Association between dietary acid load and the odds of ulcerative colitis: a case-control study.
Journal
Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288
Informations de publication
Date de publication:
23 08 2023
23 08 2023
Historique:
received:
26
05
2023
accepted:
21
08
2023
medline:
25
8
2023
pubmed:
24
8
2023
entrez:
23
8
2023
Statut:
epublish
Résumé
Ulcerative colitis (UC) is one of the two types of inflammatory bowel disease (IBDs), which have a pivotal role in weakening the quality of lives of suffering patients. According to some recent studies, significant changes in dietary patterns may have contributed to the increased prevalence of UC. Potential renal acid load (PRAL) is an index used to estimate dietary acid load of the diet. The aim of the current study is to investigate the association between PRAL and odds of UC. The current case-control study included 62 newly diagnosed cases of UC and 124 healthy controls. Dietary habits of participants in the last year were collected with a valid food frequency questionnaire (FFQ). Thereafter, PRAL score was calculated based on a formula containing the dietary intake of protein, phosphorus, potassium, calcium, and magnesium. Participants were categorized according to quartiles of PRAL. Multivariable logistic regression models were used to estimate the odds' ratio (OR) with 95% confidence intervals (CIs) of UC across quartiles of PRAL. The results of the current study indicated that in the crude model, participants in the fourth quartile of PRAL had 2.51 time higher odds of UC compared with those in the first quartile of the PRAL [(OR 2.51; 95% CI 1.03-6.14), (P = 0.043)]. After adjustment for age and biological gender, this positive association remained significant [(OR 2.99; 95% CI 1.16-7.72), (P = 0.023)]. In the final model, after further adjustment for BMI, current smoking, education, Helicobacter pylori infection, and dietary intakes of total energy, omega-3 fatty acids, trans-fatty acids, and total dietary fiber, the odds of UC in the highest quartile of PRAL was significantly higher compared to the lowest quartile [(OR 3.08; 95% CI 1.01-9.39), (P = 0.048)]. So, we observed that higher dietary acid load assessed by PRAL score is associated with greater odds of UC.
Identifiants
pubmed: 37612374
doi: 10.1038/s41598-023-41069-6
pii: 10.1038/s41598-023-41069-6
pmc: PMC10447558
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
13738Informations de copyright
© 2023. Springer Nature Limited.
Références
Knowles, S. R. et al. Quality of life in inflammatory bowel disease: A systematic review and meta-analyses-part I. Inflamm. Bowel Dis. 24(4), 742–751 (2018).
pubmed: 29562277
Rui, W., Zhaoqi, L., Shaojun, L. & Decai, Z. Global, regional and national burden of inflammatory bowel disease in 204 countries and territories from 1990 to 2019: A systematic analysis based on the Global Burden of Disease Study 2019. BMJ Open 13(3), e065186 (2023).
Du, L. & Ha, C. Epidemiology and pathogenesis of ulcerative colitis. Gastroenterol. Clin. 49(4), 643–654 (2020).
Yan, Y. Pathogenesis of inflammatory bowel diseases. in Inflammatory Bowel Disease-Advances in Pathogenesis and Management (IntechOpen, 2012).
Hou, J. K., Abraham, B. & El-Serag, H. Dietary intake and risk of developing inflammatory bowel disease: A systematic review of the literature. J. Am. Coll. Gastroenterol. 106(4), 563–573 (2011).
Keshteli, A. H., Madsen, K. L. & Dieleman, L. A. Diet in the pathogenesis and management of ulcerative colitis: A review of randomized controlled dietary interventions. Nutrients 11(7), 1498 (2019).
pubmed: 31262022
pmcid: 6683258
Shivappa, N., Hébert, J. R., Rashvand, S., Rashidkhani, B. & Hekmatdoost, A. Inflammatory potential of diet and risk of ulcerative colitis in a case–control study from Iran. Nutr. Cancer 68(3), 404–409 (2016).
pubmed: 27030369
pmcid: 4883059
Karimi, S. et al. The effects of two vitamin D regimens on ulcerative colitis activity index, quality of life and oxidant/anti-oxidant status. Nutr. J. 18(1), 441 (2019).
Rahmani, J. et al. Body mass index and risk of inflammatory bowel disease: A systematic review and dose-response meta-analysis of cohort studies of over a million participants. Obes. Rev. 20(9), 1312–1320 (2019).
pubmed: 31190427
Antoniussen, C. S., Rasmussen, H. H., Holst, M. & Lauridsen, C. Reducing disease activity of inflammatory bowel disease by consumption of plant-based foods and nutrients. Front. Nutr. 8, 433 (2021).
