:: Volume 24, Issue 3 (9-2016) ::
Journal of Ilam University of Medical Sciences 2016, 24(3): 79-91 Back to browse issues page
Association between ÷Dietary Sources of Fructose and Anthropometric Indices in Non-Alcoholic Fatty Liver Disease: A Case-Control Study
Neda Youshari1 , Mehrangiz Ebrahimi Mameghani * 2, Mohammad Asghari Jafarabadi3 , Navideh Youshari4 , Mohammad Lotfi Poor5
1- Student Research Committee, Tabriz University of Medical Sciences, Aras International University, Tabriz, Iran
2- Dept of Nutrition, Faculty of Nutrition, Tabriz University of Medical Sciences, Tabriz, Iran , niyaz353@yahoo.com
3- Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
4- Dept of Nutrition, Faculty of Medicine, Urmia University of Medical Sciences, Urmia, Iran
5- Faculty of Medicine, Shahrood University of Medical Sciences, Shahrood, Iran
Abstract:   (6690 Views)

Introduction: Regarding the increased risk of Non-Alcoholic Fatty Liver Disease (NAFLD) and due to the special attention to fructose as a risk factor for developing NAFLD and obesity in recent years and also due to the lack of papers that have worked on fructose from its natural sources -no artificial sweeteners-, this study was designed to determine the association between dietary sources of fructose and anthropometric indices in NAFLD.

Materials & methods: This case-control study was carried out on 57 patients with NAFLD (confirmed by ultrasonography and elevated liver enzyme levels) and 57 healthy subjects matched for age, sex and body mass index in Sheykh-ol-rais clinic in Tabriz. Anthropometric indices were measured by standard method and BMI, Waist to hip ratio (WHR) and waist to height ratio (WHtR) were calculated. Using a food frequency questionnaire, weekly consumption of fruit and vegetables were estimated and using 3-day food records the amount of fructose intake and its proportion of energy and macronutrients was estimated.

Findings: The median frequency of weekly fruit consumption and total fructose from energy intake in all participants and the median frequency of weekly fruit consumption in women with abdominal obesity were significantly higher than healthy ones. Although the total fructose intake and BMI in healthy subjects showed a significant positive correlation (p=0.040, r=0.273), but there was no significant difference between weekly median frequency of fruits and vegetables consumption as natural sources of fructose and different BMI levels. After adjusting for confounders, only WHtR was a predictor and other factors have no role in the pathogenesis of NAFLD.

Discussion & Conclusions: The findings suggest no association between dietary sources of fructose and anthropometric indices in patients with NAFLD.

Keywords: Fructose, Anthropometric Indices, Non-alcoholic fatty liver disease
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Type of Study: Research | Subject: susteenance
Received: 2015/05/27 | Accepted: 2015/11/8 | Published: 2016/09/19



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Volume 24, Issue 3 (9-2016) Back to browse issues page