Zhan Jipang, Tang Xuhua, Wang Fang, Han Jiande
Department of Dermatology, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, 510080, People's Republic of China.
Clin Cosmet Investig Dermatol. 2021 Oct 23;14:1541-1549. doi: 10.2147/CCID.S333288. eCollection 2021.
Unlike eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), the relationship between eicosatetraenoic acid (ETA) and psoriasis remains unclear. Therefore, We performed a cross-sectional study in the general American population to investigate the association between daily dietary ETA, EPA, and DHA intake and the risk of psoriasis.
This study applied data from the National Health and Nutrition Examination Survey (NHANES) 2003-2006 and 2009-2014. Dietary n3 polyunsaturated fatty acids (PUFA) were calculated based on two 24-hour dietary recall interviews. We defined psoriasis by responding to the question "Have you ever been told by a doctor or other health care professional that you had psoriasis?". Multivariable logistic regression analysis, trend tests, subgroup analysis, and interaction tests were used to evaluate the associations of ETA, EPA, and DHA intake with the risk of psoriasis, respectively.
A total of 15,733 participants were included in this study. In our optimal multivariate-adjusted model, the odds ratio (OR) with 95% confidence interval (CI) of psoriasis were 0.30 (0.12, 0.88), 1.92 (0.78, 4.74), 1.28 (0.72, 2.27) for daily dietary ETA, EPA, and DHA intake, respectively. Trend tests showed a dose-effect relationship between daily dietary ETA intake and the lower risk of psoriasis. Subgroup analysis and tests for interaction showed that the association was stable in different subgroups.
Our study revealed that there might be a dose-effect association of daily dietary ETA intake with the lower risk of psoriasis in American adults.
与二十碳五烯酸(EPA)和二十二碳六烯酸(DHA)不同,二十碳四烯酸(ETA)与银屑病之间的关系尚不清楚。因此,我们在美国普通人群中进行了一项横断面研究,以调查每日膳食中ETA、EPA和DHA的摄入量与银屑病风险之间的关联。
本研究应用了2003 - 2006年和2009 - 2014年美国国家健康与营养检查调查(NHANES)的数据。基于两次24小时饮食回顾访谈计算膳食n3多不饱和脂肪酸(PUFA)。我们通过回答“您是否曾被医生或其他医疗保健专业人员告知您患有银屑病?”这一问题来定义银屑病。分别使用多变量逻辑回归分析、趋势检验、亚组分析和交互作用检验来评估ETA、EPA和DHA摄入量与银屑病风险的关联。
本研究共纳入15,733名参与者。在我们的最佳多变量调整模型中,每日膳食中ETA、EPA和DHA摄入量与银屑病的比值比(OR)及95%置信区间(CI)分别为0.30(0.12, 0.88)、1.92(0.78, 4.74)、1.28(0.72, 2.27)。趋势检验显示每日膳食ETA摄入量与较低的银屑病风险之间存在剂量 - 效应关系。亚组分析和交互作用检验表明,该关联在不同亚组中稳定。
我们的研究表明,美国成年人每日膳食ETA摄入量与较低的银屑病风险之间可能存在剂量 - 效应关联。