Thorburn, A. N., Macia, L. & Mackay, C. R. Diet, metabolites, and “western-lifestyle” inflammatory diseases. Immunity 40(6), 833–842 (2014).
pubmed: 24950203
Spooren, C. et al. The association of diet with onset and relapse in patients with inflammatory bowel disease. Aliment. Pharmacol. Ther. 38(10), 1172–1187 (2013).
pubmed: 24118051
Hekmatdoost, A., Wu, X., Morampudi, V., Innis, S. M. & Jacobson, K. Dietary oils modify the host immune response and colonic tissue damage following Citrobacter rodentium infection in mice. Am. J. Physiol. Gastrointest. Liver Physiol. 304(10), 917–928 (2013).
Tayyem, R. F., Qalqili, T. R., Ajeen, R. & Rayyan, Y. M. Dietary patterns and the risk of inflammatory bowel disease: Findings from a case-control study. Nutrients 13(6), 1889 (2021).
pubmed: 34072821
pmcid: 8229406
Hart, A. R. et al. Diet in the aetiology of ulcerative colitis: A European prospective cohort study. Digestion 77(1), 57–64 (2008).
pubmed: 18349539
Demetriou, C. A. et al. The mediterranean dietary pattern and breast cancer risk in Greek-Cypriot women: A case-control study. BMC Cancer 12(1), 1–12 (2012).
Estruch, R. Anti-inflammatory effects of the Mediterranean diet: The experience of the PREDIMED study. Proc. Nutr. Soc. 69(3), 333–340 (2010).
pubmed: 20515519
Williams, R. S. et al. Dietary acid load, metabolic acidosis and insulin resistance: Lessons from cross-sectional and overfeeding studies in humans. Clin. Nutr. 35(5), 1084–1090 (2016).
pubmed: 26299332
Williamson, M., Moustaid-Moussa, N. & Gollahon, L. The molecular effects of dietary acid load on metabolic disease (the cellular PasaDoble: The fast-paced dance of pH regulation). Front. Mol. Med. 1, 777088 (2021).
Alam, I., Alam, I., Paracha, P. I. & Pawelec, G. Higher estimates of daily dietary net endogenous acid production (NEAP) in the elderly as compared to the young in a healthy, free-living elderly population of Pakistan. Clin. Interv. Aging 7, 565 (2012).
pubmed: 23271903
pmcid: 3526881
Wu, T. et al. Associations between dietary acid load and biomarkers of inflammation and hyperglycemia in breast cancer survivors. Nutrients 11(8), 1913 (2019).
pubmed: 31443226
pmcid: 6723571
Osuna-Padilla, I., Leal-Escobar, G., Garza-García, C. & Rodríguez-Castellanos, F. Dietary acid load: Mechanisms and evidence of its health repercussions. Nefrologia 39(4), 343–354 (2019).
pubmed: 30737117
Osuna-Padilla, I. A., Leal-Escobar, G., Garza-García, C. A. & Rodríguez-Castellanos, F. E. Dietary acid load: Mechanisms and evidence of its health repercussions. Nefrologia. 39(4), 343–354 (2019).
pubmed: 30737117
Remer, T., Dimitriou, T. & Manz, F. Dietary potential renal acid load and renal net acid excretion in healthy, free-living children and adolescents. Am. J. Clin. Nutr. 77(5), 1255–1260 (2003).
pubmed: 12716680
Noormohammadi, M., Eslamian, G., Kazemi, S. N. & Rashidkhani, B. Dietary acid load, alternative healthy eating index score, and bacterial vaginosis: is there any association? A case-control study. BMC Infect. Dis. 22(1), 1–9 (2022).
Esche, J., Krupp, D., Mensink, G. B. & Remer, T. Dietary potential renal acid load is positively associated with serum uric acid and odds of hyperuricemia in the German adult population. J. Nutr. 148(1), 49–55 (2018).
pubmed: 29378039
Kellum, J. A., Song, M. & Almasri, E. Hyperchloremic acidosis increases circulating inflammatory molecules in experimental sepsis. Chest 130(4), 962–967 (2006).
pubmed: 17035425
Pedoto, A. et al. Acidosis stimulates nitric oxide production and lung damage in rats. Am. J. Respir. Crit. Care Med. 159(2), 397–402 (1999).
pubmed: 9927349
Pedoto, A. et al. Role of nitric oxide in acidosis-induced intestinal injury in anesthetized rats. J. Lab. Clin. Med. 138(4), 270–276 (2001).
pubmed: 11574821
Krupp, D., Johner, S. A., Kalhoff, H., Buyken, A. E. & Remer, T. Long-term dietary potential renal acid load during adolescence is prospectively associated with indices of nonalcoholic fatty liver disease in young women. J. Nutr. 142(2), 313–319 (2012).
pubmed: 22223573
Emamat, H. et al. The association between dietary acid load and odds of non-alcoholic fatty liver disease: A case-control study. Nutr. Health. 2022, 1088383 (2022).
