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促炎饮食与前列腺疾病、下尿路症状的关系:来自 2003 至 2008 年全国健康和营养调查(NHANES)的横断面研究。

Pro-inflammatory diet and risk of prostate diseases, lower urinary tract symptoms: A cross-sectional study from the National Health and Nutrition Examination Survey (NHANES) 2003 to 2008.

机构信息

Department of Urology, Jiangsu Provincial Hospital of Integrated Chinese and Western Medicine; Jiangsu Province Academy of Traditional Chinese Medicine, Nanjing, Jiangsu, China.

Department of Urology, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China.

出版信息

Medicine (Baltimore). 2024 Nov 29;103(48):e40685. doi: 10.1097/MD.0000000000040685.

Abstract

Evidence suggests a strong association between prostate diseases, lower urinary tract symptoms (LUTS), and pro-inflammatory diets. Our study was conducted to assess the relationship between the Dietary Inflammatory Index (DII) and prostate diseases, LUTS using the 2003 to 2008 U.S. National Health and Nutrition Examination Survey (NHANES) database. After the chi-square test to investigate whether demographic data and prostate diseases, LUTS were correlated, for positive results, we performed weighted multivariable logistic regression models analysis. In addition, we performed nonlinear tests using restricted cubic spline (RCS) and assessed the stability between different subgroups by subgroup and interaction analyses. The study included 30,619 subjects. After adjusting the regression model for fully confounding variables, DII was only correlated with benign prostatic hyperplasia (BPH) (OR = 1.074, 95% CI = 1.016-1.136; P = .012). And, the RCS relationship between DII and BPH was positively correlated (nonlinear: P = .830). We did not find statistically significant interactions in all subgroups. At the same time, we did not find any correlation between DII and other prostate diseases and LUTS. Pro-inflammatory diets are associated with an increased risk of BPH. Dietary modifications to reduce the intake of pro-inflammatory nutrients can be helpful in mitigating the development of BPH.

摘要

有证据表明前列腺疾病、下尿路症状(LUTS)与促炎饮食之间存在很强的关联。我们的研究旨在使用 2003 年至 2008 年美国国家健康和营养调查(NHANES)数据库评估饮食炎症指数(DII)与前列腺疾病、LUTS 之间的关系。在进行卡方检验以调查人口统计学数据和前列腺疾病、LUTS 是否相关后,对于阳性结果,我们进行了加权多变量逻辑回归模型分析。此外,我们使用限制性立方样条(RCS)进行非线性检验,并通过亚组和交互分析评估不同亚组之间的稳定性。该研究共纳入 30619 名受试者。在调整完全混杂变量的回归模型后,DII 仅与良性前列腺增生(BPH)相关(OR=1.074,95%CI=1.016-1.136;P=0.012)。并且,DII 与 BPH 之间的 RCS 关系呈正相关(非线性:P=0.830)。我们在所有亚组中均未发现统计学显著的交互作用。同时,我们未发现 DII 与其他前列腺疾病和 LUTS 之间存在任何相关性。促炎饮食与 BPH 的风险增加有关。通过减少促炎营养素的摄入来进行饮食调整可能有助于减轻 BPH 的发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d35/11608730/f1e337c5c551/medi-103-e40685-g001.jpg

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