Department of Nutrition, School of Public Health, Iran University of Medical Sciences, Tehran, Iran.
Research Center for Biochemistry and Nutrition in Metabolic Diseases, Kashan University of Medical Sciences, Kashan, Iran.
BMC Gastroenterol. 2022 Nov 19;22(1):472. doi: 10.1186/s12876-022-02531-3.
BACKGROUND: Little evidence is available in terms of the role of dietary antioxidants in the management of irritable bowel syndrome (IBS) disease. This study aimed to examine the association between dietary total antioxidant capacity (dTAC) and odds of IBS and its severity. METHODS: This cross-sectional study was conducted on 3,362 Iranian adults who were referred to health centers in Isfahan province, Iran. Participants' dietary intakes were collected using a semi-quantitative validated food frequency questionnaire (DS-FFQ). The dTAC was measured by the ferric-reducing antioxidant power (FRAP) method. Multivariable binary or ordinal logistic regression analyses were performed to estimate any associations between dTAC and odds of IBS, IBS severity, and IBS subtypes. RESULTS: The average age and BMI of the participants and dTAC score were 36.3 ± 7.87 year, 24.9 ± 3.82 kg/m2. The prevalence of IBS, IBS with constipation (IBS-C), IBS with diarrhoea (IBS-D), mixed IBS (IBS-M), and un-subtyped IBS (IBS-U) were 22.2, 7.5, 4.6, 3.8, and 6.2%, respectively. In crude and adjusted models, the results did not show any significant association between dTAC and odds of IBS among whole and gender-age stratified populations. Being in the third compared with the first tertile of dTAC was not also significantly associated with odds of IBS severity. Besides, there were no significant associations between dTAC and odds of IBS-C, IBS-D, IBS-M, and IBS-U. CONCLUSION: This study indicates that dTAC may not be associated with the odds of IBS and its severity even after stratification for gender and body mass index.
背景:关于饮食抗氧化剂在肠易激综合征(IBS)疾病管理中的作用,目前证据有限。本研究旨在研究饮食总抗氧化能力(dTAC)与 IBS 及其严重程度的几率之间的关系。
方法:本横断面研究在伊朗伊斯法罕省的健康中心对 3362 名伊朗成年人进行了研究。使用半定量验证的食物频率问卷(DS-FFQ)收集参与者的饮食摄入量。使用铁还原抗氧化能力(FRAP)法测量 dTAC。进行多变量二项或有序逻辑回归分析,以评估 dTAC 与 IBS 几率、IBS 严重程度和 IBS 亚型之间的任何关联。
结果:参与者的平均年龄和 BMI 以及 dTAC 评分分别为 36.3±7.87 岁、24.9±3.82kg/m2。IBS、便秘型 IBS(IBS-C)、腹泻型 IBS(IBS-D)、混合型 IBS(IBS-M)和未分型 IBS(IBS-U)的患病率分别为 22.2%、7.5%、4.6%、3.8%和 6.2%。在粗模型和调整模型中,结果均显示 dTAC 与全人群和性别年龄分层人群的 IBS 几率之间没有显著关联。与 dTAC 的第一三分位相比,处于第三三分位与 IBS 严重程度的几率也没有显著关联。此外,dTAC 与 IBS-C、IBS-D、IBS-M 和 IBS-U 的几率之间也没有显著关联。
结论:本研究表明,即使按性别和体重指数分层,dTAC 也与 IBS 几率及其严重程度无关。
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