ArticleJournal of global health2026
Associations between physical activity and dietary live microbe intake with non-alcoholic fatty liver disease: findings from the NHANES, 2007-2018.
Article in Journal of global health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Physical activity (PA) and dietary live microbe intake protect against non-alcoholic fatty liver disease (NAFLD) by improving insulin resistance, yet whether they act through shared metabolic pathways - such as those reflected by the triglyceride-glucose (TyG) index - remains unclear. We aimed to investigate the independent and combined associations of PA and dietary live microbe intake with NAFLD and to explore the mediating effect of the TyG index. Methods: We retrieved data from the National Health and Nutrition Examination Survey 2007-2018, which defined NAFLD by the US fatty liver index, PA using the self-reported Global Physical Activity Questionnaire, and dietary live microbe intake levels through 24-hour dietary recall data. We assessed individual and joint effects of PA and dietary live microbe intake via weighted multivariate logistic regression models and explored the mediating effect of the TyG index via causal mediation analysis. Results: Our analysis encompassed 10 387 participants. The multivariate-adjusted odds ratios (ORs) were 0.84 (95% confidence interval (CI) = 0.72-0.99; P = 0.040) for NAFLD patients with sufficiently high PA and 0.78 (95% CI = 0.66-0.92; P = 0.003) for those with relatively high dietary live microbe intake. In the joint analysis, individuals with sufficiently high PA and higher dietary live microbe intake had the lowest risk of NAFLD (OR = 0.68; 95% CI = 0.56-0.84, P < 0.001), particularly those aged <65 years. The TyG index mediated 40.80% of the association between PA and NAFLD, as well as 28.44% of the association between dietary live microbe intake and NAFLD. Conclusions: Our findings suggest that public health strategies promoting both regular physical activity and consumption of foods rich in live microbes may offer a synergistic approach for NAFLD prevention, particularly in adults under 65 years of age.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.