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Title: Dietary patterns in Brazilian patients with nonalcoholic fatty liver disease : a cross-sectional study.
Authors: Ferolla, Silvia Marinho
Ferrari, Teresa Cristina de Abreu
Lima, Maria Luíza Pereira
Reis, Tâmara Oliveira
Tavares Júnior, Wilson Campos
Couto, Osvaldo Flávio Melo
Vidigal, Paula Vieira Texeira
Fausto, Maria Arlene
Couto, Cláudia Alves
Keywords: Diet
Metabolic syndrome
Issue Date: 2013
Citation: FEROLLA, S. M. et al. Dietary patterns in Brazilian patients with nonalcoholic fatty liver disease: a cross-sectional study. Clinics, v. 68, p. 11-17, 2013. Disponível em: <>. Acesso em: 21 out. 2015.
Abstract: OBJECTIVE: Recent evidence suggests that non-alcoholic fatty liver disease is associated with diet. Our aim was to investigate the dietary patterns of a Brazilian population with this condition and compare them with the recommended diet. METHODS: A cross-sectional study was conducted on 96 non-alcoholic fatty liver disease patients before any dietetic counseling. All patients underwent abdominal ultrasound, biochemical tests, dietary evaluations, and anthropometric evaluations. Their food intake was assessed by a semi-quantitative food-frequency questionnaire and 24-hour food recall. RESULTS: The median patient age was 53 years, and 77% of the individuals were women. Most (67.7%) participants were obese, and a large waist circumference was observed in 80.2% subjects. Almost 70% of the participants had metabolic syndrome, and 62.3% presented evidence of either insulin resistance or overt diabetes. Most patients (51.5, 58.5, and 61.7%, respectively) exceeded the recommendations for energy intake, as well as total and saturated fat. All patients consumed less than the amount of recommended monounsaturated fatty acids, and 52.1 and 76.6% of them consumed less polyunsaturated fatty acids and fiber, respectively, than recommended. In most patients, the calcium, sodium, potassium, pyridoxine, and vitamin C intake did not meet the recommendations, and in 10.5-15.5% of individuals, the tolerable upper limit intake for sodium was exceeded. The patients presented a significantly high intake of meats, fats, sugars, legumes (beans), and vegetables and a low consumption of cereals, fruits, and dairy products compared with the recommendations. CONCLUSIONS: Although patients with non-alcoholic fatty liver disease exhibited high energy and lipid consumption, most of them had inadequate intake of some micronutrients. The possible role of nutrientdeficient intake in the development of non-alcoholic fatty liver disease warrants investigation.
ISSN: 1980-5322
metadata.dc.rights.license: Todo o conteúdo do periódico Clinics, exceto onde identificado, está licenciado sob uma licença Creative Commons que permite copiar, distribuir e transmitir o trabalho em qualquer suporte ou formato desde que sejam citados o autor e o licenciante. Não permite o uso para fins comerciais. Fonte: Clinics <>. Acesso em: 19 ago. 2019.
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