Cai Junfeng, Li Danqing, Xie Ruijun, Yu Xiaoling, Wu Yuning, Sun Feng, Zhang Chenxiong
The First Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou, China.
Department of Traditional Chinese Medicine, Sanming First Hospital, Sanming, China.
Front Nutr. 2024 Aug 20;11:1426280. doi: 10.3389/fnut.2024.1426280. eCollection 2024.
This investigation aimed to analyze the association between dietary vitamin E intake and constipation prevalence among United States adults.
Utilizing data from the National Health and Nutrition Examination Survey (NHANES), this cross-sectional study assessed vitamin E intake through 24-h dietary recall and defined constipation based on the Bristol Stool Form Scale (BSFS). Logistic regression models were employed to evaluate the relationship between vitamin E intake and constipation, with results presented as odds ratios (ORs) and 95% confidence intervals (CIs). Stratified analyses were conducted based on covariates such as age, and restricted cubic spline (RCS) models were generated to explore the potential linear or non-linear association.
Individuals experiencing constipation exhibited lower vitamin E intake compared to those without constipation. Weighted multivariate logistic regression models demonstrated a negative correlation between vitamin E intake and constipation risk, even after adjusting for potential confounding variables. Further RCS analysis revealed a statistically significant non-linear inverse relationship between vitamin E intake and constipation risk (-value for non-linearity = 0.0473).
Our findings suggest an independent inverse association between vitamin E intake and constipation prevalence in United States adults. Prospective research is needed to validate these observations.
本研究旨在分析美国成年人膳食维生素E摄入量与便秘患病率之间的关联。
利用国家健康与营养检查调查(NHANES)的数据,这项横断面研究通过24小时膳食回顾评估维生素E摄入量,并根据布里斯托大便分类法(BSFS)定义便秘。采用逻辑回归模型评估维生素E摄入量与便秘之间的关系,结果以比值比(OR)和95%置信区间(CI)表示。基于年龄等协变量进行分层分析,并生成受限立方样条(RCS)模型以探索潜在的线性或非线性关联。
与无便秘者相比,便秘患者的维生素E摄入量较低。加权多变量逻辑回归模型显示,即使在调整潜在混杂变量后,维生素E摄入量与便秘风险之间仍呈负相关。进一步的RCS分析显示,维生素E摄入量与便秘风险之间存在统计学上显著的非线性反比关系(非线性P值 = 0.0473)。
我们的研究结果表明,美国成年人维生素E摄入量与便秘患病率之间存在独立的反比关联。需要进行前瞻性研究来验证这些观察结果。