Abstract：
Objective: Population-based studies on chronic sinusitis have predominantly focused on Europe and the Americas, but research on chronic sinusitis within large Asian populations remains scarce. This study aims to explore the link between dietary factors and chronic sinusitis among ethnic Koreans in Asia. Design: A cross-sectional study. Setting: Data were collected from the Korean National Health and Nutrition Examination Survey (KNHANES) in 2012. Participants: Participants in the study were included based on a doctor\'s diagnosis of chronic sinusitis, as determined through the ear, nose, and throat examination questionnaires. Results: Adolescents [adjusted P value (aP) < .001, adjusted odds ratio (aOR) = 1.881, 95% confidence interval (CI) = 1.380-2.564] and individuals with college and higher education (aP = .042, aOR = 1.298, 95% CI = 1.009-1.669) were more likely to develop chronic rhinosinusitis. In addition, levels of dietary fat [P = .001, interquartile range (IQR) = 34.085] and energy intake (P = .004, IQR = 981.106) were associated with an increased risk of chronic sinusitis. Moreover, high dietary inflammatory index (aP < .001, aOR = 0.547, 95% CI = 0.415-0.721), and high intake of fried pork chops (aP = .028, aOR = 1.335, 95% CI = 1.033-1.777), bread (aP = .024, aOR = 1.364, 95% CI = 1.042-1.786), and rice (aP = .021, aOR = 1.382, 95% CI = 1.051-1.818) were risk factors for chronic sinusitis, while cucumber consumption (aP < .001, aOR = 0.547, 95% CI = 0.415-0.721) was a protective factor for chronic sinusitis. Conclusion: This study revealed a significant correlation between diet and development of chronic sinusitis. These findings suggest that promoting an anti-inflammatory dietary pattern and providing guidance on healthy eating habits could help reduce the incidence of chronic sinusitis and enhance its management.
摘要：
目标：基于人群的慢性鼻窦炎研究主要集中在欧洲和美洲，但在大量亚洲人群中对慢性鼻窦炎的研究仍然很少。本研究旨在探讨亚洲朝鲜族人群中饮食因素与慢性鼻窦炎之间的联系。设计：横断面研究。设置：数据来自2012年韩国国家健康和营养检查调查（KNHANES）。参与者：根据医生对慢性鼻窦炎的诊断纳入研究的参与者，通过耳朵确定，鼻子,和喉咙检查问卷。结果：青少年[校正P值（aP）<.001，校正比值比（aOR）=1.881，95％置信区间（CI）=1.380-2.564]和受过大学及高等教育的个体（aP=.042，aOR=1.298，95％CI=1.009-1.669）更容易发生慢性鼻窦炎。此外,膳食脂肪水平[P=.001,四分位间距(IQR)=34.085]和能量摄入(P=.004,IQR=981.106)与慢性鼻窦炎风险增加相关.此外，高膳食炎症指数(aP<.001,aOR=0.547,95%CI=0.415-0.721),和高摄入量的油炸猪排（aP=0.028，aOR=1.335，95％CI=1.033-1.777），面包(aP=.024，aOR=1.364，95%CI=1.042-1.786)，和水稻(aP=.021,aOR=1.382,95%CI=1.051-1.818)是慢性鼻窦炎的危险因素,而黄瓜消费（aP<.001，aOR=0.547，95％CI=0.415-0.721）是慢性鼻窦炎的保护因素。结论：本研究揭示了饮食与慢性鼻窦炎的发展之间的显着相关性。这些发现表明，促进抗炎饮食模式并提供健康饮食习惯的指导可以帮助减少慢性鼻窦炎的发生率并加强其管理。
