Dietary Total Antioxidant Capacity and Risk of Non-Alcoholic Fatty Liver Disease: A Case-Control Study

J Res Health Sci. 2020 Jul 30;20(3):e00486. doi: 10.34172/jrhs.2020.18.

Abstract

Background: Dietary total antioxidant capacity (DTAC) has been proposed as a tool for assessing the intake of antioxidants. This study aimed to assess whether a relationship exists between dietary total antioxidant capacity (TAC) and the odds of NAFLD.

Study design: A case-control study.

Methods: In this age-and sex-matched case-control study in 2019, patients with NAFLD and healthy controls were recruited from a hospital clinic. All participants completed a validated 168-item food frequency questionnaire, the results of which were subsequently used to generate dietary TAC. Oxygen radical absorbance capacity values were used to calculate dietary TAC.

Results: Altogether, 225 patients with NAFLD and 450 healthy controls were enrolled. Participants with NAFLD had a higher mean weight, BMI, energy (P<0.050), and lower physical activity and DTAC scores (P<0.050) than the control group. In an adjusted model, participants who were in the highest quartile of dietary TAC had a lower risk of NAFLD (odds ratio 0.78, 95% CI: 0.67, 0.91).

Conclusion: A high DTAC was related to a decreased risk of NAFLD. Suggest the intake of a diet with high antioxidant capacity is significant at preventing NAFLD. Increasingly itemized investigations in design of randomized control trials require to reveal more insight into these results.

Keywords: Case-control studies; Diet; Non-alcoholic fatty liver disease.

MeSH terms

  • Adult
  • Antioxidants / analysis*
  • Body Mass Index
  • Body Weight
  • Case-Control Studies
  • Diet / adverse effects
  • Diet / statistics & numerical data*
  • Diet Surveys
  • Eating / physiology
  • Exercise
  • Female
  • Humans
  • Iran / epidemiology
  • Male
  • Non-alcoholic Fatty Liver Disease / epidemiology*
  • Non-alcoholic Fatty Liver Disease / etiology*
  • Odds Ratio
  • Risk Factors

Substances

  • Antioxidants