背景:在全球范围内,卒中是第二大死亡原因和第三大残疾原因。大多数临床医生倾向于低估饮食的重要性以及与食物有复杂关系的患者饮食态度不足或功能失调。关切黎巴嫩采取独立做法的潜力,也因为先前的国际研究揭示了饮食摄入量或选择与缺血性中风风险之间的联系,在黎巴嫩社区,在神经性厌食症(ON)的情况下,扩大文献范围并进一步评估饮食态度紊乱的关联并关注与食物的独特关系被认为至关重要。因此,本研究的目的是调查预先存在的无序饮食态度之间的潜在关联,特别是,缺血性中风的风险,强调支持地中海式饮食的证据。
方法:本研究是一项病例对照调查研究,涉及113名黎巴嫩缺血性卒中患者,年龄-451岁(5年内)和性别匹配的对照,从黎巴嫩几家医院招募(2020年4月至2021年4月)。
结果:根据我们第一个回归模型的发现,距离拥挤的道路100米(调整后赔率比[AOR]:3.421,95%置信区间[CI]:1.585-7.387),居住在距发电机100米的地方(AOR:3.686,95%CI:1.681-8.085),较高的水管依赖性(AOR:1.204,95%CI:1.117-1.297),被动吸烟暴露较高(OR:2.651,95%CI:2.051-3.426),已婚(AOR:3.545,95%CI:1.297-9.689),受教育程度低(AOR:0.239,95%CI:0.084-0.679),剧烈的体力活动(OR:1.003,95%CI:1.001-1.006),和更多的不适当的饮食(aOR:1.040,95%CI:1.006-1.074)都与缺血性卒中的较高几率相关。此外,心房颤动(aOR:2.945,95%CI:1.010-8.585),糖尿病(AOR:2.550,95%CI:1.169-5.561),心脏病(AOR:6.193,95%CI:2.196-17.463),高血压(aOR:2.744,95%CI:1.049-7.180)也与卒中风险增加相关.此外,有更多的正交性神经性缺氧倾向(aOR:1.123,95%CI:1.021-1.235)与缺血性卒中的几率更高相关,而更好的对MeD的依从性(aOR:0.691,95%CI:0.583~0.819)与缺血性卒中的几率降低显著相关.
结论:缺血性卒中患者更容易出现饮食态度紊乱和矫正行为。此外,已发现MeD对降低缺血性卒中风险有益.尽管研究的重点,室外污染,水管依赖,被动吸烟与缺血性卒中有关。总之,本文认为,改善营养状态和改变一些生活方式是预防和治疗中风的关键方法。
BACKGROUND: Stroke is the second leading cause of death and the third leading cause of disability on a global scale. Most clinicians tend to underestimate the importance of diet and inadequate or dysfunctional eating attitudes in patients with a complicated relationship with food. Concerned about the potential of an independent Lebanese approach, and also because prior international research has revealed a link between eating intake or choice and ischemic stroke risk, it was considered vital to broaden the scope of the literature and evaluate further the association of disordered eating attitudes and focus on the distinct relationship with food in the
case of orthorexia nervosa (ON) in the Lebanese community. Consequently, the purpose of the present study is to investigate the potential association between pre-existing disordered eating attitudes, specifically ON, and ischemic stroke risk, with an emphasis on the evidence supporting a Mediterranean-style diet.
METHODS: This research is a
case-control survey study involving 113 Lebanese individuals with ischemic stroke and 451 age-(within 5 years) and sex-matched controls recruited from several hospitals in Lebanon (April 2020-April 2021).
RESULTS: According to the findings of our first regression model, living 100 m from a crowded road (adjusted odds ratio [aOR]: 3.421, 95% confidence interval [CI]: 1.585-7.387), living 100 m from an electricity generator (aOR: 3.686, 95% CI: 1.681-8.085), higher waterpipe dependence (aOR: 1.204, 95% CI: 1.117-1.297), higher exposure to passive smoking (aOR: 2.651, 95% CI: 2.051-3.426), being married (aOR: 3.545, 95% CI: 1.297-9.689), having a low educational attainment (aOR: 0.239, 95% CI: 0.084-0.679), vigorous physical activity (aOR: 1.003, 95% CI: 1.001-1.006), and having more inappropriate eating (aOR: 1.040, 95% CI: 1.006-1.074) were all associated with higher odds of having ischemic stroke. Furthermore, atrial fibrillation (aOR: 2.945, 95% CI: 1.010-8.585), diabetes (aOR: 2.550, 95% CI: 1.169-5.561), heart diseases (aOR: 6.193, 95% CI: 2.196-17.463), and hypertension (aOR: 2.744, 95% CI: 1.049-7.180) were also linked to an increased risk of stroke. Moreover, having more orthorexia nervosa tendencies (aOR: 1.123, 95% CI: 1.021-1.235) was related to a higher odds of having an ischemic stroke, whereas better adherence to the MeD was significantly linked (aOR: 0.691, 95% CI: 0.583-0.819) to lower odds of ischemic stroke.
CONCLUSIONS: Ischemic stroke patients were more likely to have disordered eating attitudes and orthorexic behaviors. Furthermore, the MeD has been found to be beneficial in reducing ischemic stroke risk. Despite the study\'s focus, outdoor pollution, waterpipe dependence, and passive smoking were linked to ischemic stroke. In summary, this review suggests that improving one\'s nutritional status and making a few lifestyle changes are key stroke prevention and treatment methods.