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乳制品总摄入量与首次临床诊断为中枢神经系统脱髓鞘的可能性无关。

Total Dairy Consumption Is Not Associated With Likelihood of a First Clinical Diagnosis of Central Nervous System Demyelination.

作者信息

Dieu Dao Ying Rachel, Dunlop Eleanor, Daly Alison, Lucas Robyn M, Probst Yasmine, Black Lucinda J

机构信息

Curtin School of Population Health, Curtin University, Perth, WA, Australia.

National Centre for Epidemiology and Population Health, Australian National University, Canberra, ACT, Australia.

出版信息

Front Neurol. 2022 May 13;13:888559. doi: 10.3389/fneur.2022.888559. eCollection 2022.

Abstract

BACKGROUND

The evidence associating consumption of dairy products and risk of MS is contradictory and inconclusive.

OBJECTIVE

To test associations between dairy consumption and the likelihood of a first clinical diagnosis of central nervous system demyelination (FCD), a common precursor to MS.

METHODS

We used data from the 2003-2006 Ausimmune Study, a population-based Australian, multicentre, matched case-control study (272 cases, 519 controls). Total dairy consumption (servings/day) was calculated by summing consumption of milk, cheese and yogurt. Covariate-adjusted treatment effects using augmented inverse probability weighting was used to test for associations with FCD. We conducted sensitivity analyses in the subset of participants who had had a classic first demyelinating event (FDE), defined as a single, first episode of symptoms suggestive of CNS demyelination.

RESULTS

There were no statistically significant associations between total dairy consumption (per one serving/day) and FCD (adjusted OR 1.00; 95% CI 0.93, 1.07; = 0.979). However, yogurt consumption (vs. no yogurt consumption) was associated with an 11% decreased likelihood of FDE (adjusted OR 0.89; 95% CI 0.89, 0.79; = 0.046).

CONCLUSION

While total dairy consumption was not associated with FCD in this Australian case-control study, yogurt consumption was associated with reduced likelihood of FDE.

摘要

背景

有关食用乳制品与多发性硬化症风险之间的证据相互矛盾且尚无定论。

目的

检验乳制品消费与首次临床诊断为中枢神经系统脱髓鞘(FCD,多发性硬化症常见的前驱症状)的可能性之间的关联。

方法

我们使用了2003 - 2006年澳大利亚免疫研究的数据,这是一项基于人群的澳大利亚多中心配对病例对照研究(272例病例,519例对照)。通过汇总牛奶、奶酪和酸奶的消费量来计算总乳制品消费量(份/天)。使用增强逆概率加权法进行协变量调整后的治疗效果分析,以检验与FCD的关联。我们在有典型首次脱髓鞘事件(FDE)的参与者子集中进行了敏感性分析,FDE定义为提示中枢神经系统脱髓鞘的单一首次症状发作。

结果

总乳制品消费量(每增加一份/天)与FCD之间无统计学显著关联(调整后的比值比为1.00;95%置信区间为0.93, 1.07;P = 0.979)。然而,食用酸奶(与不食用酸奶相比)与FDE发生可能性降低11%相关(调整后的比值比为0.89;95%置信区间为0.89, 0.79;P = 0.046)。

结论

在这项澳大利亚病例对照研究中,虽然总乳制品消费量与FCD无关,但食用酸奶与FDE发生可能性降低相关。

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