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Nutrients 2017, 9(9), 986; doi:10.3390/nu9090986

Western Dietary Pattern Is Associated with Irritable Bowel Syndrome in the French NutriNet Cohort

1
Université Paris 13, Sorbonne Paris Cité, Equipe de Recherche en Epidémiologie Nutritionnelle (EREN), Centre de Recherche en Epidémiologie et Biostatistiques (CRESS), Inserm 1153, Inra U1125, Cnam, COMUE Sorbonne Paris Cité, F-93017 Bobigny, France
2
Département de Santé Publique, Hôpital Avicenne (AP-HP), F-93017 Bobigny, France
3
Service d’ Hépato-Gastro-Entérologie, Hôpital Avicenne (AP-HP), F-93017 Bobigny, France
*
Author to whom correspondence should be addressed.
Received: 12 July 2017 / Revised: 9 August 2017 / Accepted: 15 August 2017 / Published: 7 September 2017
(This article belongs to the Special Issue Dietary Patterns, Diet Quality and Human Health)
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Abstract

Background: Diet appears to play a key role in the pathogenesis of the irritable bowel syndrome (IBS). Some dietary patterns (DP) could increase the risk of triggering or worsening IBS symptoms. This cross-sectional study aimed to assess the association between a posteriori derived DP and IBS in a large French population, the web-based NutriNet-Santé cohort. Methods: Study population included participants of the NutriNet-Santé study who completed a questionnaire based on Rome III criteria assessing IBS. A principal component analysis (PCA) was performed to identify major DPs based on 29 food groups’ consumption. Associations between DP quintiles and IBS were investigated with multivariable logistic regressions. Results: 44,350 participants were included, with 2423 (5.5%) presenting IBS. Three major DP were extracted using PCA, “healthy,” “western,” and “traditional.” After adjustments on confounders, the “western” DP was positively associated with IBS (OR Q5 vs. Q1 = 1.38, 95% CI 1.19–1.61, p trend < 0.0001) and the “traditional” DP was positively associated with IBS in women (OR Q5 vs. Q1 = 1.29 95% CI 1.08–1.54, p trend = 0.001). Conclusions: In this study, a “western” DP—highly correlated with the consumption of fatty and sugary products and snacks—was associated with a moderate increased risk of IBS. View Full-Text
Keywords: western diet; irritable bowel syndrome; dietary patterns; fatty food western diet; irritable bowel syndrome; dietary patterns; fatty food
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Buscail, C.; Sabate, J.-M.; Bouchoucha, M.; Kesse-Guyot, E.; Hercberg, S.; Benamouzig, R.; Julia, C. Western Dietary Pattern Is Associated with Irritable Bowel Syndrome in the French NutriNet Cohort. Nutrients 2017, 9, 986.

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