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乳制品消费与溃疡性结肠炎的患病几率:一项伊朗病例对照研究。

Consumption of dairy products and odds of ulcerative colitis: An Iranian case-control study.

作者信息

Amini Mohammad Reza, Khademi Zeinab, Salavatizadeh Marieh, Kalantar Zahra, Ebrahimi-Daryani Nasser, Esmaillzadeh Ahmad, Hekmatdoost Azita

机构信息

Student Research Committee, Department of Clinical Nutrition and Dietetics, Faculty of Nutrition Sciences and Food Technology, National Nutrition & Food Technology Research Institute Shahid Beheshti University of Medical Sciences Tehran Iran.

Department of Clinical Nutrition & Dietetics, National Nutrition & Food Technology Research Institute Shahid Beheshti University of Medical Sciences Tehran Iran.

出版信息

Food Sci Nutr. 2023 Nov 20;12(2):1330-1339. doi: 10.1002/fsn3.3846. eCollection 2024 Feb.

Abstract

The association between dairy product consumption and the risk of ulcerative colitis (UC) is not well elucidated. This case-control study examined the association between Iranian adults' dairy consumption and UC risk. We used a valid food frequency questionnaire to analyze dietary intakes in 340 patients with pathologically confirmed cases of UC and 782 controls as part of a case-control research. Pasteurized milk, cheese, and yogurt dietary intakes were calculated along with dairy products. Other variables were acquired using questionnaires. Study participants' mean (± SD) age and body mass index were 41.5 ± 14.1 years and 27.4 ± 4.77 kg/m, respectively. After adjusting for potential variables, individuals who consumed more total dairy products were less likely to get UC than those who consumed less (odds ratio [OR]: 0.44; 95% confidence interval (CI): 0.24, 0.79). We found a significant reverse association between milk intake (OR: 0.13; 95% CI: 0.07-0.24) and yogurt intake (OR: 0.52; 95% CI: 0.29-0.91) and UC, after controlling for potential confounders. Also, no significant association was found between cheese and UC risk (OR: 1.38; 95% CI: 0.84-2.28). Higher consumption of total dairy products may reduce UC risk. To be specific, milk and yogurt are inversely associated with this disorder. However, no link was found between cheese intake and UC. Longitudinal observational studies, especially cohorts, are needed to further assess these associations.

摘要

乳制品消费与溃疡性结肠炎(UC)风险之间的关联尚未得到充分阐明。本病例对照研究调查了伊朗成年人乳制品消费与UC风险之间的关联。作为病例对照研究的一部分,我们使用一份有效的食物频率问卷分析了340例经病理确诊的UC患者和782名对照者的饮食摄入量。计算了巴氏杀菌牛奶、奶酪和酸奶的饮食摄入量以及乳制品总量。其他变量通过问卷获取。研究参与者的平均(±标准差)年龄和体重指数分别为41.5±14.1岁和27.4±4.77kg/m²。在对潜在变量进行调整后,摄入更多乳制品总量的个体患UC的可能性低于摄入较少者(优势比[OR]:0.44;95%置信区间[CI]:0.24,0.79)。在控制潜在混杂因素后,我们发现牛奶摄入量(OR:0.13;95%CI:0.07 - 0.24)和酸奶摄入量(OR:0.52;95%CI:0.29 - 0.91)与UC之间存在显著的负相关。此外,未发现奶酪与UC风险之间存在显著关联(OR:1.38;95%CI:0.84 - 2.28)。较高的乳制品总消费量可能会降低UC风险。具体而言,牛奶和酸奶与这种疾病呈负相关。然而,未发现奶酪摄入量与UC之间存在关联。需要进行纵向观察性研究,尤其是队列研究,以进一步评估这些关联。

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