Evidence map›Paper›PMID 42815963›Full record

ArticleAsia Pacific journal of clinical nutrition2026

Discrepancy between self-perceived dietary habits and objective clinical risk of liver fibrosis: A cross-sectional study of Japanese health checkup participants.

Nao Kawabata, Naoki Morimoto, Mizuho Shimada, Shizukiyo Ishikawa, Kentaro Kurashina

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Article in Asia Pacific journal of clinical nutrition, 2026. 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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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Nao KawabataDepartment of Human Nutrition, Seitoku University, Chiba, Japan. Email: kawabata.nao@wa.seitoku.ac.jp; nkawa-bata@jichi.ac.jp.
Naoki MorimotoDepartment of Medicine, Division of Gastroenterology, Jichi Medical University, Tochigi, Japan.
Mizuho ShimadaJichi Medical University Health Care Center, Tochigi, Japan.
Shizukiyo IshikawaCenter for Information, Jichi Medical University, Tochigi, Japan.
Kentaro KurashinaDepartment of Surgery, Division of Gastroenterological, General and Transplant Surgery, Jichi Medical University, Tochigi, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesLifestyle modification is the cornerstone of liver disease management; however, its success depends on accurate self-assessment. We investigated the clinical characteristics of individuals at risk of liver fibrosis and the discrepancy between their objective risk and self-perceived lifestyle habits in patients with steatotic liver disease. METHODS AND STUDY

designThis cross-sectional study included 167 par-ticipants diagnosed with steatotic liver disease. Participants were categorized into a high-risk group (n = 57) and a control group (n = 110) based on the age-adjusted Fibrosis-4 index cutoffs. Multivariable logistic regression was used to identify independent factors, and self-perceived habits were compared to evaluate cognitive-clinical discrepancies.

resultsAge was identified as the sole independent clinical factor associated with the risk of fibrosis. The high-risk group exhibited significantly lower alanine aminotransferase and tri-glyceride levels than those of the control group. Despite their higher clinical risk, the high-risk group reported significantly higher engagement in habitual exercise (53% vs. 31%, p = 0.006) and restorative sleep (odds ratio: 3.24). High-risk individuals were also significantly less likely to report the frequent intake of sweets (odds ratio: 0.253).

conclusionsA profound cognitive-clinical discrepancy exists among individuals at risk for liver fibrosis, which may lead them to misinterpret pathologically declining biomarkers as successful out-comes of their lifestyle efforts. Health promotion must move beyond general advice to incorporate perception-correcting feedback that reconciles subjective health views with objective pathological realities.

Indexed as

DietFeeding BehaviorLiver CirrhosisSelf ConceptAdultCross-Sectional StudiesEast Asian PeopleFemaleHumansJapanLife StyleMaleMiddle AgedRisk Factorsdietary habitsFibrosis-4 indexliver fibrosisself-perceptionweight management

Identifiers

PMID42815963
PMCPMC13626801

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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.