Dietary Patterns, Physical Activity Levels and Mental Health Status of Patients with Metabolic Dysfunction-Associated Steatotic Liver Disease Living
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Authors
Cox L.
Imran H.
Lim T.Y.
Brindley J.H.
Muchelemba E.
Alazawi W.
Sharma, V.
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2025
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Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD) is strongly linked with poor dietary choices and low levels of physical activity. These are often influenced by cultural backgrounds, low socioeconomic status and poor mental health. Tower Hamlets, has one of the most ethnically diverse populations in London, with the largest Bangladeshi population in the UK (34.6%). It also has one of the highest incidence of MASLD. We aimed to identify trends in food choices, eating pattern, physical activity level and mental health status of patients with MASLD living in Tower Hamlets. All patients who attended a One-Stop Liver Clinic were asked to complete three questionnaires: 1. 'How healthy is your diet questionnaire?' 2. GODIN Leisure-Time Exercise Questionnaire 3. Hospital Anxiety and Depression Scale (HADS) The results were collated including ethnicity, body mass index, CAP and liver stiffness measurements (LSM). 101 patients were included. 38% of patients were of Asian, or Asian British (Bangledeshi, Pakistani or Indian), or AAB, and 32% were White British. 56% were male, median age was 51 and median BMI was 29.8kg/m2. 23 patients had a LSM >8kpa (range 8.5-47.6). 40% were classified as sedentary/ insufficiently active, with 23% being inactive. 35% were classified as moderately anxious, and 22% were classified as moderately depressed. Comparing all patients with a LSM 8kpa, the latter group had a higher percentage of not meeting their 5 a day, not choosing wholemeal bread or cereals and a higher consumption of processed meats, although these did not reach statistical significance. Patients with LSM >8kpa on average had a higher BMI (36.3kg/m2 vs 28.3kg/m2) and were significantly less active (GODIN score 26 vs 6). Similar incidence of anxiety and depression were seen in both groups. Comparing AAB and White British dietary patterns, both groups demonstrated similar food choices. There was a higher percentage of White British cohort that were more likely to skip breakfast (56% vs 28%) and had a higher consumption of processed meats (53% vs 8%). There were no significant differences in BMI, CAP and LSM between the groups. Despite known cultural differences in dietary intake between different ethnic groups, patients with MASLD of both AAB and White British ethnic groups living in East London have demonstrated similar dietary patterns and food choices. Patients with LSM >8kpa did not demonstrate significant differences in dietary pattern and food choice, however did have a higher BMI and were significantly less active.
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Gut