Associations of chronic diarrheal symptoms and inflammatory bowel disease with sleep quality: A secondary analysis of NHANES 2005–2010

Zhang, Jingyun; Yu, Sen-Hai; Zhao, Gang; Jiang, Xiaoyan; Zhu, Y.; Liu, Zuyun

doi:10.3389/fneur.2022.858439

Cited by 9 publications

(5 citation statements)

References 44 publications

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“…However, positive associations were not identified between CD and short sleep, which is most directly related to disrupted circadian rhythms. Surprisingly, when we reviewed the literature, multiple studies reported no correlations between CD and sleep duration ( Elsenbruch et al, 2002 ; Heitkemper et al, 2005 ; Zhang et al, 2022 ). Previous studies investigating the impact of sleep quality on human bowel health also reported contradictory results.…”

Section: Discussionmentioning

confidence: 93%

“…This finding was generally consistent with previous studies. For example, Zhang et al (2022 ) found that persons with chronic diarrheal symptoms had higher odds of sleep disorder by 26%. The state of rapid eye movement sleep, arousals, and waking was associated with increased colon motility that may induce the occurrence of diarrhea ( Kim et al, 2018 ).…”

Section: Discussionmentioning

confidence: 99%

“…In two other studies from China and Norway, which defined chronic diarrhea by Rome II standard, the prevalence of chronic diarrhea was 3.26% and 8.8%, respectively ( Fosnes et al, 2011 ; Zhao et al, 2012 ). The characterization of CD is refractory and recurrent, which can significantly reduce the quality of life by causing fatigue, depression, and increasing hospitalizations and health costs ( Zhang et al, 2022 ). Current treatment efficacy is not optimal and may be associated with complex pathogenic mechanisms, especially in functional diarrhea where potential impact factors include dietary choices, intestinal flora, and chronic inflammation ( Black et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

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Association between circadian syndrome and chronic diarrhea: a cross-sectional study of NHANES 2005–2010 data

Ding,

Duan,

Yang

et al. 2024

Front. Physiol.

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BackgroundCircadian rhythms are reported to influence physiological processes in the gastrointestinal system, but associations between circadian syndrome (Circs) and chronic diarrhea (CD) remain unclear. Here, we explored such relationships to provide new insights into CD management.MethodsWe conducted a cross-sectional retrospective analysis using the National Health and Nutrition Examination Survey (NHANES) data between 2005 and 2010. Univariate and multivariable logistic regression analyses were performed on weighted data to explore associations between Circs and CD.ResultsResults were presented using forest plots, odds ratios (ORs), and 95% confidence intervals (CIs). Data with p-values < 0.05 were considered statistically significant. In total, 5,661 US participants, of which 412 had CD (weighted percentage = 6.20%), were enrolled. In univariate logistic regression analyses, participants with Circs had a significantly higher risk of CD (OR = 1.51, 95% CI: 1.15–1.99). After adjusting for covariates, model 2 (OR = 1.40, 95% CI: 1.03–1.90) and model 3 (OR = 1.42, 95% CI: 1.01–2.00) data were consistent with model 1 data. Additionally, the number of Circs components was positively associated with CD in all three models. Subgroup analyses revealed an association between CD and Circs in participants who had high blood pressure (OR = 2.46, 95% CI: 1.48–4.11, p < 0.001).ConclusionIn this cross-sectional study, we found that Circs is positively associated with the risk of CD in US adults, especially in those with high blood pressure. This association may provide new management strategies for CD.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Association between circadian syndrome and chronic diarrhea: a cross-sectional study of NHANES 2005–2010 data

Ding,

Duan,

Yang

et al. 2024

Front. Physiol.

