Evidence mapPaperPMID 40596897Full record

ArticleBMC gastroenterology2025

Association between dietary flavonoids intake and metabolic dysfunction-associated steatotic liver disease especially in non-smokers: a cross-sectional study in US adults.

Linxiao Gao, Haoyu Fang, Yanhe Liu, Wen Luo, Jianping Gong, Rong Ma

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Article in BMC gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Linxiao Gao *Department of Hepatobiliary Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Haoyu Fang *Department of Hepatobiliary Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Yanhe LiuDepartment of Hepatobiliary Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Wen LuoDepartment of Hepatobiliary Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Jianping GongDepartment of Hepatobiliary Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Rong MaDepartment of Hepatobiliary Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China. 304762@hospital.cqmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe association between dietary flavonoids and fatty liver disease is still controversial. This study investigated the link between dietary flavonoids intake and metabolic-associated fatty liver disease (MAFLD) and metabolic dysfunction-associated steatotic liver disease (MASLD).

methodsThe study utilized data from the National Health and Nutrition Examination Survey cycles of 2007-2010 and 2017-2018. The relationship between dietary flavonoids intake and the prevalence of MAFLD/MASLD was evaluated using multivariate logistic regression models. Subgroup and population attributable fraction were employed to investigate the prevalence of MAFLD/MASLD in different smoking status groups.

resultsThe study included 5,645 participants. The fully adjusted multivariate logistic regression model indicated no significant association between ln flavonoids and MAFLD/MASLD (p > 0.05). Restricted cubic spline analysis identified a nonlinear relationship between ln flavonoids and MAFLD/MASLD, with 4.747 and 4.409 as the turning points, respectively. Subgroup and population attributable fraction analyses revealed that the negative association between flavonoids and MAFLD/MASLD is particularly significant in non-smokers. Mediation analysis indicated that the low-grade inflammation played a crucial role in the association. The study's robustness was validated through sensitivity analyses.

conclusionsOur study highlighted a U-shaped association between ln flavonoids and MAFLD/MASLD, influenced by low-grade inflammation. Encouraging a flavonoid-rich diet is crucial for managing MAFLD/MASLD in non-smokers.

Indexed as

DietFatty LiverFlavonoidsAdultAgedCross-Sectional StudiesFemaleHumansLogistic ModelsMaleMiddle AgedNutrition SurveysPrevalenceSmokingUnited StatesFlavonoidsFlavonoidsLow-grade inflammationMetabolic-associated fatty liver diseaseMetabolic dysfunction-associated steatotic liver diseaseNHANESSmoking status

Identifiers

PMID40596897
PMCPMC12210735

What Socratic holds

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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.