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饮酒对抑郁症与慢性腹泻之间关系的影响:一项对美国国家健康与营养检查调查(2005 - 2010年)的横断面研究分析

The impact of alcohol consumption on the relationship between depression and chronic diarrhea: a cross-sectional study analysis on NHANES (2005-2010).

作者信息

Wang Yongsen, Li Xiaotong, Cao Zhiqun, Zhou Yongkun

机构信息

First Clinical Medical College, Shandong University of Traditional Chinese Medicine, Jinan, China.

Gastroenterology Department, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, China.

出版信息

Front Psychiatry. 2024 Aug 30;15:1393546. doi: 10.3389/fpsyt.2024.1393546. eCollection 2024.

Abstract

BACKGROUND

Alcohol consumption, depression, and chronic diarrhea are all public health issues of concern, with irreversible consequences for individual health and significant economic burdens on health care systems. Previous studies have shown that depression increases the risk of developing chronic diarrhea, but few studies have explored whether alcohol consumption has an effect on the relationship between depression and chronic diarrhea.

OBJECTIVE

To explore the effect of alcohol consumption on the relationship between depression and chronic diarrhea.

METHODS

12,538 adults (≥20 years) in NHANES from 2005-2010 were analyzed. Participants were stratified according to drinking status, and differences between the risk of depression and chronic diarrhea among participants who drank alcohol or not were assessed using multiple regression analysis and likelihood ratio tests.

RESULTS

In this cross sectional, after adding possible confounders, the prevalence of depression with chronic diarrhea was higher in the drinking population than in the non-drinking population (OR,2.34, 95%CI:1.84-2.98 and 1.26, 95%CI:0.85-1.86), with a likelihood ratio test of =0.024.

CONCLUSION

Our findings suggest that there is a significant association between depression and chronic diarrhea and that alcohol consumption may increase the correlation between depression and chronic diarrhea. However, these findings require further prospective studies to provide more evidence.

摘要

背景

饮酒、抑郁症和慢性腹泻都是备受关注的公共卫生问题,对个人健康会产生不可逆转的后果,并给医疗保健系统带来巨大经济负担。既往研究表明,抑郁症会增加患慢性腹泻的风险,但很少有研究探讨饮酒是否会对抑郁症与慢性腹泻之间的关系产生影响。

目的

探讨饮酒对抑郁症与慢性腹泻之间关系的影响。

方法

对2005年至2010年美国国家健康与营养检查调查(NHANES)中的12538名成年人(≥20岁)进行分析。参与者根据饮酒状况进行分层,并使用多元回归分析和似然比检验评估饮酒或不饮酒参与者中抑郁症和慢性腹泻风险的差异。

结果

在这项横断面研究中,加入可能的混杂因素后,饮酒人群中伴有慢性腹泻的抑郁症患病率高于不饮酒人群(比值比,2.34;95%置信区间:1.84 - 2.98和1.26;95%置信区间:0.85 - 1.86),似然比检验P = 0.024。

结论

我们的研究结果表明,抑郁症与慢性腹泻之间存在显著关联,饮酒可能会增加抑郁症与慢性腹泻之间的相关性。然而,这些发现需要进一步的前瞻性研究来提供更多证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edeb/11392863/b80f51b75438/fpsyt-15-1393546-g001.jpg

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