Cohort study2021

Dietary Patterns, Ultra-processed Food, and the Risk of Inflammatory Bowel Diseases in the NutriNet-Santé Cohort

Vasseur P, Dugelay E, Benamouzig R, Savoye G, Lan A, Srour B, Hercberg S, Touvier M, Hugot JP, Julia C, Buscail C

Inflammatory bowel diseases · 56 citations

Review labels

Funding not disclosedNo stated lifestyle adjustment

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Cohort study (indexed by PubMed)
Studied in
People
Main outcome
Clinical events such as disease or death
Intake measured by
Food diaries or recalls

Who paid for it

Funding
Funding not disclosed

Publication

Published
2020-02-14 · Inflamm Bowel Dis · vol. 27 · issue 1 · pp. 65–73
Publisher
Oxford University Press
Cited
83 citations · more than 98% of similar papers · 6.9× the field average
Impact
Top 10% most cited in its field
References
41 works
Access
Paywalled
Research areas
Nutritional Studies and Diet · Consumer Attitudes and Food Labeling · Diet and metabolism studies
Keywords
Medicine, Incidence (geometry), Inflammatory Bowel Diseases, Cohort, Inflammatory bowel disease, Cohort study, Prospective cohort study, Poisson regression, Food group, Internal medicine, Environmental health, Disease, Population
MeSH
humans, colitis, ulcerative, inflammatory bowel diseases, crohn disease, diet, diet surveys, incidence, risk factors, prospective studies, feeding behavior, principal component analysis, adult, middle aged, diet records, france, female, male, fast foods, surveys and questionnaires

11 authors

From FR

  • Pauline VasseurInserm; Université Sorbonne Paris Nord; Hôpital Avicenne; Equipe de Recherche en Epidémiologie Nutritionnelle; Centre de Recherche Épidémiologie et Statistique
  • E. DugelayAssistance Publique – Hôpitaux de Paris; Hôpital Robert-Debré
  • Robert BenamouzigHôpital Avicenne
  • Guillaume SavoyeHôpital Charles-Nicolle
  • Annaïg LanAgroParisTech; Université Paris-Saclay; Institut National de Recherche pour l'Agriculture, l'Alimentation et l'Environnement; Physiologie de la Nutrition et du Comportement Alimentaire
  • Bernard SrourInserm; Université Sorbonne Paris Nord; Equipe de Recherche en Epidémiologie Nutritionnelle; Centre de Recherche Épidémiologie et Statistique

Abstract

Background

The incidence of inflammatory bowel diseases (IBDs) tended to increase for several decades. Diet is suspected to be a major determinant of the occurrence of these diseases. This prospective study aimed to assess the associations among occurrence of IBD, dietary patterns, and ultra-processed food in the French NutriNet-Santé cohort.

Methods

Participants of the NutriNet-Santé cohort who completed at least three 24-hour dietary records were included. Incident IBD cases were identified from 3 questionnaires and confirmed by phone or email interview. Major dietary patterns (DPs) were computed using a principal component analysis (PCA) based on 29 food groups' consumption, whereas proportions of ultra-processed foods (UPFs) were obtained using the NOVA classification. Multivariable Poisson models were performed to evaluate associations among DP quintiles, UPF proportion (UPFp) in the diet, and incident IBD.

Results

A total of 105,832 participants were included, contributing 238,924 person-years in a mean follow-up of 2.3 ± 2.2 years. Among them, 75 participants reported an incident IBD. Three major DPs were retained: "healthy," "traditional," and "western." No significant association was found for DPs and UPFp after adjustments for covariates.

Conclusions

In this study, neither DPs nor UPF proportion in the diet were significantly associated with the risk of incident IBD after adjustments for covariates. Further studies are needed to investigate the long-term association between diet and IBD.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

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