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

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
Département de Santé Publique, Hôpital Avicenne (AP-HP), F-93017 Bobigny, France
Service d’ Hépato-Gastro-Entérologie, Hôpital Avicenne (AP-HP), F-93017 Bobigny, France
Author to whom correspondence should be addressed.
Nutrients 2017, 9(9), 986;
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)
PDF [536 KB, uploaded 7 September 2017]


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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