Association between nutrient intake and inflammatory bowel disease risk: Insights from NHANES data and dose-response analysis

IF 3.2 3区 医学 Q2 NUTRITION & DIETETICS Nutrition Pub Date : 2024-11-21 DOI:10.1016/j.nut.2024.112632
Nuoya Xiong M.M. , Wei Zhang Ph.D. , Yajie Zhang M.M. , Chunlai Nie Ph.D. , Hongxia Dan D.M.D.
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Abstract

Background

The role of dietary and nutritional factors in inflammatory bowel disease (IBD) remains poorly understood, necessitating further investigation. This study aims to explore the association between nutrient intake and the risk of IBD.

Methods

This cross-sectional study utilized data from the 2009–2010 NHANES cycle, focusing on individuals with complete 24-hour dietary intake records and clinically assessed IBD information. Nutrient intake was assessed through dietary recalls and supplement data. Associations between nutrient intake and IBD risk were analyzed by propensity score matching (PSM) with balanced baseline characteristics and logistic regression. Dose-response relationships were examined by restricted cubic splines (RCS). Statistical significance was set at P < 0.05, and analyses were conducted using R software.

Results

The study included 4,072 participants with clinically assessed IBD and complete nutrient intake data. In adjusted analyses, lower intake of vitamin B3, copper, phosphorus, selenium, sodium, and protein below the recommended dietary allowance may increase the risk of developing IBD. Similarly, reduced intake of vitamin B6, vitamin E, and total PUFA is associated with elevated susceptibility to IBD.

Conclusion

This study elucidates the intricate relationship between nutrient intake and the onset of IBD, underscoring the importance of maintaining a balanced diet for gastrointestinal health. These findings emphasize the significance of informed dietary choices in promoting intestinal wellness and potentially reducing the risk of IBD development.
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营养摄入与炎症性肠病风险之间的关联:来自NHANES数据和剂量反应分析的见解
背景:饮食和营养因素在炎症性肠病(IBD)中的作用仍然知之甚少,需要进一步研究。本研究旨在探讨营养摄入与IBD风险之间的关系。方法:本横断面研究利用2009-2010年NHANES周期的数据,重点关注具有完整24小时饮食摄入记录和临床评估IBD信息的个体。通过饮食回顾和补充数据评估营养摄入。通过平衡基线特征和逻辑回归的倾向评分匹配(PSM)分析营养摄入与IBD风险之间的关系。用限制性三次样条(RCS)检验剂量-反应关系。P < 0.05为差异有统计学意义,采用R软件进行分析。结果:该研究包括4072名临床评估的IBD参与者和完整的营养摄入数据。在调整后的分析中,维生素B3、铜、磷、硒、钠和蛋白质的摄入量低于推荐的膳食摄入量可能会增加患IBD的风险。同样,维生素B6、维生素E和总PUFA摄入量的减少与IBD易感性的增加有关。结论:本研究阐明了营养摄入与IBD发病之间的复杂关系,强调了保持均衡饮食对胃肠道健康的重要性。这些发现强调了明智的饮食选择在促进肠道健康和潜在降低IBD发展风险方面的重要性。
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来源期刊
Nutrition
Nutrition 医学-营养学
CiteScore
7.80
自引率
2.30%
发文量
300
审稿时长
60 days
期刊介绍: Nutrition has an open access mirror journal Nutrition: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. Founded by Michael M. Meguid in the early 1980''s, Nutrition presents advances in nutrition research and science, informs its readers on new and advancing technologies and data in clinical nutrition practice, encourages the application of outcomes research and meta-analyses to problems in patient-related nutrition; and seeks to help clarify and set the research, policy and practice agenda for nutrition science to enhance human well-being in the years ahead.
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