{"title":"HEI-2015 分数越高，大便失禁的风险越低：一项大型横断面研究的启示。","authors":"Zhuhui Zhang, Pengfei Wang, Guoce Cui, Huashan Li","doi":"10.1186/s12889-024-20729-w","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Diet habit plays a vital role in fecal incontinence (FI) progression. However, it remains unknown whether dietary quality is related to FI. Our study sought to explore the relationship between healthy eating index-2015 (HEI-2015) score and FI among US adults.</p><p><strong>Methods: </strong>An analysis of data from the 2005-2010 National Health and Nutrition Examination Survey was conducted in our study. The Bowel Health Questionnaire defined FI as losing liquid, solid, or mucus stool at least monthly. The diet's quality was evaluated using HEI-2015 score. The odds ratios (ORs) and 95% confidence interval (95%CI) were calculated using multi-variable logistic regression models.</p><p><strong>Results: </strong>There were 11,452 participants, with 9.3% (1062/11452) who experienced FI. Compared with individuals with inadequate group (HEI score < 50), the adjusted OR values for HEI score and FI in average group (50 ≤ HEI score < 70) and optimal group (HEI score ≥ 70) were 0.89 (95%CI: 0.74-1.07, p = 0.214) and 0.69 (95%CI: 0.52-0.91, p = 0.011), respectively. Subsequent stratified analyses did not reveal any interactions.</p><p><strong>Conclusions: </strong>High-quality diets are related with a lower risk of FI. Therefore, it is imperative to take into account the potential impact of diet on FI when devising strategies for the treatment and prevention.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"24 1","pages":"3221"},"PeriodicalIF":3.5000,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11577588/pdf/","citationCount":"0","resultStr":"{\"title\":\"Higher HEI-2015 score is associated with reduced risk of fecal incontinence: insights from a large cross-sectional study.\",\"authors\":\"Zhuhui Zhang, Pengfei Wang, Guoce Cui, Huashan Li\",\"doi\":\"10.1186/s12889-024-20729-w\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>Diet habit plays a vital role in fecal incontinence (FI) progression. However, it remains unknown whether dietary quality is related to FI. Our study sought to explore the relationship between healthy eating index-2015 (HEI-2015) score and FI among US adults.</p><p><strong>Methods: </strong>An analysis of data from the 2005-2010 National Health and Nutrition Examination Survey was conducted in our study. The Bowel Health Questionnaire defined FI as losing liquid, solid, or mucus stool at least monthly. The diet's quality was evaluated using HEI-2015 score. The odds ratios (ORs) and 95% confidence interval (95%CI) were calculated using multi-variable logistic regression models.</p><p><strong>Results: </strong>There were 11,452 participants, with 9.3% (1062/11452) who experienced FI. Compared with individuals with inadequate group (HEI score < 50), the adjusted OR values for HEI score and FI in average group (50 ≤ HEI score < 70) and optimal group (HEI score ≥ 70) were 0.89 (95%CI: 0.74-1.07, p = 0.214) and 0.69 (95%CI: 0.52-0.91, p = 0.011), respectively. Subsequent stratified analyses did not reveal any interactions.</p><p><strong>Conclusions: </strong>High-quality diets are related with a lower risk of FI. Therefore, it is imperative to take into account the potential impact of diet on FI when devising strategies for the treatment and prevention.</p>\",\"PeriodicalId\":9039,\"journal\":{\"name\":\"BMC Public Health\",\"volume\":\"24 1\",\"pages\":\"3221\"},\"PeriodicalIF\":3.5000,\"publicationDate\":\"2024-11-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11577588/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"BMC Public Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1186/s12889-024-20729-w\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMC Public Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12889-024-20729-w","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
摘要
目的：饮食习惯在大便失禁（FI）的发展过程中起着至关重要的作用。然而，饮食质量是否与 FI 相关仍是未知数。我们的研究旨在探讨美国成年人的健康饮食指数-2015（HEI-2015）得分与大便失禁之间的关系：我们的研究对 2005-2010 年全国健康与营养调查的数据进行了分析。肠道健康问卷将 FI 定义为至少每月丢失一次液体、固体或粘液粪便。饮食质量采用 HEI-2015 评分进行评估。采用多变量逻辑回归模型计算了几率比（ORs）和 95% 置信区间（95%CI）：共有 11 452 名参与者，其中 9.3%（1062/11452）经历过 FI。结果：11452 名参与者中有 9.3%（1062/11452 人）经历过膳食营养不良：优质饮食与较低的 FI 风险有关。因此，在制定治疗和预防策略时，必须考虑到饮食对 FI 的潜在影响。
Higher HEI-2015 score is associated with reduced risk of fecal incontinence: insights from a large cross-sectional study.
Objective: Diet habit plays a vital role in fecal incontinence (FI) progression. However, it remains unknown whether dietary quality is related to FI. Our study sought to explore the relationship between healthy eating index-2015 (HEI-2015) score and FI among US adults.
Methods: An analysis of data from the 2005-2010 National Health and Nutrition Examination Survey was conducted in our study. The Bowel Health Questionnaire defined FI as losing liquid, solid, or mucus stool at least monthly. The diet's quality was evaluated using HEI-2015 score. The odds ratios (ORs) and 95% confidence interval (95%CI) were calculated using multi-variable logistic regression models.
Results: There were 11,452 participants, with 9.3% (1062/11452) who experienced FI. Compared with individuals with inadequate group (HEI score < 50), the adjusted OR values for HEI score and FI in average group (50 ≤ HEI score < 70) and optimal group (HEI score ≥ 70) were 0.89 (95%CI: 0.74-1.07, p = 0.214) and 0.69 (95%CI: 0.52-0.91, p = 0.011), respectively. Subsequent stratified analyses did not reveal any interactions.
Conclusions: High-quality diets are related with a lower risk of FI. Therefore, it is imperative to take into account the potential impact of diet on FI when devising strategies for the treatment and prevention.
期刊介绍：
BMC Public Health is an open access, peer-reviewed journal that considers articles on the epidemiology of disease and the understanding of all aspects of public health. The journal has a special focus on the social determinants of health, the environmental, behavioral, and occupational correlates of health and disease, and the impact of health policies, practices and interventions on the community.
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