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Accepted manuscript

Organ meat consumption and risk of nonalcoholic fatty liver disease: the TCLSIH study

Published online by Cambridge University Press:  28 February 2022

Huiping Li
Affiliation:
Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, Tianjin, China
Xiaoxi Zheng
Affiliation:
Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, Tianjin, China
Sabina Rayamajhi
Affiliation:
Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, Tianjin, China
Amrish Thapa
Affiliation:
Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, Tianjin, China
Ge Meng
Affiliation:
Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, Tianjin, China Department of Toxicology and Sanitary Chemistry, School of Public Health, Tianjin Medical University, Tianjin, China
Qing Zhang
Affiliation:
Health Management Centre, Tianjin Medical University General Hospital, Tianjin, China
Li Liu
Affiliation:
Health Management Centre, Tianjin Medical University General Hospital, Tianjin, China
Hongmei Wu
Affiliation:
Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, Tianjin, China
Yeqing Gu
Affiliation:
Institute of Radiation Medicine, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin, China
Shunming Zhang
Affiliation:
Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, Tianjin, China
Tingjing Zhang
Affiliation:
Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, Tianjin, China
Xuena Wang
Affiliation:
Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, Tianjin, China
Jun Dong
Affiliation:
Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, Tianjin, China
Zhixia Cao
Affiliation:
Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, Tianjin, China
Xu Zhang
Affiliation:
Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, Tianjin, China
Xinrong Dong
Affiliation:
Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, Tianjin, China
Shaomei Sun
Affiliation:
Health Management Centre, Tianjin Medical University General Hospital, Tianjin, China
Xing Wang
Affiliation:
Health Management Centre, Tianjin Medical University General Hospital, Tianjin, China
Ming Zhou
Affiliation:
Health Management Centre, Tianjin Medical University General Hospital, Tianjin, China
Qiyu Jia
Affiliation:
Health Management Centre, Tianjin Medical University General Hospital, Tianjin, China
Kun Song
Affiliation:
Health Management Centre, Tianjin Medical University General Hospital, Tianjin, China
Kaijun Niu*
Affiliation:
Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, Tianjin, China School of Public Health, Tianjin Medical University, Tianjin, China Tianjin Key Laboratory of Environment, Nutrition and Public Health, Tianjin, China Center for International Collaborative Research on Environment, Nutrition and Public Health, Tianjin, China
*
*Correspondence author: Kaijun Niu, MD, PhD, Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, 22 Qixiangtai Road, Heping District, Tianjin 300070, China, Phone: +86-22-83336613, E-mail: nkj0809@gmail.com
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Abstract

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Prospective cohort studies linking organ meat consumption and nonalcoholic fatty liver disease (NAFLD) are limited, especially in Asian populations. This study aimed to prospectively investigate the association between organ meat consumption and risk of NAFLD in a general Chinese adult population. This prospective cohort study included a total of 15,568 adults who were free of liver disease, cardiovascular disease, and cancer at baseline. Dietary information was collected at baseline using a validated food frequency questionnaire. NAFLD was diagnosed by abdominal ultrasound after excluding other causes related to chronic liver disease. Cox proportional regression models were used to assess the association between organ meat consumption and risk of NAFLD. During a median of 4.2 years of follow-up, we identified 3,604 incident NAFLD cases. After adjusting for demographic characteristics, lifestyle factors, vegetable, fruit, soft drink, seafood, and red meat consumption, the multivariable hazard ratios (95% confidence intervals) for incident NAFLD across consumption of organ meat were 1.00 (reference) for almost never, 1.04 (0.94, 1.15) for tertile 1, 1.08 (0.99, 1.19) for tertile 2, and 1.11 (1.01, 1.22) for tertile 3, respectively (P for trend <0.05). Such association did not differ substantially in the sensitivity analysis. Our study indicates that organ meat consumption was related to a modestly higher risk of NAFLD among Chinese adults. Further investigations are needed to confirm this finding.

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