antioxidants Article Serum Malondialdehyde is Associated with Non-Alcoholic Fatty Liver and Related Liver Damage Differentially in Men and Women Shira Zelber-Sagi 1,2,*, Dana Ivancovsky-Wajcman 1, Naomi Fliss-Isakov 2,3, Michal Hahn 4, 2,3 2,3 2,3, 4, Muriel Webb , Oren Shibolet , Revital Kariv y and Oren Tirosh y 1 School of Public Health, University of Haifa, Haifa 3498838, Israel;
[email protected] 2 Department of Gastroenterology, Tel Aviv Medical Center, Tel Aviv 6423914, Israel; naomifl@tlvmc.gov.il (N.F.-I.);
[email protected] (M.W.);
[email protected] (O.S.);
[email protected] (R.K.) 3 Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel 4 Institute of Biochemistry, Food Science and Nutrition, The RH Smit Faculty of Agriculture, Food and Environment, The Hebrew University of Jerusalem, Rechovot 76100001, Israel;
[email protected] (M.H.);
[email protected] (O.T.) * Correspondence:
[email protected]; Tel.: +972-3-6973984 The last two authors equally contributed to the paper. y Received: 25 May 2020; Accepted: 25 June 2020; Published: 2 July 2020 Abstract: Background: Non-alcoholic fatty liver disease (NAFLD) and steatohepatitis (NASH) are associated with increased oxidative stress and lipid peroxidation, but large studies are lacking. The aim was to test the association of malondialdehyde (MDA), as a marker of oxidative damage of lipids, with NAFLD and liver damage markers, and to test the association between dietary vitamins E and C intake and MDA levels. Methods: A cross-sectional study was carried out among subjects who underwent blood tests including FibroMax for non-invasive assessment of NASH and fibrosis.