Vakhshuury Mehrbud, Khoshdel Alireza
Department of Gastroenterology, AJA University of Medical Sciences, Tehran, Iran.
Modern Epidemiology Research Center, AJA University of Medical Sciences, Tehran, Iran.
Adv Biomed Res. 2019 Jan 21;8:2. doi: 10.4103/abr.abr_180_18. eCollection 2019.
BACKGROUND: Assessing the relation between dietary habits and functional gastrointestinal disorders (FGIDs) is less investigated among military personnel. In this study, we aimed to evaluate the association of certain eating patterns and FGIDs in Iranian army men. MATERIALS AND METHODS: This cross-sectional study was performed on 600 army personnel working in Kerman ground forces military station number 05, Iran. Participants were asked to define their weekly breakfast consumption, lunch intake time, and chewing efficiency. FGIDs were categorized as four groups including functional dyspepsia (FD), irritable bowel syndrome (IBS), functional constipation (FC) and functional diarrhea (FDi) diagnosed by Rome Ш criteria. Relation between variables was assessed through crude and multiple stepwise adjusted models. RESULTS: The prevalence of FD, IBS, FC, and FDi in our study was 20%, 32.3%, 3%, and 53.2%, respectively. After adjustment of all potential confounding variables, more weekly breakfast consumption was associated with decreased FDi prevalence (odds ratio [OR]: 0.57, 95% confidence interval [CI] = 0.38-0.84, = 0.005). Slowly lunch consumption declined prevalence of IBS (OR: 0.33, 95% CI = 0.13-0.84, = 0.02). Individuals chewing their meals well had a lower percentage of IBS, FC, and FDi (OR: 0.53, 95% CI = 0.33-0.83, = 0.006; OR: 0.24, 95% CI = 0.06-0.89, = 0.03; and OR: 0.52, 95% CI = 0.34-0.79, = 0.003, respectively). CONCLUSIONS: This study suggested that increasing breakfast intake, slowly lunch consumption, and better food chewing could be effective decreasing FGIDs' prevalence and increasing army crews' quality of lives and work efficiency. Further studies required to confirm this relationship and define accurate pathophysiological mechanisms.
背景:在军事人员中,饮食习惯与功能性胃肠疾病(FGIDs)之间关系的研究较少。在本研究中,我们旨在评估伊朗军队男性中某些饮食模式与FGIDs之间的关联。 材料与方法:本横断面研究对在伊朗克尔曼第05地面部队军事基地工作的600名军队人员进行。参与者被要求确定他们每周早餐的摄入量、午餐的进食时间以及咀嚼效率。FGIDs被分为四组,包括根据罗马Ⅲ标准诊断的功能性消化不良(FD)、肠易激综合征(IBS)、功能性便秘(FC)和功能性腹泻(FDi)。通过粗模型和多步逐步调整模型评估变量之间的关系。 结果:在我们的研究中,FD、IBS、FC和FDi的患病率分别为20%、32.3%、3%和53.2%。在调整所有潜在混杂变量后,每周早餐摄入量增加与FDi患病率降低相关(比值比[OR]:0.57,95%置信区间[CI]=0.38 - 0.84,P = 0.005)。午餐进食速度慢可降低IBS患病率(OR:0.33,95% CI = 0.13 - 0.84,P = 0.02)。细嚼慢咽的个体IBS、FC和FDi的患病率较低(OR分别为:0.53,95% CI = 0.33 - 0.83,P = 0.006;OR:0.24,95% CI = 0.06 - 0.89,P = 0.03;OR:0.52,95% CI = 0.34 - 0.79,P = 0.003)。 结论:本研究表明,增加早餐摄入量、减慢午餐进食速度以及更好地咀嚼食物可能有效降低FGIDs的患病率,并提高军队人员的生活质量和工作效率。需要进一步的研究来证实这种关系并确定准确的病理生理机制。
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