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Relationship between Chewing Status and Fatty Liver Diagnosed by Liver/Spleen Attenuation Ratio

A Cross-Sectional Study

Bibliographic Data

ID15469002
AuthorsKomei Iwai (0000-0001-5608-7430, Asahi University), Tetsuji Azuma (Asahi University), Takatoshi Yonenaga (Asahi University), Yasuyuki Sasai (Asahi University), Kazutoshi Watanabe (Asahi University), Fumiko Deguchi (Asahi University), Akihiro Obora (Asahi University), Takao Kojima (Asahi University), Takaaki Tomofuji (0000-0002-7806-3365, Asahi University, corresponding author)
Year2022
Volume20
Issue1
Pages307-307
Publication date2022-12-25
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph20010307
PMID36612629
OpenAlexW4312201947
LanguageEN
References cited32

This cross-sectional study investigated the relationship between chewing status and fatty liver among Japanese adults. Between April 2018 and March 2021, 450 individuals (352 males, 98 females; mean age 54.7 years) were recruited at the Asahi University Hospital Human Health Center. Chewing status was evaluated using a self-reported questionnaire. Liver/spleen (L/S) attenuation ratio < 0.9 on computed tomography was considered to indicate fatty liver, which was present in 69 participants (15%). Compared with participants without fatty liver, those with fatty liver had higher proportion of 25.0 (kg/m2) ≤ body mass index (BMI) (p < 0.001), higher serum hemoglobin A1c (HbA1c) (p < 0.001), higher systolic blood pressure (p < 0.001), higher diastolic blood pressure (p < 0.001), and lower serum high-density lipoprotein cholesterol (HDL cholesterol) (p = 0.011). Significant differences were also found in chewing status (p < 0.001) and eating speed (p = 0.011). Presence of fatty liver was positively associated with BMI (25.0 ≤; odds ratio [OR], 5.048; 95% confidence interval [CI], 2.550−9.992), serum HbA1c (OR, 1.937; 95% CI, 1.280−2.930), and chewing status (poor; OR, 8.912; 95% CI, 4.421−17.966) after adjusting for sex, age, BMI, serum HbA1c, systolic blood pressure, diastolic blood pressure, serum HDL cholesterol, chewing status, and eating speed. Poor chewing status was positively associated with L/S attenuation ratio. These results indicate a positive relationship between poor chewing status and fatty liver diagnosed by L/S attenuation ratio in Japanese adults

Blood pressure · Body mass index · Cholesterol · Confidence interval · Cross-sectional study · Fatty liver · Odds ratio · Pathology · Liver Disease Diagnosis and Treatment · Medicine · Nutrition and Health in Aging · Nutritional Studies and Diet · Endocrinology · Gastroenterology · Internal Medicine

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  • Effects of chewing gum on short-term appetite regulation in moderately restrained eaters

    Open Access•Marion M Hetherington, Martin F Regan•Appetite•2011

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