PDF(Pubmed)
Abstract：
Several risk factors including environmental exposures, socioeconomic status, and dietary factors including dietary patterns have been considered for childhood Asthma. The present study tried to examine the association between a western-style pattern and the likelihood of asthma and its symptoms in Yazd, Iran. In the present cross-sectional study, dietary intakes of elementary and high-school children were obtained through a validated GAN questionnaire. The GAN questionnaire, derived from the ISAAC questionnaire was used to assess the symptoms of allergic diseases and their related risk factors. A western dietary pattern score considered 9 food groups including chicken eggs, margarine, butter, sugar, fast foods, soft drinks, snacks, sauce, and chocolate. In total 7667 children aged 10.9 ± 3.35 years were included in the current investigation. Boys with higher adherence to western dietary pattern had a higher risk of wheezing in the past 12 months (OR 1.37, 5% CI 1.01-1.87, P = 0.04) and this association was also observed in the whole population (OR 1.30, 5% CI 1.05-1.60, P = 0.01). However, after adjustment for confounders this relation did not remain significant in boys. Our results support the hypothesis that a western dietary pattern is associated with an increased risk of wheezing in the past 12 months in children with asthma. Future prospective studies are needed to confirm this finding.
摘要：
几个风险因素，包括环境暴露，社会经济地位,和饮食因素，包括饮食模式已经被认为是儿童哮喘。本研究试图检查亚兹德西式模式与哮喘及其症状的可能性之间的关联，伊朗。在目前的横断面研究中，通过经过验证的GAN问卷获得了小学和高中儿童的饮食摄入量。GAN问卷，采用ISAAC问卷对过敏性疾病症状及其相关危险因素进行评估。西方饮食模式评分考虑了9种食物组，包括鸡蛋，人造黄油,黄油,糖,快餐,软饮料,小吃,酱汁,还有巧克力.本次调查共纳入7667名10.9±3.35岁的儿童。在过去的12个月中，坚持西方饮食模式的男孩发生喘息的风险更高（OR1.37，5％CI1.01-1.87，P=0.04），并且在整个人群中也观察到这种关联（OR1.30，5％CI1.05-1.60，P=0.01）。然而,在对混杂因素进行调整后，这种关系在男孩中并不显著。我们的结果支持以下假设：在过去的12个月中，西方饮食模式与哮喘儿童的喘息风险增加有关。需要未来的前瞻性研究来证实这一发现。
