关键词: Asthma Cross-sectional study Diet Dietary pattern HEI

Mesh : Adult Humans Diet, Healthy Nutrition Surveys Cross-Sectional Studies Diet Body Mass Index

来  源:   DOI:10.1016/j.clnesp.2023.05.013

Abstract:
Previous studies have shown that the formation and development of asthma are closely related to diet. A proper diet can control asthma onset although the precise dietary components involved in preventing or delaying the onset of asthma remain unclear. The healthy eating index (HEI-2015) is a dietary score that measures the overall diet quality as well as the quality of several dietary components. We aimed to explore the relationship between HEI and asthma.
This is a cross-sectional study that used data from the 2005 to 2018 National Health and Nutritional Examination Survey (NHANES) in adults (n = 26,567). Our inclusion criteria were adults ≥18 years, completion of asthma-related questionnaires and availability of HEI data. Weighted logistic regression was performed to assess the association between asthma and HEI after adjusting for several covariates.
Patients with asthma were more likely to be female, come from a poorer background, have a raised body mass index (BMI) and a lower HEI total score. Higher HEI total scores were associated with a lower risk of asthma in adults. In addition, eating more whole fruits, more greens and beans, more total protein foods, more seafood and plant proteins, and having a reduced dietary intake of added sugars reduces the risk of asthma. In asthmatic populations, higher HEI scores are associated with older age at onset of asthma.
There is an inverse association between the HEI and asthma. This underlines the importance of improving adherence to healthy dietary patterns in the prevention of asthma.
摘要:
先前的研究表明,哮喘的形成和发展与饮食密切相关。适当的饮食可以控制哮喘的发作,尽管预防或延迟哮喘发作的确切饮食成分尚不清楚。健康饮食指数(HEI-2015)是衡量总体饮食质量以及几种饮食成分质量的饮食评分。我们旨在探讨HEI与哮喘之间的关系。
方法:这是一项横断面研究,使用了2005年至2018年全国健康和营养检查调查(NHANES)的成人数据(n=26,567)。我们的纳入标准是成年人≥18岁,完成哮喘相关问卷并获得HEI数据。在调整了几个协变量后,进行加权逻辑回归评估哮喘和HEI之间的关联。
结果:哮喘患者更可能是女性,来自贫穷的背景,体重指数(BMI)升高,HEI总分降低。较高的HEI总分与较低的成人哮喘风险相关。此外,吃更多的水果,更多的蔬菜和豆类,更多的总蛋白质食物,更多的海鲜和植物蛋白,减少饮食中添加糖的摄入量可以降低哮喘的风险。在哮喘人群中,较高的HEI评分与哮喘发病时年龄较大相关.
结论:HEI与哮喘呈负相关。这强调了在预防哮喘中提高对健康饮食模式的依从性的重要性。
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