RT Journal Article T1 Does Consumption of Ultra-Processed Foods Matter for Liver Health? Prospective Analysis among Older Adults with Metabolic Syndrome. A1 Konieczna, Jadwiga A1 Fiol, Miguel A1 Colom, Antoni A1 Martínez-Gonzalez, Miguel Angel A1 Salas-Salvado, Jordi A1 Corella, Dolores A1 Soria-Florido, Maria Trinidad A1 Martinez, J Alfredo A1 Alonso-Gomez, Angel M A1 Wärnberg, Julia A1 Vioque, Jesus A1 Lopez-Miranda, Jose A1 Estruch, Ramon A1 Bernal-Lopez, M Rosa A1 Lapetra, Jose A1 Serra-Majem, Lluís A1 Bueno-Cavanillas, Aurora A1 Tur, Josep A A1 Martin-Sanchez, Vicente A1 Pinto, Xavier A1 Gaforio, Jose J A1 Matia-Martin, Pilar A1 Vidal, Josep A1 Vazquez, Clotilde A1 Daimiel, Lidia A1 Ros, Emilio A1 Bes-Rastrollo, Maira A1 Pascual, Maria A1 Sorli, Jose V A1 Goday, Albert A1 Zulet, Maria Angeles A1 Moreno-Rodriguez, Anai A1 Carmona-Gonzalez, Francisco Jesus A1 Valls-Enguix, Rafael A1 Janer, Juana M A1 Garcia-Rios, Antonio A1 Casas, Rosa A1 Gomez-Perez, Ana M A1 Santos-Lozano, Jose Manuel A1 Basterra-Gortari, F Javier A1 Martinez, Maria Angeles A1 Ortega-Azorin, Carolina A1 Bayo, Joan A1 Abete, Itziar A1 Salaverria-Lete, Itziar A1 Ruiz-Canela, Miguel A1 Babio, Nancy A1 Carres, Lourdes A1 Romaguera, Dora K1 Fatty liver index K1 Hepatic steatosis index K1 Liver health markers K1 Metabolic syndrome K1 Ultra-processed foods AB Non-alcoholic fatty liver disease (NAFLD) includes a spectrum of liver alterations that can result in severe disease and even death. Consumption of ultra-processed foods (UPF) has been associated with obesity and related comorbidities. However, the link between UPF and NAFLD has not been sufficiently assessed. We aimed to investigate the prospective association between UPF consumption and liver health biomarkers. Methods: We followed for 1 year 5867 older participants with overweight/obesity and metabolic syndrome (MetS) from the PREDIMED-Plus trial. A validated 143-item semi-quantitative food frequency questionnaire was used to evaluate consumption of UPF at baseline, 6, and 12 months. The degree of processing for foods and beverages (g/day) was established according to the NOVA classification system. The non-invasive fatty liver index (FLI) and hepatic steatosis index (HSI) were used to evaluate liver health at three points in time. The associations between changes in UPF consumption (percentage of total daily dietary intake (g)) and liver biomarkers were assessed using mixed-effects linear models with repeated measurements. Results: In this cohort, UPF consumption at baseline was 8.19% (SD 6.95%) of total daily dietary intake in grams. In multivariable models, each 10% daily increment in UPF consumption in 1 year was associated with significantly greater FLI (β 1.60 points, 95% CI 1.24;1.96 points) and HSI (0.43, 0.29; 0.57) scores (all p-valuess < 0.001). These associations persisted statistically significant afteradjusting for potential dietary confounders and NAFLD risk factors. Conclusions: A higher UPF consumption was associated with higher levels of NAFLD-related biomarkers in older adults with overweight/obesity and MetS PB MDPI YR 2022 FD 2022-09-27 LK http://hdl.handle.net/10668/21509 UL http://hdl.handle.net/10668/21509 LA en NO Konieczna J, Fiol M, Colom A, Martínez-González MÁ, Salas-Salvadó J, Corella D, et al. Does Consumption of Ultra-Processed Foods Matter for Liver Health? Prospective Analysis among Older Adults with Metabolic Syndrome. Nutrients. 2022 Oct 5;14(19):414 DS RISalud RD Apr 7, 2025