Emamat, H., Tangestani, H., Bahadoran, Z., Khalili-Moghadam, S. & Mirmiran, P. The associations of dietary acid load with insulin resistance and type 2 diabetes: A systematic review of existing human studies. Recent Pat. Food Nutr. Agric. 10(1), 27–33 (2019).
pubmed: 30246649
Banerjee, T. et al. Dietary potential renal acid load and risk of albuminuria and reduced kidney function in the Jackson Heart Study. J. Ren. Nutr. 28(4), 251–258 (2018).
pubmed: 29751994
Bullo, M. et al. Mediterranean diet and high dietary acid load associated with mixed nuts: Effect on bone metabolism in elderly subjects. J. Am. Geriatr. Soc. 57(10), 1789–1798 (2009).
pubmed: 19807791
Rashvand, S., Somi, M. H., Rashidkhani, B. & Hekmatdoost, A. Dietary fatty acid intakes are related to the risk of ulcerative colitis: A case–control study. Int. J. Colorectal Dis. 30(9), 1255–1260 (2015).
pubmed: 25982462
Esfahani, F. H., Asghari, G., Mirmiran, P. & Azizi, F. Reproducibility and relative validity of food group intake in a food frequency questionnaire developed for the Tehran Lipid and Glucose Study. J. Epidemiol. 20(2), 150–158 (2010).
pubmed: 20154450
Gonick, H. C., Goldberg, G. & Mulcare, D. Reexamination of the acid-ash content of several diets. Am. J. Clin. Nutr. 21(9), 898–903 (1968).
pubmed: 5675852
Scialla, J. J. & Anderson, C. A. Dietary acid load: A novel nutritional target in chronic kidney disease?. Adv. Chronic Kidney Dis. 20(2), 141–149 (2013).
pubmed: 23439373
pmcid: 3604792
Yan, J. & Wang, L. Dietary patterns and gut microbiota changes in inflammatory bowel disease: Current insights and future challenges. Nutrients 14(19), 4003 (2022).
pubmed: 36235658
pmcid: 9572174
Peters, V. et al. Western and carnivorous dietary patterns are associated with greater likelihood of IBD development in a large prospective population-based cohort. Nutrients 16(6), 931–939 (2022).
Dong, C. et al. Meat intake is associated with a higher risk of ulcerative colitis in a large european prospective cohort studyø. Nutrients 16(8), 1187–1196 (2022).
Limketkai, B. N., Hamideh, M., Shah, R., Sauk, J. S. & Jaffe, N. dietary patterns and their association with symptoms activity in inflammatory bowel diseases. Inflamm. Bowel Dis. 28(11), 1627–1636 (2022).
pubmed: 35092268
Rahmani, J. et al. Dietary total antioxidant capacity and risk of ulcerative colitis: A case-control study. J. Dig. Dis. 20(12), 636–641 (2019).
pubmed: 31571400
Qiu, P. et al. The gut microbiota in inflammatory bowel disease. Front. Cell Infect. Microbiol. 12, 992 (2022).
Parada Venegas, D. et al. Short chain fatty acids (SCFAs)-mediated gut epithelial and immune regulation and its relevance for inflammatory bowel diseases. Front. Immunol. 10, 277 (2019).
pubmed: 30915065
pmcid: 6421268
Bolte, L. A. et al. Long-term dietary patterns are associated with pro-inflammatory and anti-inflammatory features of the gut microbiome. Gut 70(7), 1287–1298 (2021).
pubmed: 33811041
Jowett, S. et al. Influence of dietary factors on the clinical course of ulcerative colitis: A prospective cohort study. Gut 53(10), 1479–1484 (2004).
pubmed: 15361498
pmcid: 1774231
Vidal-Lletjós, S. et al. Dietary protein and amino acid supplementation in inflammatory bowel disease course: What impact on the colonic mucosa?. Nutrients 9(3), 310 (2017).
pubmed: 28335546
pmcid: 5372973
Blachier, F., Beaumont, M. & Kim, E. Cysteine-derived hydrogen sulfide and gut health: A matter of endogenous or bacterial origin. Curr. Opin. Clin. Nutr. Metab. Care 22(1), 68–75 (2019).
pubmed: 30461448
Storz, M. A. & Ronco, A. L. Observational and clinical evidence that plant-based nutrition reduces dietary acid load. Curr. Opin. Clin. Nutr. Metab. Care 11, e93 (2022).
Kord Varkaneh, H., Fatahi, S., Rahmani, J. & Shab-Bidar, S. Association of dietary acid load with body composition and inflammatory biomarkers in patients with type 2 diabetes. MUQ J. 12(6), 63–72 (2018).
Feuerstein, J. D. & Cheifetz, A. S. editors. Ulcerative colitis: epidemiology, diagnosis, and management. in Mayo Clinic Proceedings (Elsevier, 2014).
Cardoso, H., Nunes, A. C. R., Cruz, A., Santos, C. C. & Veloso, F. T. Importance of serum cortisol levels in inflammatory bowel disease: 1197. Am. Coll. Gastroenterol. 101, 465 (2006).