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Martinez-Urbistondo D, Suarez del Villar R, Argemí J, Daimiel L, Ramos-López O, San-Cristobal R, Villares P, Martinez JA. Antioxidant Lifestyle, Co-Morbidities and Quality of Life Empowerment Concerning Liver Fibrosis. Antioxidants (Basel) 2020; 9:antiox9111125. [PMID: 33202851 PMCID: PMC7696605 DOI: 10.3390/antiox9111125] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2020] [Revised: 11/07/2020] [Accepted: 11/09/2020] [Indexed: 12/16/2022] Open
Abstract
The assessment of liver fibrosis has gained importance since the progression of non-alcoholic fatty liver disease (NAFLD). Indeed, the description of the association between undetected liver fibrosis and lifestyle in terms of antioxidant habits, comorbidity and quality of life (QoL) domains may help in the characterization of subjects with NAFLD. A cross-sectional evaluation of (n = 116) consecutive patients from an Internal Medicine ambulatory evaluation was performed. Demographic data, lifestyle, co-morbidity, QoL (according to the SF-36 index) and analytical values to calculate the oxidative related Fibrosis-4 (FIB-4) index were recorded. The association between FIB-4 and co-morbidity, antioxidant habits in QoL was assessed in univariate analysis (p < 0.05) and confirmed in multivariable analysis for 4 of the 8 SF-36 categories: Physical QoL, Physical role, Social QoL and General QoL, as well as in the Physical summary of SF-36 (p < 0.05). Finally, interactions were assessed between co-morbidity, FIB-4 and antioxidant habits showed in the prediction of mean SF-36 (p < 0.01). Liver fibrosis assessed by the oxidative surrogate index FIB-4 is associated with the interaction between antioxidant lifestyle, co-morbidity and physical, social and general aspects of QoL in apparent liver disease-free individuals, generating a proof of concept for health empowerment and personalized medicine.
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Affiliation(s)
- Diego Martinez-Urbistondo
- Internal Medicine Department, Hospital HM Sanchinarro, HM Hospitales, 28050 Madrid, Spain; (R.S.d.V.); (P.V.)
- Correspondence:
| | - Rafael Suarez del Villar
- Internal Medicine Department, Hospital HM Sanchinarro, HM Hospitales, 28050 Madrid, Spain; (R.S.d.V.); (P.V.)
| | - Josepmaria Argemí
- Liver Unit, Clínica Universidad de Navarra, Centro de Investigación Médica Aplicada, 31008 Pamplona, Spain;
| | - Lidia Daimiel
- Precision Nutrition Program, Instituto Madrileño de Estudios Avanzados, Universidad Autónoma de Madrid, 28049 Madrid, Spain; (L.D.); (R.S.-C.); (J.A.M.)
| | - Omar Ramos-López
- Medicine and Psychology School, Autonomous University of Baja California, Tijuana 22390, Mexico;
| | - Rodrigo San-Cristobal
- Precision Nutrition Program, Instituto Madrileño de Estudios Avanzados, Universidad Autónoma de Madrid, 28049 Madrid, Spain; (L.D.); (R.S.-C.); (J.A.M.)
| | - Paula Villares
- Internal Medicine Department, Hospital HM Sanchinarro, HM Hospitales, 28050 Madrid, Spain; (R.S.d.V.); (P.V.)
| | - Jose Alfredo Martinez
- Precision Nutrition Program, Instituto Madrileño de Estudios Avanzados, Universidad Autónoma de Madrid, 28049 Madrid, Spain; (L.D.); (R.S.-C.); (J.A.M.)
- CIBERobn: Fisiopatología de la Obesidad y Nutrición, Instituto Carlos III, 28029 Madrid, Spain
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