Tabibian Seyed-Reza, Hajhashemy Zahra, Shaabani Pouria, Saneei Parvane, Keshteli Ammar Hassanzadeh, Esmaillzadeh Ahmad, Adibi Peyman
Isfahan Gastroenterology and Hepatology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Community Nutrition, School of Nutrition and Food Science, Food Security Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Neurogastroenterol Motil. 2021 Sep;33(9):e14129. doi: 10.1111/nmo.14129. Epub 2021 Apr 2.
The association of fruit and vegetables with functional dyspepsia (FD) has been less studied, especially in Middle Eastern populations. This study investigated the relationship between fruit and vegetable consumption with FD and its related symptoms among a large group of Iranian adults.
This cross-sectional research was conducted on 3362 middle-age participants. Usual dietary intakes, including fruit and vegetable intake, during the last year were assessed using a validated 106-item dish-based food frequency questionnaire (FFQ). A modified Persian version of the Rome III questionnaire was used for assessment of FD.
The prevalence of FD among study participants was 14.5%. After adjustment for confounders, the highest energy-adjusted tertile of fruit consumption was related to 32% lower risk of FD, compared to the lowest intake (OR = 0.68, 95% CI:0.51-0.90). Fruit consumption was also significantly related to lower risk of early satiation (OR = 0.67, 95% CI:0.54-0.85) and post-prandial fullness (OR = 0.75, 95% CI:0.61-0.92). Vegetable consumption was not related to the risk of FD in all models. Men who were in the third tertile of fruit and the third tertile vegetable consumption had lower risk of FD compared to the first tertile; but, in women, just fruit consumption was related to the reduced risk of FD, after adjustment for all confounders.
We found an inverse association between fruit intake and dyspepsia symptoms. In addition, high consumption of fruit was related to lower odds of early satiation and post-prandial fullness. Higher intake of vegetables was associated with lower risk of FD, only in men.
水果和蔬菜与功能性消化不良（FD）之间的关联研究较少，尤其是在中东人群中。本研究调查了一大群伊朗成年人中水果和蔬菜摄入量与FD及其相关症状之间的关系。
这项横断面研究对3362名中年参与者进行。使用经过验证的106项基于菜肴的食物频率问卷（FFQ）评估过去一年的日常饮食摄入量，包括水果和蔬菜摄入量。采用改良的波斯语版罗马III问卷评估FD。
研究参与者中FD的患病率为14.5%。在对混杂因素进行调整后，与最低摄入量相比，水果摄入量能量调整后最高三分位数组患FD的风险降低了32%（OR = 0.68，95% CI：0.51 - 0.90）。水果摄入量还与早饱风险降低显著相关（OR = 0.67，95% CI：0.54 - 0.85）和餐后饱腹感降低相关（OR = 0.75，95% CI：0.61 - 0.92）。在所有模型中，蔬菜摄入量与FD风险无关。水果摄入量处于第三三分位数且蔬菜摄入量处于第三三分位数的男性与第一三分位数相比，患FD的风险较低；但是，在女性中，在对所有混杂因素进行调整后，只有水果摄入量与FD风险降低相关。
我们发现水果摄入量与消化不良症状之间存在负相关。此外，高水果摄入量与早饱及餐后饱腹感几率降低相关。仅在男性中，较高的蔬菜摄入量与较低的FD风险相关。
