{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T16:53:30Z","timestamp":1784307210954,"version":"3.55.0"},"reference-count":56,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,11,23]],"date-time":"2023-11-23T00:00:00Z","timestamp":1700697600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["dom-pubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Obesity Metabolism"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aimed to contrast the associations of five common diet scores with severe non\u2010alcoholic fatty liver disease (NAFLD) incidence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>In total, 162\u2009999 UK Biobank participants were included in this prospective population\u2010based study. Five international diet scores were included: the 14\u2010Item Mediterranean Diet Adherence Screener (MEDAS\u201014), the Recommended Food Score (RFS), the Healthy Diet Indicator (HDI), the Mediterranean Diet Score and the Mediterranean\u2010DASH Intervention for Neurodegenerative Delay score. As each score has different measurements and scales, all scores were standardized and categorized into quartiles. Cox proportional hazard models adjusted for confounder factors investigated associations between the standardized quartiles and severe NAFLD incidence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Over a median follow\u2010up of 10.2\u2009years, 1370 participants were diagnosed with severe NAFLD. When the analyses were fully adjusted, participants in quartile 4 using the MEDAS\u201014 and RFS scores, as well as those in quartiles 2 and 3 using the HDI score, had a significantly lower risk of severe incident NAFLD compared with those in quartile 1. The lowest risk was observed in quartile 4 for the MEDAS\u201014 score [hazard ratio (HR): 0.76 (95% confidence interval (CI): 0.62\u20100.94)] and the RFS score [HR: 0.82 (95% CI: 0.69\u20100.96)] and as well as in quartile 2 in the HDI score [HR: 0.80 (95% CI: 0.70\u20100.91)].<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>MEDAS\u201014, RFS and HDI scores were the strongest diet score predictors of severe NAFLD. A healthy diet might protect against NAFLD development irrespective of the specific approach used to assess diet. However, following these score recommendations could represent optimal dietary approaches to mitigate NAFLD risk.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dom.15378","type":"journal-article","created":{"date-parts":[[2023,11,24]],"date-time":"2023-11-24T20:10:33Z","timestamp":1700856633000},"page":"860-870","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Association of five diet scores with severe NAFLD incidence: A prospective study from UK Biobank"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4384-4962","authenticated-orcid":false,"given":"Fanny","family":"Petermann\u2010Rocha","sequence":"first","affiliation":[{"name":"School of Cardiovascular and Metabolic Health University of Glasgow  Glasgow UK"},{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica, Facultad de Medicina Universidad Diego Portales  Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernanda","family":"Carrasco\u2010Marin","sequence":"additional","affiliation":[{"name":"School of Cardiovascular and Metabolic Health University of Glasgow  Glasgow UK"},{"name":"Centro de Vida Saludable Universidad de Concepci\u00f3n  Concepci\u00f3n Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jirapitcha","family":"Boonpor","sequence":"additional","affiliation":[{"name":"School of Cardiovascular and Metabolic Health University of Glasgow  Glasgow UK"},{"name":"Faculty of Public Health Kasetsart University, Chalermphrakiat Sakon Nakhon Province Campus, Kasetsart University  Sakon Nakhon Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Solange","family":"Parra\u2010Soto","sequence":"additional","affiliation":[{"name":"School of Cardiovascular and Metabolic Health University of Glasgow  Glasgow UK"},{"name":"Department of Nutrition and Public Health Universidad del B\u00edo\u2010B\u00edo  Chill\u00e1n Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oliver","family":"Shannon","sequence":"additional","affiliation":[{"name":"Human Nutrition &amp; 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