Evidence mapPaperPMID 39340900Full record

ArticleThe journal of nutrition, health & aging2024

Association of ultra-processed food intake with severe non-alcoholic fatty liver disease: a prospective study of 143073 UK Biobank participants.

Yi-Feng Zhang, Wanning Qiao, Jinhong Zhuang, Hanxiao Feng, Zhilan Zhang, Yang Zhang

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Article in The journal of nutrition, health & aging, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Yi-Feng ZhangSchool of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, Guangdong, China.
Wanning QiaoSchool of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, Guangdong, China.
Jinhong ZhuangSchool of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, Guangdong, China.
Hanxiao FengSchool of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, Guangdong, China.
Zhilan ZhangSchool of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, Guangdong, China.
Yang ZhangSchool of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, Guangdong, China; Guangdong Provincial Key Laboratory of Diabetology, Guangzhou Key Laboratory of Mechanistic and Translational Obesity Research, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, China. Electronic address: zhangy2293@mail.sysu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious studies indicate a link between non-alcoholic fatty liver disease (NAFLD) and unhealthy dietary patterns or nutrient intake. However, it remains unclear whether ultra-processed foods (UPF) contribute to an increased risk of NAFLD. This study aimed to explore how ultra-processed food consumption correlates with severe NAFLD using the UK Biobank data.

methodsThis prospective cohort study included 143,073 participants from the UK Biobank. UPF consumption levels were determined using the NOVA classification and quantified from 24-h dietary recall data. The association between UPF consumption and severe NAFLD (hospitalization or death) was initially examined using Cox proportional hazards models with intake quartiles. Nonlinear associations were investigated using penalized cubic splines fitted in the Cox proportional hazards models. Adjustments were made for general characteristics, sociodemographic factors, body mass index (BMI), and lifestyle.

resultsThroughout the median follow-up period of 10.5 years, 1,445 participants developed severe NAFLD. The adjusted models indicated a significant increase in severe NAFLD risk in higher UPF intake groups compared to the lowest quartile (HR: 1.26 [95% CI: 1.11-1.43]). Subgroup analysis revealed that individuals with a BMI of 25 or higher were at greater risk in the highest quartile of UPF consumption. Sensitivity analyses yielded results consistent with these findings.

conclusionHigher consumption of UPF is associated with an increased risk of severe NAFLD. Reducing the intake of UPF can be a potential approach to lower the risk of NAFLD.

Indexed as

Fast FoodsNon-alcoholic Fatty Liver DiseaseAdultAgedBiological Specimen BanksBody Mass IndexDietFemaleFood, ProcessedHumansMaleMiddle AgedProportional Hazards ModelsProspective StudiesRisk FactorsSeverity of Illness IndexCohortDietary intakeNon-alcoholic fatty liver diseaseUltra-processed food

Identifiers

PMID39340900
PMCPMC12877288

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.