Yamamoto Yasunori, Furukawa Shinya, Watanabe Junichi, Kato Aki, Kusumoto Katsunori, Miyake Teruki, Takeshita Eiji, Ikeda Yoshio, Yamamoto Naofumi, Kohara Katsuhiko, Saheki Syuichi, Saeki Yuka, Hiasa Yoichi
Endoscopy Center, Ehime University Hospital, Toon, Ehime, Japan.
Health Services Center, Ehime University, Matsuyama, Ehime, Japan.
J Neurogastroenterol Motil. 2022 Jul 30;28(3):418-423. doi: 10.5056/jnm21146.
BACKGROUND/AIMS: Functional dyspepsia (FD) may be a common digestive disease worldwide and reduces the quality of life of patients. However, only a few studies have investigated the association between eating behavior and FD. The purpose of this cross-sectional study is to examine the association between eating behavior and prevalence of FD in a young Japanese cohort. METHODS: In this study, we enrolled 8923 Japanese university students. FD is diagnosed based on the Rome III criteria. Eating habits and frequency of meals were investigated using a self-administered questionnaire. RESULTS: The FD subjects had a younger mean age, a lower body mass index, and a lower proportion of men compared to the non-FD subjects. An independent positive association between skipping breakfast and/or lunch and FD was found (adjusted ORs were 1.60 [95% CI, 1.10-2.32] for breakfast and 2.52 [95% CI, 1.04-5.18] for lunch). Skipping dinner, extra meals (snacks) or midnight snacks was not associated with FD. The prevalence of FD in subjects eating 1, 2, and 3 meals per day was 4.8%, 2.2%, and 1.7%, respectively. The frequency of meals was independently inversely associated with prevalence of FD (adjusted ORs were 1 per day: 2.72 [95% CI, 1.19-5.42], and 2 per day: 1.69 [95% CI, 1.16-2.43], for trend = 0.001). CONCLUSIONS: In the young Japanese people, the frequency of meals may be independently inversely associated with prevalence of FD. In particular, skipping breakfast and/or lunch was associated with the prevalence of FD.
背景/目的:功能性消化不良(FD)可能是全球常见的消化系统疾病,会降低患者的生活质量。然而,仅有少数研究调查了饮食行为与FD之间的关联。这项横断面研究的目的是在一个年轻的日本队列中检验饮食行为与FD患病率之间的关联。 方法:在本研究中,我们纳入了8923名日本大学生。FD根据罗马III标准进行诊断。饮食习惯和进餐频率通过自填问卷进行调查。 结果:与非FD受试者相比,FD受试者的平均年龄更小、体重指数更低,男性比例更低。发现不吃早餐和/或午餐与FD之间存在独立的正相关(早餐的校正比值比为1.60 [95%可信区间,1.10 - 2.32],午餐为2.52 [95%可信区间,1.04 - 5.18])。不吃晚餐、加餐(零食)或夜宵与FD无关。每天吃1、2和3餐的受试者中FD的患病率分别为4.8%、2.2%和1.7%。进餐频率与FD患病率独立呈负相关(校正比值比为每天1餐:2.72 [95%可信区间,1.19 - 5.42],每天2餐:1.69 [95%可信区间,1.16 - 2.43],趋势P = 0.001)。 结论:在年轻的日本人中,进餐频率可能与FD患病率独立呈负相关。特别是,不吃早餐和/或午餐与FD患病率相关。
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