Dietary patterns associated with functional constipation among Japanese women aged 18 to 20 years: A cross-sectional study
Dietary patterns associated with functional constipation among Japanese women aged 18 to 20 years: A cross-sectional study
复制标题
DOI：
10.3177/jnsv.53.232
复制
发表时间：
2007-06-01
影响因子：
1.6
通讯作者：
Itabashi, Mami
中科院分区：
文献类型：
--
作者：
Okubo, Hitomi;Sasaki, Satoshi;Itabashi, Mami
虽然有几种营养素和食物被认为是预防便秘的，但所有以前的研究都在每次分析中检查了单一的营养素或食物。与此相反，饮食模式的分析可能会提供新的见解饮食对功能性便秘的影响。我们对来自日本53所大学的3,770名18-20岁的日本女性饮食课程学生进行了一项关于饮食模式与功能性便秘之间关系的横断面研究。饮食进行了评估与验证的自我管理的饮食史问卷调查148个食物项目，从其中30个食物组被创建，并进入因素分析。功能性便秘的定义采用罗马I标准，该标准以前曾用于几项关于便秘的流行病学研究。功能性便秘的患病率为26.0%（n=979）。确定了四种饮食模式：1）“健康”，2）“日本传统”，3）“西方”，4）“咖啡和乳制品”。在调整了几个混杂因素后，“日本传统”模式的特征是米饭、味噌汤和豆制品的高摄入量和面包和调味品的低摄入量，与功能性便秘的患病率显著降低相关。与最低五分位数相比，最高五分位数的多变量调整优势比（95%置信区间）为0.52（0.41-0.66）（趋势p < 0.0001）。其他饮食模式与功能性便秘无关。日本传统的饮食模式，其特点是高摄入量的大米和低摄入量的面包和蔬菜，可能有利于预防功能性便秘的年轻日本妇女。
Although several nutrients and foods have been suggested to be preventive for constipation, all previous studies have examined a single nutrient or food in each analysis. In contrast, analysis of dietary patterns may provide new insights into the influence of diet on functional constipation. We conducted a cross-sectional examination of the association between dietary pattern and functional constipation in 3,770 Japanese female dietetic course students aged 18-20 y from 53 institutions in Japan. Diet was assessed with a validated self-administered diet history questionnaire with 148 food items, from which 30 food groups were created and entered into a factor analysis. Functional constipation was defined using the Rome I criteria, which has previously been used in several epidemiologic studies on constipation. The prevalence of functional constipation was 26.0% (n=979). Four dietary patterns were identified: 1) "Healthy," 2) "Japanese traditional," 3) "Western," and 4) "Coffee and dairy products." After adjustment for several confounding factors, the "Japanese traditional" pattern, characterized by a high intake of rice, miso soup, and soy products and a low intake of bread and confectionaries, was associated with a significantly lower prevalence of functional constipation. In comparison with the lowest quintile, the multivariate adjusted odds ratio (95% confidence interval) was 0.52 (0.41-0.66) in the highest quintile (p for trend < 0.0001). Other dietary patterns were not associated with functional constipation. The Japanese traditional dietary pattern, characterized by a high intake of rice and a low intake of bread and confectionaries, may be beneficial in preventing functional constipation in young Japanese women.