{"title":"Relationship between dietary patterns and overactive bladder: a cross sectional study of NHANES 2013 to 2023.","authors":"Yiming Ding, Yaru Mou, Dongming Wang, Zeyong Niu, Pengge Xin, Yu Zhou, Guoxin Song, Hongjia Xu, Jian Wang","doi":"10.3389/fnut.2025.1554794","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Dietary patterns, as a comprehensive dietary indicator, may influence the risk of developing overactive bladder (OAB). However, it remains unclear whether dietary patterns independently affect the development of OAB.</p><p><strong>Objective: </strong>This study aimed to identify specific dietary patterns using principal component analysis (PCA) and evaluate their associations with the risk of OAB, thereby providing new insights for OAB prevention and management.</p><p><strong>Methods: </strong>Dietary patterns were identified by applying PCA, and their associations with OAB risk were analyzed. After adjusting for three known confounders (age, sex, and BMI), four key dietary patterns were determined: (1) PC5: Antioxidant-balanced pattern, OR = 0.96, 95% CI (0.94-0.97), <i>p</i> < 0.05; (2) PC16: Diversified low-alcohol pattern, OR = 0.92, 95% CI (0.89-0.94), <i>p</i> < 0.05; (3) PC18: Whole-grain high-alcohol pattern, OR = 1.04, 95% CI (1.01-1.07), <i>p</i> < 0.05; (4) PC22: High-fiber low-sugar pattern, OR = 0.93, 95% CI (0.90-0.96), <i>p</i> < 0.05.</p><p><strong>Results: </strong>The findings indicated that the antioxidant-balanced (PC5), diversified low-alcohol (PC16), and high-fiber low-sugar (PC22) dietary patterns were associated with a decreased risk of OAB, while the whole-grain high-alcohol pattern (PC18) exhibited a dual effect. Specifically, when considered independently, the high-fiber low-sugar pattern showed a protective effect; however, when combined with the whole-grain high-alcohol pattern, it increased the risk of OAB.</p><p><strong>Conclusion: </strong>Dietary patterns are independent factors influencing the development of OAB. In particular, the antioxidant-balanced, diversified low-alcohol, and high-fiber low-sugar patterns help reduce OAB risk, whereas the whole-grain high-alcohol pattern exerts a dual effect.</p>","PeriodicalId":12473,"journal":{"name":"Frontiers in Nutrition","volume":"12 ","pages":"1554794"},"PeriodicalIF":4.0000,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12106047/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers in Nutrition","FirstCategoryId":"97","ListUrlMain":"https://doi.org/10.3389/fnut.2025.1554794","RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"NUTRITION & DIETETICS","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Dietary patterns, as a comprehensive dietary indicator, may influence the risk of developing overactive bladder (OAB). However, it remains unclear whether dietary patterns independently affect the development of OAB.
Objective: This study aimed to identify specific dietary patterns using principal component analysis (PCA) and evaluate their associations with the risk of OAB, thereby providing new insights for OAB prevention and management.
Methods: Dietary patterns were identified by applying PCA, and their associations with OAB risk were analyzed. After adjusting for three known confounders (age, sex, and BMI), four key dietary patterns were determined: (1) PC5: Antioxidant-balanced pattern, OR = 0.96, 95% CI (0.94-0.97), p < 0.05; (2) PC16: Diversified low-alcohol pattern, OR = 0.92, 95% CI (0.89-0.94), p < 0.05; (3) PC18: Whole-grain high-alcohol pattern, OR = 1.04, 95% CI (1.01-1.07), p < 0.05; (4) PC22: High-fiber low-sugar pattern, OR = 0.93, 95% CI (0.90-0.96), p < 0.05.
Results: The findings indicated that the antioxidant-balanced (PC5), diversified low-alcohol (PC16), and high-fiber low-sugar (PC22) dietary patterns were associated with a decreased risk of OAB, while the whole-grain high-alcohol pattern (PC18) exhibited a dual effect. Specifically, when considered independently, the high-fiber low-sugar pattern showed a protective effect; however, when combined with the whole-grain high-alcohol pattern, it increased the risk of OAB.
Conclusion: Dietary patterns are independent factors influencing the development of OAB. In particular, the antioxidant-balanced, diversified low-alcohol, and high-fiber low-sugar patterns help reduce OAB risk, whereas the whole-grain high-alcohol pattern exerts a dual effect.
背景:饮食模式作为一项综合性的饮食指标,可能影响膀胱过度活动症(OAB)的发生风险。然而,目前尚不清楚饮食模式是否独立影响OAB的发展。目的:本研究旨在利用主成分分析(PCA)确定特定的饮食模式,并评估其与OAB风险的关系,从而为OAB的预防和管理提供新的见解。方法:应用主成分分析法确定饮食模式,并分析其与OAB风险的关系。在调整了三个已知的混杂因素(年龄、性别和BMI)后,确定了四种关键的饮食模式:(1)PC5:抗氧化剂平衡模式,OR = 0.96,95% CI (0.94-0.97), p p p p 结果:研究结果表明,抗氧化剂平衡(PC5)、多样化的低酒精(PC16)和高纤维低糖(PC22)饮食模式与OAB风险降低相关,而全谷物高酒精模式(PC18)表现出双重作用。具体来说,当单独考虑时,高纤维低糖模式显示出保护作用;然而,当与全谷物高酒精模式结合时,它增加了OAB的风险。结论:饮食模式是影响OAB发展的独立因素。特别是,抗氧化剂平衡、多样化的低酒精和高纤维低糖模式有助于降低OAB风险,而全谷物高酒精模式具有双重效果。
期刊介绍:
No subject pertains more to human life than nutrition. The aim of Frontiers in Nutrition is to integrate major scientific disciplines in this vast field in order to address the most relevant and pertinent questions and developments. Our ambition is to create an integrated podium based on original research, clinical trials, and contemporary reviews to build a reputable knowledge forum in the domains of human health, dietary behaviors, agronomy & 21st century food science. Through the recognized open-access Frontiers platform we welcome manuscripts to our dedicated sections relating to different areas in the field of nutrition with a focus on human health.
Specialty sections in Frontiers in Nutrition include, for example, Clinical Nutrition, Nutrition & Sustainable Diets, Nutrition and Food Science Technology, Nutrition Methodology, Sport & Exercise Nutrition, Food Chemistry, and Nutritional Immunology. Based on the publication of rigorous scientific research, we thrive to achieve a visible impact on the global nutrition agenda addressing the grand challenges of our time, including obesity, malnutrition, hunger, food waste, sustainability and consumer health.