Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran.
Research Center for Biochemistry and Nutrition in Metabolic Diseases, Kashan University of Medical Sciences, Kashan, Islamic Republic of Iran.
Adv Nutr. 2021 Jun 1;12(3):735-743. doi: 10.1093/advances/nmaa145.
No previous investigation has summarized findings from prospective cohort studies on the association between dietary intake of fiber, fruit, and vegetables and risk of inflammatory bowel disease (IBD). Dietary fiber and its major sources can influence the risk of IBD by modulation of the gut microbiota. This study summarizes findings from published cohort studies on the association between dietary fiber, fruit, and vegetable consumption and risk of IBD. Relevant articles published up to January 2019 were searched via PubMed, MEDLINE, Scopus, Embase, Cochrane Library, and Google Scholar. All prospective cohort studies investigating the association between dietary fiber, fruit, and vegetable intake and risk of IBD were included. Combining 7 effect sizes from 6 studies, no significant association was found between dietary intake of fiber and risk of ulcerative colitis (UC) (RR: 1.09; 95% CI: 0.88, 1.34). However, a significant inverse association was found between dietary fiber intake and risk of Crohn disease (CD) (RR: 0.59; 95% CI: 0.46, 0.74), based on 5 studies with 6 effect sizes. Pooling information from 4 studies, we found a significant protective association between dietary intake of fruit and risk of UC (RR: 0.69; 95% CI: 0.55, 0.86) and CD (RR: 0.47; 95% CI: 0.38, 0.58). We also found a significant inverse association between vegetable consumption and risk of UC (RR: 0.56; 95% CI: 0.48, 0.66) and CD (RR: 0.52; 95% CI: 0.46, 0.59). In conclusion, dietary intake of fruit and vegetables was inversely associated with risk of IBD and its subtypes. Dietary fiber intake was also inversely associated with incidence of IBD and CD, but not with UC. Further studies are warranted to examine the association of other fiber-rich foods with IBD.
先前的研究并未总结膳食纤维、水果和蔬菜的饮食摄入与炎症性肠病(IBD)风险之间的前瞻性队列研究结果。膳食纤维及其主要来源可以通过调节肠道微生物群来影响 IBD 的风险。本研究总结了已发表的队列研究关于膳食纤维、水果和蔬菜消耗与 IBD 风险之间关系的研究结果。通过 PubMed、MEDLINE、Scopus、Embase、Cochrane 图书馆和 Google Scholar 搜索截至 2019 年 1 月的相关文章。纳入了所有调查膳食纤维、水果和蔬菜摄入与 IBD 风险之间关系的前瞻性队列研究。将 6 项研究中的 7 个效应量合并,发现膳食纤维的饮食摄入与溃疡性结肠炎(UC)的风险之间无显著相关性(RR:1.09;95%CI:0.88,1.34)。然而,基于 5 项研究中的 6 个效应量,发现膳食纤维摄入与克罗恩病(CD)的风险之间存在显著的负相关(RR:0.59;95%CI:0.46,0.74)。合并来自 4 项研究的信息,我们发现水果的饮食摄入与 UC(RR:0.69;95%CI:0.55,0.86)和 CD(RR:0.47;95%CI:0.38,0.58)的风险之间存在显著的保护相关性。我们还发现蔬菜摄入与 UC(RR:0.56;95%CI:0.48,0.66)和 CD(RR:0.52;95%CI:0.46,0.59)的风险之间存在显著的负相关。总之,水果和蔬菜的饮食摄入与 IBD 及其亚型的风险呈负相关。膳食纤维的摄入也与 IBD 和 CD 的发病率呈负相关,但与 UC 无关。需要进一步的研究来检查其他富含纤维的食物与 IBD 的关联。