Evidence map›Paper›PMID 40991155›Full record

ArticleEndocrine2025

Association between dietary patterns and cardiovascular mortality in patients with metabolic dysfunction-associated steatotic liver disease.

Yu-Jin Kwon, Hye Sun Lee, Ji-Won Lee

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Article in Endocrine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Yu-Jin KwonDepartment of Family Medicine, Yonsei University College of Medicine, Yongin Severance Hospital, Yongin, Republic of Korea.
Hye Sun LeeBiostatistics Collaboration Unit, Department of Research Affairs, Yonsei University College of Medicine, Seoul, Republic of Korea. hslee1@yuhs.ac.
Ji-Won LeeDepartment of Family Medicine, Yonsei University College of Medicine, Severance Hospital, Seoul, Republic of Korea. INDI5645@yuhs.ac.

Funding

Korea Institute of Planning and Evaluation for Technology in Food, Agriculture, and Forestry 321030051HD030
6 · The paper itself

Abstract

purposeGiven the heightened cardiovascular risk in patients with metabolic dysfunction-associated steatotic liver disease (MASLD), identifying dietary patterns associated with reduced cardiovascular risk is essential. This study aimed to investigate the association between adherence to various dietary patterns and cardiovascular disease (CVD) mortality in a middle-aged Korean MASLD population.

methodsBaseline data from 32,091 adults aged 40 years and older enrolled in the Korean Genome and Epidemiology Study (KoGES) between 2004 and 2013 were analyzed. Dietary intake was assessed using a validated semi-quantitative food frequency questionnaire, and principal component analysis was applied to identify distinct dietary patterns. The primary outcome was CVD mortality, assessed using Cox proportional hazards models adjusted for confounders, including age, sex, body mass index, smoking status, alcohol intake, physical activity, total calorie intake, hypertension, diabetes, and dyslipidemia.

resultsAdherence to the Korean Mediterranean-style diet was associated with a significantly reduced risk of CVD mortality in MASLD patients, with those in the highest Korean Mediterranean-style diet pattern quartile having a 33% lower risk than those in the lowest quartile (hazards ratio: 0.67, 95% confidence interval: 0.45-1.00, p = 0.048). Other dietary patterns, including the processed food and dairy diet, animal protein-rich diet, grain-based diet, as well as refined carbohydrate and fat-rich diet, were not significantly associated with CVD mortality.

conclusionsAdherence to Korean Mediterranean-style diet pattern was associated with a lower risk of CVD mortality in Korean adults with MASLD, highlighting its potential as an effective dietary strategy for managing cardiovascular risk in MASLD patients, even in non-Western populations.

Indexed as

Cardiovascular DiseasesDietDiet, MediterraneanFatty LiverAdultAgedFemaleHumansMaleMiddle AgedRepublic of KoreaRisk FactorsCardiovascular diseaseDietary patternMetabolic dysfunction-associated steatotic liver diseaseMortality

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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.