{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T09:39:25Z","timestamp":1793180365658,"version":"4.5.0"},"reference-count":37,"publisher":"Cambridge University Press (CUP)","issue":"7","license":[{"start":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T00:00:00Z","timestamp":1779235200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T00:00:00Z","timestamp":1779235200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/tdm\/tdmrep-policy.json"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Br J Nutr"],"published-print":{"date-parts":[[2026,10,14]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    The Mediterranean diet has emerged as a promising dietary pattern for preventing non-alcoholic fatty liver disease (NAFLD). This study aimed to examine the role of the Mediterranean diet on the risk of NAFLD in Turkish adults. A total of 252 individuals (126 NAFLD and 126 age- and sex-matched controls) participated in this case\u2013control study. Dietary intake was assessed with a 24-h recall, and adherence to the Mediterranean diet was evaluated using the Mediterranean Diet Adherence Screener (MEDAS). Logistic regression models were applied to estimate OR. The prevalence of NAFLD was higher in the lowest tertile (64\u00b76 %) and lower in the highest tertile (30\u00b75 %;\n                    <jats:italic>P<\/jats:italic>\n                    &lt; 0\u00b7001). Moderate adherence to the Mediterranean diet was associated with a 57\u00b70 % lower risk of NAFLD after adjusting for age, sex, BMI and energy intake. High adherence conferred an 86\u00b70 % reduction after adjusting for age, sex, BMI, energy intake and co-morbidities. Frequent consumption of butter, margarine, cream (OR = 2\u00b775; 95 % CI 1\u00b772, 6\u00b743) and sugar-sweetened beverages (OR = 2\u00b787; 95 % CI 1\u00b720, 6\u00b787) significantly increased the risk. However, consuming nuts three or more servings per week was protective (OR = 0\u00b746; 95 % CI 0\u00b721, 0\u00b799). In individuals who did not consume \u2265 3 servings of fruit daily, the risk of NAFLD was significantly reduced (OR = 0\u00b728; 95 % CI 0\u00b716, 0\u00b769). Adherence to the Mediterranean diet was strongly associated with a reduced risk of NAFLD, highlighting the importance of limiting saturated fats and sugar-sweetened beverages while promoting nuts as practical strategies for prevention.\n                  <\/jats:p>","DOI":"10.1017\/s0007114526107545","type":"journal-article","created":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T07:50:23Z","timestamp":1779263423000},"page":"812-817","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Mediterranean diet adherence and non-alcoholic fatty liver disease risk in Turkish adults: a case\u2013control study"],"prefix":"10.1017","volume":"136","author":[{"given":"Reza","family":"Khoshbakht Farshad","sequence":"first","affiliation":[{"name":"Ondokuz May\u0131s University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elif","family":"Akba\u015f","sequence":"additional","affiliation":[{"name":"Marmara University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8232-103X","authenticated-orcid":false,"given":"Yasemin","family":"Erta\u015f \u00d6zt\u00fcrk","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/028k5qw24","id-type":"ROR","asserted-by":"publisher"}],"name":"Ondokuz May\u0131s University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,5,20]]},"reference":[{"key":"S0007114526107545_ref19","first-page":"160","article-title":"Akdeniz diyeti ba\u011fl\u0131l\u0131k \u00f6l\u00e7e\u011fi\u2019nin T\u00fcrk\u00e7e\u2019ye uyarlanmas\u0131 ge\u00e7erlilik ve g\u00fcvenilirli\u011fi (Validity and reliability of the Turkish version of the Mediterranean diet adherence scale)","volume":"42","author":"Pehlivano\u011flu","year":"2020","journal-title":"Osmangazi T\u0131p Derg"},{"key":"S0007114526107545_ref13","doi-asserted-by":"publisher","DOI":"10.3390\/nu9080870"},{"key":"S0007114526107545_ref33","doi-asserted-by":"publisher","DOI":"10.3389\/fnut.2022.774718"},{"key":"S0007114526107545_ref34","doi-asserted-by":"publisher","DOI":"10.3390\/nu15102266"},{"key":"S0007114526107545_ref10","doi-asserted-by":"publisher","DOI":"10.1097\/HEP.0000000000000323"},{"key":"S0007114526107545_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2024.03.006"},{"key":"S0007114526107545_ref24","doi-asserted-by":"publisher","DOI":"10.3390\/foods14101736"},{"key":"S0007114526107545_ref22","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2017.371"},{"key":"S0007114526107545_ref27","doi-asserted-by":"publisher","DOI":"10.3390\/nu14071440"},{"key":"S0007114526107545_ref7","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2021.683719"},{"key":"S0007114526107545_ref18","unstructured":"18. 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Published by Cambridge University Press on behalf of The Nutrition Society","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}