Vitality, mental health and role-physical mediate the influence of coping on depressive symptoms and self-efficacy in patients with non-alcoholic fatty liver disease: A cross-sectional study

Funuyet‐Salas, Jesús; Pérez-San-Gregorio, María Ángeles; Martín-Rodríguez, Agustín; Romero–Gómez, Manuel

doi:10.1016/j.jpsychores.2022.111045

Cited by 4 publications

(1 citation statement)

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“…However, a recent study showed that only 75% of the NAFLD patients from the Global HGNA/NASH Registry had overt clinical fatigue recorded in their medical records, while the rest could only be elucidated through fatigue-specific PROs [25]. In line with our results, in a cohort of 509 biopsy-proven NAFLD patients with significant liver fibrosis referred to lower self-efficacy (p < 0.001), mental health (p < 0.001) and role-physical (p < 0.001), and more passive/avoidance coping (p = 0.002) [26]. In fact, poorer physical health and adherence to the MedDiet have been described as factors associated with liver fibrosis.…”

Section: Discussionsupporting

confidence: 87%

Impact of Health Related QoL and Mediterranean Diet on Liver Fibrosis in Patients with NAFLD

et al. 2023

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Patients with non-alcoholic fatty liver disease (NAFLD) display impaired health-related quality of life (HRQoL) that is often linked to an unhealthy dietary pattern. The aim of this work was to investigate the impact of HRQoL and adherence to the Mediterranean diet on the risk of liver fibrosis (LF) in patients with NAFLD. LF was assessed in 244 patients through transient elastography (FibroScan®530. Echosens, Paris, France). Significant LF was defined according to liver stiffness measurements (LSM) values ≥ 7.1 kPa. The Mediterranean diet score and the Short Form-36 questionnaires were also completed. The median age was 54 (44–62) years and 57% of participants were male. A total of 42 (17.2%) participants had LSM ≥ 7.1 kPa and showed increased GGT (p = 0.001), glucose (p < 0.001), and triglycerides levels (p = 0.015) compared to those with LSM ≤7.0 kPa. Moreover, patients with significant LF had significantly lower scores related to Physical Functioning (p < 0.001) and Role Physical (p < 0.001). In the logistic regression analysis, lower role physical and lower adherence to the MedDiet (p = 0.001 and p = 0.009, respectively), after adjusting for age, diabetes, and obstructive sleep apnea, were associated with an increased risk of significant LF. Low adherence to MedDiet and low role physical may influence the risk of significant liver fibrosis in patients with NAFLD.

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Section: Discussionsupporting

confidence: 87%