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“…Bowel leakage on The Bowel Health Questionnaire was used as a proxy for chronic diarrheal Symptoms. Referring to the methodology of previous studies, those with two or more symptoms of bowel leakage [14,15], consisting of gas, mucus, liquid, and solid stool per week, were de ned as having chronic diarrheal symptoms. The questionnaires determined the assessment of IBD, "Ever had Ulcerative Colitis" and "Ever had Crohn's Disease.…”

Section: Chronic Diarrheal Symptoms and Ibdmentioning

confidence: 99%

Associations of dietary calcium and magnesium intake with chronic diarrheal symptoms and inflammatory bowel disease: a large cross- sectional study in adults

Li,

Long,

Huang

et al. 2024

Preprint

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Objective This study evaluated the relationships between dietary magnesium and calcium intake and symptoms of chronic diarrhea and inflammatory bowel disease (IBD). Globally, the prevalence of IBD and chronic diarrheal symptoms is increasing. Research on nutritional factors in the diet associated with IBD and chronic diarrheal symptoms may be helpful. Method We performed a cross-sectional analysis utilizing the National Health and Nutrition Examination Survey (NHANES) data in 2005-2010. Information on dietary calcium and magnesium intake was assessed using the first 24-hour dietary recall interview, and IBD and chronic diarrheal symptoms were presented by questionnaire. Correlations were examined using multivariable logistic regression equations. Result After adjusting for relevant variables, those with higher dietary intakes of calcium and magnesium showed a higher frequency of IBD (highest quartile calcium intake: OR = 3.685, 95% CI = 1.572-8.641; highest quartile magnesium intake: OR = 2.985, 95% CI = 1.256-7.094), and similar results were observed in chronic diarrheal symptoms (highest quartile calcium intake: OR = 1.115, 95% CI = 1.001-1.242; third and fourth quartiles of magnesium intake: OR = 1.155, 95% CI = 1.038-1.285; OR = 1.144, 95% CI = 1.024-1.277). The inflection points for calcium and magnesium intake with chronic diarrheal symptoms were 1690 mg and 351 mg. Subgroup analyses revealed that a stronger correlation between dietary calcium and chronic diarrheal symptoms was more significant among elderly adults (≥60 years), participants with hypertension, and Mexican-American people. Conversely, the link between dietary magnesium and chronic diarrheal symptoms was stronger in females and participants with hypertension. Conclusion In conclusion, higher dietary calcium and magnesium intakes were associated with higher prevalence of IBD and chronic diarrheal symptoms, this will draw attention to daily calcium and magnesium intake in patients with IBD and chronic diarrheal symptoms.

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“…Poor sleep quality leads to a decline in both physical and psychological well-being, resulting in symptoms like fatigue, anxiety, and stress [8,9]. Chronic disease is one of the factors that associated with poor sleep quality [10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Association Between Psoriasis and Sleep Quality Among US Adults: National Health and Nutrition Examination Survey 2009-2014

Fu,

Zhou,

et al. 2024

Preprint

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Current research has been restricted in furnishing nationally representative data regarding the association between psoriasis and sleep quality in US adults. To fill this gap, we conducted a cross-sectional study using data from National Health and Nutrition Examination Survey (NHANES) 2009–2014. We identified 376 (2.83%) cases of psoriasis and 3,615 (29.1%) cases of sleep disorder among 13,002 US adult citizens in present study. The results showed that that psoriasis was significantly associated with sleep disorder in US adults (OR, 1.71; 95% CI, 1.36–2.14), and the association remained in fully adjusted model (OR, 1.46; 95% CI, 1.15–1.86). We also conducted several sensitivity analyses (including IPTW) to access the robustness of our findings. Interestingly, we found that there is no significant association between psoriasis and sleep duration. These findings may be important to consider the poor sleep quality may be exacerbate the psoriasis. Our findings may contribute to future clinical management of sleep quality in psoriasis patients.

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Associations of chronic diarrheal symptoms and inflammatory bowel disease with sleep quality: A secondary analysis of NHANES 2005–2010

Cited by 9 publications

References 44 publications

Association between circadian syndrome and chronic diarrhea: a cross-sectional study of NHANES 2005–2010 data

Association between circadian syndrome and chronic diarrhea: a cross-sectional study of NHANES 2005–2010 data

Associations of dietary calcium and magnesium intake with chronic diarrheal symptoms and inflammatory bowel disease: a large cross- sectional study in adults

Association Between Psoriasis and Sleep Quality Among US Adults: National Health and Nutrition Examination Survey 2009-2014

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