更高的地中海饮食模式对神经退行性疾病延迟干预(MIND)饮食的依从性与较低的炎症性肠病风险相关:一项前瞻性队列研究。

Greater adherence to the Mediterranean Dietary Approaches to Stop Hypertension Intervention for Neurodegenerative Delay (MIND) diet is associated with lower risk of inflammatory bowel disease: a prospective cohort study.

机构信息

Department of Gastroenterology, The Third Xiangya Hospital, Central South University, Changsha 410013, China.

Department of Gastroenterology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.

出版信息

Food Funct. 2024 Jul 15;15(14):7631-7640. doi: 10.1039/d4fo00641k.

Abstract

: The Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) diet is emerging as a promising candidate for preventive measures against inflammatory bowel disease (IBD), though there is currently no direct evidence from population-based studies. This study aims to bridge the gap in understanding of the association of the MIND diet with IBD risk. : We utilized data from 187 490 participants in the UK Biobank who provided dietary information and were free of IBD at baseline. Dietary information was obtained using a validated web-based 24-hour dietary recall questionnaire. A MIND diet score was evaluated based on the intake of ten beneficial and five unhealthy food groups and the scores were further grouped into tertiles. The outcome of interest was incident IBD, Crohn's disease (CD), and ulcerative colitis (UC). Multivariable-adjusted hazard ratios (HRs) and 95% confidence intervals (CIs) were estimated using Cox proportional hazard models adjusted for demographic characteristics, lifestyle factors, cancer history, and other dietary factors. Mediation analyses were performed to evaluate the role of systemic inflammation and metabolic disorders represented by the integrated biomarkers in the MIND diet-IBD association. : After a mean follow-up of 10.7 years, we documented 825 incident IBD cases (250 CD and 575 UC). The average age of the participants was 56.2 years, of which 55.0% were females. We found that greater adherence to the MIND diet, represented by a higher diet score, was associated with a lower risk of IBD (HR 0.74, 95% CI 0.62-0.90, = 0.002; for trend = 0.005), CD (HR 0.66, 95% CI 0.47-0.94, = 0.022; for trend = 0.023), and UC (HR 0.78, 95% CI 0.62-0.98, = 0.031; for trend = 0.022). The associations were partially mediated by metabolic and inflammation status (mediation proportion: 5.5-15.9%). : We found higher adherence to the MIND diet was associated with a lower risk of IBD, and that inflammatory and metabolic conditions may play an important role in the underlying mechanistic pathways.

摘要

地中海式-DASH 干预神经退行性延迟(MIND)饮食作为预防炎症性肠病(IBD)的一种有希望的候选方法正在出现,尽管目前没有来自基于人群的研究的直接证据。本研究旨在弥合对 MIND 饮食与 IBD 风险之间关联的理解差距。

我们利用了英国生物银行 187490 名参与者的数据,这些参与者在基线时没有 IBD,并提供了饮食信息。饮食信息是通过使用经过验证的基于网络的 24 小时饮食回忆问卷获得的。根据摄入十种有益和五种不健康食物组来评估 MIND 饮食评分,评分进一步分为三分位。感兴趣的结果是炎症性肠病(IBD)、克罗恩病(CD)和溃疡性结肠炎(UC)的发病情况。使用 Cox 比例风险模型,根据人口统计学特征、生活方式因素、癌症史和其他饮食因素调整多变量调整后的危险比(HR)和 95%置信区间(CI)。进行中介分析以评估系统炎症和代谢紊乱的作用,这些紊乱由综合生物标志物代表,在 MIND 饮食-IBD 关联中。

在平均 10.7 年的随访后,我们记录了 825 例 IBD 病例(250 例 CD 和 575 例 UC)。参与者的平均年龄为 56.2 岁,其中 55.0%为女性。我们发现,MIND 饮食的依从性更高,表现为饮食评分更高,与 IBD 的风险降低相关(HR 0.74,95%CI 0.62-0.90, = 0.002; 趋势=0.005),CD(HR 0.66,95%CI 0.47-0.94, = 0.022; 趋势=0.023)和 UC(HR 0.78,95%CI 0.62-0.98, = 0.031; 趋势=0.022)。这些关联部分由代谢和炎症状态介导(中介比例:5.5-15.9%)。

我们发现,MIND 饮食的依从性越高,IBD 的风险越低,炎症和代谢状况可能在潜在的机制途径中发挥重要作用。

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