Pastore Maria Noemy, Bonfiglio Caterina, Tatoli Rossella, Donghia Rossella, Pesole Pasqua Letizia, Giannelli Gianluigi
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.
Nutrients. 2025 Jul 29;17(15):2477. doi: 10.3390/nu17152477.
(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.
(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。
2025-1
Cochrane Database Syst Rev. 2025-6-24
Nat Med. 2025-5
Nat Rev Dis Primers. 2025-3-6