Evidence map›Paper›PMID 40671076›Full record

ArticleBMC research notes2025

Carbohydrate consumption and cirrhosis-related mortality: a prospective cohort study.

Nastaran Raissi-Dehkordi, Negar Raissi-Dehkordi, Azita Hekmatdoost, Fereshteh Pashayee-Khamene, Sara Karimi, Saleheh Ahmadzadeh, Mehdi Saberifiroozi, Behzad Hatami, Hossein Hatami, Zahra Yari

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Article in BMC research notes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Nastaran Raissi-DehkordiGastroenterology and Liver Disease Research Center, Research Institute for Gastroenterology and Liver Disease, Shahid Beheshti University of Medical Science, Tehran, Iran.
Negar Raissi-DehkordiGastroenterology and Liver Disease Research Center, Research Institute for Gastroenterology and Liver Disease, Shahid Beheshti University of Medical Science, Tehran, Iran.
Azita HekmatdoostClinical Nutrition and dietetics Department, Faculty of Nutrition Sciences and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Fereshteh Pashayee-KhameneStudent Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Sara KarimiClinical Nutrition and dietetics Department, Faculty of Nutrition Sciences and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Saleheh AhmadzadehClinical Nutrition and dietetics Department, Faculty of Nutrition Sciences and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Mehdi SaberifirooziLiver and Pancreatobiliary Research Center, Digestive Disease Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Behzad HatamiGastroenterology and Liver Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Hossein HatamiDepartment of Public Health, School of Health & Environmental and Occupational Hazards Control Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. hatami21102@gmail.com.
Zahra YariDepartment of Nutrition Research, National Nutrition and Food Technology Research Institute, Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, West Arghavan St. Farahzadi Blvd., Sharake Qods, Tehran, Iran. zahrayari_nut@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLiver cirrhosis is a chronic liver disease that is often associated with poor prognosis. An important part of the treatment of patients with cirrhosis is related to nutrition. Although carbohydrates constitute the main component of the diet, limited data is available regarding the association of carbohydrate intake with cirrhosis. This study aimed to investigate the relationship between different types of carbohydrates and the risk of mortality in patients with cirrhosis.

methodsThe current study was conducted as a prospective cohort with a follow-up length of 4 years, on 166 newly diagnosed outpatient cirrhosis patients. Evaluation of dietary intake was conducted using a valid 168-item food frequency questionnaire. Carbohydrate intake was classified into total, sugar, glucose, galactose, fructose, sucrose, lactose and maltose. Cox proportional hazards regression models were used to calculate multivariable adjusted hazard ratios (HRs) and 95% confidence intervals (CIs).

resultsThe comparison of dietary intakes indicated a higher intake of calories and protein and a lower intake of fat and carbohydrates in the survivors. After fully adjustment for confounders, significant associations were observed between different types of carbohydrates and cirrhosis-related mortality: sugar (HR = 4.9, CI 95%: 1.5-11.2, P = 0.014), glucose (HR = 3.4, CI 95%: 1.2-10, P = 0.030), fructose (HR = 1.6, CI 95%: 1.02-3, P = 0.043), sucrose (HR = 2.2, CI 95%: 1.2-4, P = 0.024) and lactose (HR = 0.65, CI 95%: 0.3-0.92, P = 0.044). No significant association was found for galactose and maltose.

conclusionMortality in cirrhosis is positively associated with total dietary intake of carbohydrates in addition to sugar, glucose, fructose, sucrose, and negatively associated with dietary intake of lactose. A low carbohydrate diet may help the prognosis of cirrhotic patients.

Indexed as

Dietary CarbohydratesLiver CirrhosisAdultAgedFemaleHumansMaleMiddle AgedProportional Hazards ModelsProspective StudiesDietary CarbohydratesCarbohydrateCirrhosisMortality

Identifiers

PMID40671076
PMCPMC12269128

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.