Influence of dietary components on the risk of gallstone formation

Marcelina Sawczuk, Jakub Ptak, Marek Miśkiewicz, Jagoda Marcinkowska, Jakub Perłowski, Victoria Teska, Karolina Koczkodon, Rafał Noga, Mariusz Krompiewski, Adrian Herc
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Abstract

Gallbladder disease is a common condition in the population that has a negative impact on quality of life. The development of gallstones is influenced by both non-modifiable factors such as genetics, age, gender and modifiable risk factors including physical activity, body weight, diet. Dietary factors affecting the occurrence of the disease are difficult to capture in clinical studies, but the effect of certain substances on the development of gallstones has been proven. Positive risk factors include a high-calorie diet, obesity, increased intake of carbohydrates, saturated fatty acids, small amounts of fiber ingested. Moderate alcohol consumption reduces the risk of gallstones. Coffee may reduce the risk of the disease, but results are inconclusive. Inverse risk factors include consumption of monounsaturated fatty acids, consumption of nuts, olive oil, n-3 PUFA found in fish oil, vitamin C supplementation. No clear effect of consuming large amounts of dietary cholesterol can be established. The type of protein consumed also matters - vegetable protein reduces the risk of gallstones, animal protein has no such effect. Better understanding of dietary risks of cholelithiasis may help in future disease prevention.
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饮食成分对胆石形成风险的影响
胆囊疾病是一种对生活质量有负面影响的常见疾病。胆结石的发生既受遗传、年龄、性别等不可改变因素的影响,也受体育锻炼、体重、饮食等可改变风险因素的影响。影响疾病发生的饮食因素很难在临床研究中捕捉到,但某些物质对胆结石发生的影响已经得到证实。积极的危险因素包括高热量饮食、肥胖、碳水化合物摄入量增加、饱和脂肪酸、摄入少量纤维。适量饮酒可降低患胆结石的风险。喝咖啡可能会降低患病风险,但目前尚无定论。逆向风险因素包括摄入单不饱和脂肪酸、坚果、橄榄油、鱼油中的 n-3 PUFA 以及补充维生素 C。摄入大量膳食胆固醇的影响尚不明确。摄入蛋白质的种类也很重要--植物蛋白可降低胆结石的风险,而动物蛋白则没有这种影响。更好地了解胆石症的饮食风险可能有助于未来的疾病预防。
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