High prevalence of food intolerances among US internet users.
High prevalence of food intolerances among US internet users.
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DOI：
10.1017/s1368980020003298
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发表时间：
2021-03
影响因子：
3.2
通讯作者：
Shin, Andrea
中科院分区：
文献类型：
--
作者：
Jansson-Knodell, Claire L.;White, Mattie;Lockett, Carolyn;Xu, Huiping;Shin, Andrea
食物不耐受经常被报道，并被预测会对胃肠道健康产生影响。我们旨在量化美国成年人中食物不耐受的患病率，并通过一项简短的网络调查确定罪魁祸首食物。我们邀请参与者参与一项涉及单一问卷的在线横断面调查。数据汇总采用百分比或中位数±四分位数范围（IQR）。采用Wilcoxon秩和检验和Pearson卡方检验比较自我报告食物不耐受的受试者特征。采用多变量逻辑回归进行校正分析。这项调查是通过亚马逊的mechanical Turk进行的，这是一个众包网站，用于完成请求者指导的任务。年龄在18岁至80岁之间的美国网民被邀请参加。我们收集了2133份调查回复（年龄18-79岁）。美国成年人的食物不耐受率为24.8% （95% CI, 23.0-26.6）。以年轻人（p<0.01）、女性（p=0.05）、亚裔、非裔美国人或多种族个体（p<0.01）为主。乳糖不耐症最为常见。非乳糖食物不耐受的发生率为18.1% （95% CI, 16.5-19.8）。从广义上讲，谷物、水果、乳糖、鱼、蔬菜、酒精和坚果对个体来说是最麻烦的。自我报告的食物不耐受在美国互联网用户中很常见。食物对胃肠道症状和回避行为的影响值得进一步关注。
Food intolerances are commonly reported and are predicted to have gastrointestinal health implications. We aimed to quantify the prevalence of food intolerances among United States (US) adults and identify culprit foods through a brief web-based survey. We invited participation in an online cross-sectional survey involving a single questionnaire. Data were summarized using percentages or medians ± interquartile range (IQR). Participant characteristics by self-reported food intolerance were compared using the Wilcoxon rank sum test and Pearson’s chi-square test. Adjusted analyses were performed using multivariable logistic regression. The survey was internet-based via Amazon’s mechanical Turk, a crowdsourcing website for the completion of requester-directed tasks. Adults who were US-based internet users were invited ages 18–80. We collected 2133 survey responses (ages 18–79). The rate of food intolerance was 24.8% (95% CI, 23.0–26.6) in US adults. Younger (p<0.01), female (p=0.05), and Asian, African American, or multiple race individuals (p<0.01) predominated. Lactose intolerance was most common. Frequency of a non-lactose food intolerance was 18.1% (95% CI, 16.5–19.8). When categorized broadly, grains, fruit, lactose, fish, vegetables, alcohol, and nuts were most troublesome for individuals in that order. Self-reported food intolerance is common in US internet users. The effect of food on gastrointestinal symptoms and avoidant behaviors deserves further attention.