Department of Internal Medicine, Istanbul University, Istanbul, Turkey.
Department of General Surgery, Istanbul Training and Research Hospital, Istanbul, Turkey.
Hernia. 2020 Oct;24(5):1107-1112. doi: 10.1007/s10029-019-02075-8. Epub 2019 Nov 16.
There are many risk factors for inguinal hernia that have been determined in the literature, but the relationship between nutritional status and inguinal hernia has not yet been examined. In this study, we evaluated the constipation scale and food consumption of patients with inguinal hernia.
This prospective case-control study was performed between March 2018 and March 2019. The patients who were admitted for inguinal hernia operation were the case group, and those patients who had been admitted to the same hospital without inguinal hernia were the control group. The age, body mass index, alcohol and smoking habits, daily activity, and the Wexner constipation scoring were examined using a questionnaire and 3-day food consumption records were noted.
A total of 203 volunteers were included in the study. Of these, 88 patients were in the control group, and 115 patients were in the case group. The age and gender distribution of the groups was similar. Cigarette and alcohol usages are statistically high in the case group. The Wexner constipation scale of the groups was statistically high in the case group. In the univariate analysis, smoking, alcohol consumption, total constipation score, red meat consumption, chicken consumption, bread consumption, low fiber consumption, low egg consumption, low carbohydrate, and low energy intake were effective in hernia formation, and in the multivariate analysis, total constipation score, red meat consumption, chicken consumption, excess bread consumption, low energy intake, and low fiber consumption were significant as independent variables.
Our study is the first to evaluate whether there is a relationship between inguinal hernia and nutrition, according to the literature. Lifestyle modifications and a healthy diet with the consumption of less meat and more vegetables may have an impact on the reduction of hernia occurrence.
文献中已经确定了许多腹股沟疝的危险因素，但营养状况与腹股沟疝之间的关系尚未得到研究。在这项研究中，我们评估了腹股沟疝患者的便秘量表和食物摄入量。
这是一项前瞻性病例对照研究，于 2018 年 3 月至 2019 年 3 月进行。因腹股沟疝手术入院的患者为病例组，同期因其他疾病入院且无腹股沟疝的患者为对照组。通过问卷调查和 3 天的食物摄入量记录，检查年龄、体重指数、饮酒和吸烟习惯、日常活动以及 Wexner 便秘评分。
共有 203 名志愿者参与了研究。其中 88 例为对照组，115 例为病例组。两组的年龄和性别分布相似。病例组的吸烟和饮酒率明显较高。病例组的 Wexner 便秘评分也明显较高。在单因素分析中，吸烟、饮酒、总便秘评分、红肉摄入、鸡肉摄入、面包摄入、低纤维摄入、低鸡蛋摄入、低碳水化合物和低能量摄入与疝形成有关，在多因素分析中，总便秘评分、红肉摄入、鸡肉摄入、过量面包摄入、低能量摄入和低纤维摄入是独立的重要变量。
根据文献，我们的研究首次评估了腹股沟疝与营养之间的关系。生活方式的改变和健康饮食，减少肉类摄入和增加蔬菜摄入，可能对减少疝的发生有影响。
