Dietary fiber intake and risk of gallstone: a case–control study

Abstract Background Gallstone disease (GSD) and its complications are major public health issues globally. Although many community-based studies had addressed the risk factors for GSD, little is known about the associations between dietary factors and risk of disease. The present study aimed to inve...

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Main Authors: Asal Neshatbini Tehrani, Saeede Saadati, Zahra Yari, Amin Salehpour, Amir Sadeghi, Ghazal Daftari, Moloud Ghorbani, Azita Hekmatdoost
Format: Article
Language:English
Published: BMC 2023-04-01
Series:BMC Gastroenterology
Subjects:
Online Access:https://doi.org/10.1186/s12876-023-02752-0
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author Asal Neshatbini Tehrani
Saeede Saadati
Zahra Yari
Amin Salehpour
Amir Sadeghi
Ghazal Daftari
Moloud Ghorbani
Azita Hekmatdoost
author_facet Asal Neshatbini Tehrani
Saeede Saadati
Zahra Yari
Amin Salehpour
Amir Sadeghi
Ghazal Daftari
Moloud Ghorbani
Azita Hekmatdoost
author_sort Asal Neshatbini Tehrani
collection DOAJ
description Abstract Background Gallstone disease (GSD) and its complications are major public health issues globally. Although many community-based studies had addressed the risk factors for GSD, little is known about the associations between dietary factors and risk of disease. The present study aimed to investigate the potential associations between dietary fibers with the risk of gallstone disease. Methods In this case–control study, 189 GSD patients with less than one month of diagnosis and 342 age‑matched controls were enrolled. Dietary intakes were assessed using a 168-item semi-quantitative validated food frequency questionnaire. Crude and multivariable-adjusted hazard ratios (HRs) and 95% confidence intervals (CIs) were estimated through cox proportional hazards regression models. Results Comparing the highest versus the lowest tertile, significant reverse associations were observed between odds of GSD and each category of dietary fiber intake including total (OR T3 vs. T1 = 0.44, 95% CI: 0.37–0.7, P for trend = 0.015), soluble (OR T3 vs. T1 = 0.51, 95% CI: 0.3–0.8, P for trend = 0.048) and insoluble (OR T3 vs. T1 = 0.56, 95% CI: 0.3–0.9, P for trend < 0.001). The relationship between dietary fiber intake and the risk of gallstones was more prominent in overweight and obese subjects than in subjects with a normal body mass index. Conclusion Comprehensive assessment of the associations of dietary fiber intake with GSD showed that higher intakes of dietary fiber were significantly associated with reduced GSD risk.
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spelling doaj.art-e25bca97b6c34dbb8ac1803599de1fee2023-04-16T11:16:03ZengBMCBMC Gastroenterology1471-230X2023-04-012311810.1186/s12876-023-02752-0Dietary fiber intake and risk of gallstone: a case–control studyAsal Neshatbini Tehrani0Saeede Saadati1Zahra Yari2Amin Salehpour3Amir Sadeghi4Ghazal Daftari5Moloud Ghorbani6Azita Hekmatdoost7Student Research Committee, Ahvaz Jundishapur University of Medical SciencesDepartment of Medicine, School of Clinical Sciences, Monash UniversityDepartment of Nutrition Research, Faculty of Nutrition Sciences and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences TehranSchool of Public Health, Occupational Health Research Center, Iran Universityof Medical SciencesResearch Institute for Gastroenterology and Liver Diseases of Taleghani Hospital, Shahid Beheshti University of Medical SciencesSchool of Medicine, Tehran University of Medical SciencesDepartment of Community Nutrition, Faculty of Nutrition and Food Sciences, Tabriz University of Medical SciencesClinical Nutrition and Dietetics Department, Faculty of Nutrition Sciences and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences TehranAbstract Background Gallstone disease (GSD) and its complications are major public health issues globally. Although many community-based studies had addressed the risk factors for GSD, little is known about the associations between dietary factors and risk of disease. The present study aimed to investigate the potential associations between dietary fibers with the risk of gallstone disease. Methods In this case–control study, 189 GSD patients with less than one month of diagnosis and 342 age‑matched controls were enrolled. Dietary intakes were assessed using a 168-item semi-quantitative validated food frequency questionnaire. Crude and multivariable-adjusted hazard ratios (HRs) and 95% confidence intervals (CIs) were estimated through cox proportional hazards regression models. Results Comparing the highest versus the lowest tertile, significant reverse associations were observed between odds of GSD and each category of dietary fiber intake including total (OR T3 vs. T1 = 0.44, 95% CI: 0.37–0.7, P for trend = 0.015), soluble (OR T3 vs. T1 = 0.51, 95% CI: 0.3–0.8, P for trend = 0.048) and insoluble (OR T3 vs. T1 = 0.56, 95% CI: 0.3–0.9, P for trend < 0.001). The relationship between dietary fiber intake and the risk of gallstones was more prominent in overweight and obese subjects than in subjects with a normal body mass index. Conclusion Comprehensive assessment of the associations of dietary fiber intake with GSD showed that higher intakes of dietary fiber were significantly associated with reduced GSD risk.https://doi.org/10.1186/s12876-023-02752-0GallstoneDietary fiberCholelithiasis
spellingShingle Asal Neshatbini Tehrani
Saeede Saadati
Zahra Yari
Amin Salehpour
Amir Sadeghi
Ghazal Daftari
Moloud Ghorbani
Azita Hekmatdoost
Dietary fiber intake and risk of gallstone: a case–control study
BMC Gastroenterology
Gallstone
Dietary fiber
Cholelithiasis
title Dietary fiber intake and risk of gallstone: a case–control study
title_full Dietary fiber intake and risk of gallstone: a case–control study
title_fullStr Dietary fiber intake and risk of gallstone: a case–control study
title_full_unstemmed Dietary fiber intake and risk of gallstone: a case–control study
title_short Dietary fiber intake and risk of gallstone: a case–control study
title_sort dietary fiber intake and risk of gallstone a case control study
topic Gallstone
Dietary fiber
Cholelithiasis
url https://doi.org/10.1186/s12876-023-02752-0
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