Nutrition Literacy Is Not Sufficient to Induce Needed Dietary Changes in Nonalcoholic Fatty Liver Disease

医学 非酒精性脂肪肝 全国健康与营养检查调查 脂肪肝 内科学 疾病 卡路里 地中海饮食法 营养教育 老年学 队列 环境卫生 人口
作者
Allison M. Carroll,Yaron Rotman
出处
期刊:The American Journal of Gastroenterology [American College of Gastroenterology]
卷期号:118 (8): 1381-1387 被引量:5
标识
DOI:10.14309/ajg.0000000000002182
摘要

INTRODUCTION: Dietary and lifestyle changes are the first line of therapy for nonalcoholic fatty liver disease (NAFLD), the most prevalent liver disease in the western world. Nutrition literacy is the ability to understand nutrition information and implement that knowledge. We aimed to compare indicators of nutrition literacy in subjects with and without NAFLD in a representative US cohort. METHODS: In a cross-sectional study using data from the National Health and Nutrition Examination Survey 2017–2018 cycle, we included 2,938 adult subjects with complete dietary and vibration-controlled transient elastography data and no alternative reason for hepatic steatosis. Nutrition literacy was assessed using questionnaires. Diet perception accuracy was assessed by comparing self-reported diet quality with objective diet quality scores—the Healthy Eating Index and alternative Mediterranean diet score—to assess real-world application of nutrition knowledge. RESULTS: Nutrition literacy was not different between subjects with or without NAFLD ( P = 0.17): more than 90% of subjects reported using nutrition labels, and most of them correctly identified the meaning of daily value. Subjects with NAFLD had a lower-quality diet (Healthy Eating Index, P = 0.018; alternative Mediterranean diet, P = 0.013) and rated their diet as poorer ( P < 0.001). On self-assessment, only 27.8% of subjects overestimated their diet quality, while 37.5% consumed more calories than their self-assessed needs. Both accuracy measures were similar between subjects with NAFLD and those without ( P = 0.71 and 0.63, respectively). Subjects with NAFLD were more likely to report being advised to lose weight (42.1% vs 16.5%, P < 0.001) or to attempt losing weight (71.9% vs 60.9%, P < 0.001). Diet quality was not better in subjects with NAFLD who received dietary recommendations. DISCUSSION: Subjects with NAFLD have poor diet quality despite receiving medical recommendations to lose weight and having nutrition literacy and perception that are comparable with subjects without NAFLD. Educational approaches may not be sufficient to promote weight loss and improve diet quality in NAFLD.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
Singularity应助aDou采纳,获得10
刚刚
刚刚
科研通AI2S应助Yuciyy采纳,获得10
1秒前
ding应助CHENXIN532采纳,获得10
3秒前
4秒前
哇咔咔发布了新的文献求助10
4秒前
guoling发布了新的文献求助10
5秒前
6秒前
SXYYY完成签到,获得积分10
6秒前
笨笨完成签到 ,获得积分10
6秒前
hanhanynl关注了科研通微信公众号
7秒前
11发布了新的文献求助10
8秒前
香蕉觅云应助咖啡蓝图采纳,获得10
9秒前
长欢发布了新的文献求助10
9秒前
小越越完成签到,获得积分10
11秒前
西西瓜瓜完成签到 ,获得积分10
12秒前
12秒前
12秒前
12秒前
12秒前
11完成签到,获得积分10
15秒前
15秒前
Soleil发布了新的文献求助10
15秒前
卫卫完成签到 ,获得积分10
16秒前
yaoyao发布了新的文献求助10
16秒前
小二郎应助yyt采纳,获得10
17秒前
18秒前
19秒前
xjcy应助Rr采纳,获得200
19秒前
Guochunbao完成签到,获得积分10
22秒前
hanhanynl发布了新的文献求助10
23秒前
23秒前
今后应助弈yx采纳,获得10
23秒前
布丁发布了新的文献求助10
23秒前
圆圆完成签到 ,获得积分10
25秒前
SiDi发布了新的文献求助10
26秒前
28秒前
俊逸的翅膀完成签到,获得积分10
28秒前
28秒前
29秒前
高分求助中
The Oxford Handbook of Social Cognition (Second Edition, 2024) 1050
The Young builders of New china : the visit of the delegation of the WFDY to the Chinese People's Republic 1000
юрские динозавры восточного забайкалья 800
English Wealden Fossils 700
Chen Hansheng: China’s Last Romantic Revolutionary 500
COSMETIC DERMATOLOGY & SKINCARE PRACTICE 388
Case Research: The Case Writing Process 300
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3141768
求助须知:如何正确求助?哪些是违规求助? 2792736
关于积分的说明 7804148
捐赠科研通 2449027
什么是DOI,文献DOI怎么找? 1303050
科研通“疑难数据库(出版商)”最低求助积分说明 626718
版权声明 601260