ArticleEuropean journal of clinical nutrition2026
Association between plant-based diet quality and metabolic dysfunction-associated steatotic liver disease (MASLD) among multiethnic adults.
Article in European journal of clinical nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
Corrections and comments
- Update of
Authors and funding
12 authors.
Funding
Abstract
backgroundMetabolic dysfunction-associated steatotic liver disease (MASLD), formerly non-alcoholic fatty liver disease (NAFLD), is a growing public health concern with limited effective treatments. Diet quality may influence MASLD risk, yet the role of plant-based dietary patterns in diverse populations remains unclear.
objectiveTo evaluate the associations of plant-based dietary patterns with liver fat content or MASLD prevalence in multiethnic older adults.
methodsWe analyzed cross-sectional data on 1598 participants of five racial and ethnic groups in the Adiposity Phenotype Study, nested within the Multiethnic Cohort Study. Participants' adherence to three established plant-based diet indices was estimated from their food frequency questionnaire responses: overall plant-based diet index (PDI), healthful plant-based diet index (hPDI), and unhealthful plant-based diet index (uPDI). Magnetic resonance imaging was used to quantify liver fat and identify MASLD cases. Multivariable-adjusted linear regression of liver fat and logistic models of MASLD were performed to determine their associations with the plant-based diet indices, adjusting for demographic, lifestyle, and anthropometric covariates.
resultsHigher hPDI scores were associated with lower liver fat content (adjusted mean liver fat for 4th (5.39%) vs. 1st quartile (6.52%) of hPDI) and reduced likelihood of MASLD (OR for 4th vs. 1st quartile = 0.58 (95% CI: 0.41-0.81)). The hPDI-MASLD association varied by race and ethnicity (p-heterogeneity = 0.001), with stronger inverse associations observed among Latino and White participants than among African American, Japanese American, or Native Hawaiian participants. No consistent associations were observed for PDI or uPDI. Among hPDI components, higher nut and lower animal fat intakes were associated with lower hepatic adiposity.
conclusionsGreater adherence to a healthful plant-based diet is associated with lower liver fat and MASLD prevalence, with some racial and ethnic variation. These findings underscore the importance of plant-food quality and may inform dietary strategies for MASLD prevention in heterogeneous populations.
Indexed as
Identifiers
41992009What Socratic holds
Registered trials
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.