降低相关(OR = 0.995;95%CI:0.989;0.999)。(4)结论:这些发现表明存在阈值效应,即适度但规律地食用特定蔬菜可提供最大保护。在此队列中,过量食用可能不会增强这种益处。在设计针对性营养干预措施时应考虑文化和地区饮食模式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1429/12348136/e7932cd9a6b7/nutrients-17-02477-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1429/12348136/bc23a6282a3c/nutrients-17-02477-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1429/12348136/e7932cd9a6b7/nutrients-17-02477-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1429/12348136/bc23a6282a3c/nutrients-17-02477-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1429/12348136/e7932cd9a6b7/nutrients-17-02477-g002.jpg

相似文献

[1]
Optimal Vegetable Intake for Metabolic-Dysfunction-Associated Steatotic Liver Disease (MASLD) Prevention: Insights from a South Italian Cohort.

Nutrients. 2025-7-29

[2]
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[7]
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Clin Nutr ESPEN. 2025-7-7

[8]
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[9]
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[10]
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J Hepatol. 2024-9

本文引用的文献

[1]
Adherence to the Mediterranean diet to prevent or delay hepatic steatosis: a longitudinal analysis within the PREDIMED study.

Front Nutr. 2025-5-21

[2]
Nutrition research must go local.

Nat Med. 2025-5

[3]
The Protective Effect of FOXO3 rs2802292 G-Allele on Food Intake in a Southern Italian Cohort Affected by MASLD.

Nutrients. 2025-4-10

[4]
Metabolic-Dysfunction-Associated Steatotic Liver Disease: Molecular Mechanisms, Clinical Implications, and Emerging Therapeutic Strategies.

Int J Mol Sci. 2025-3-25

[5]
Impact of Education on Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD): A Southern Italy Cohort-Based Study.

J Clin Med. 2025-3-13

[6]
Metabolic dysfunction-associated steatotic liver disease in adults.

Nat Rev Dis Primers. 2025-3-6

[7]
Μetabolic dysfunction-associated steatotic liver disease: a condition of heterogeneous metabolic risk factors, mechanisms and comorbidities requiring holistic treatment.

Nat Rev Gastroenterol Hepatol. 2025-5

[8]
Ultra-Processed Food Consumption and Metabolic-Dysfunction-Associated Steatotic Liver Disease (MASLD): A Longitudinal and Sustainable Analysis.

Nutrients. 2025-1-28

[9]
Associations between intake of different types of vegetables and metabolic dysfunction-associated fatty liver disease: a population-based study.

BMC Public Health. 2025-1-24

[10]
BMI gain and dietary characteristics are risk factors of MASLD in non-obese individuals.

Sci Rep. 2025-1-21

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