Certain Dietary Habits Contribute to the Functional Dyspepsia in South China Rural Area

Abstract

BackgroundFunctional dyspepsia (FD) refers to a group of upper gastrointestinal syndromes, subdivided into two types: postprandial distress syndrome (PDS) and epigastric pain syndrome (EPS). The etiology of FD remains unclear; however, unhealthy dietary habit is one potential underlying cause. We aim to explore the association of poor dietary habits with FD and its subtypes.Material/MethodsA validated epidemiological questionnaire was designed to investigate dietary habits and gastrointestinal syndromes. Citizens in the Baotun community of Dongguan were invited to complete the study questionnaire. All participants were asked to undergo a physical examination and a blinded physician interview. The study was conducted from June 2015 to June 2016. FD was diagnosed using ROME III criteria. The association between investigated dietary habits and dyspeptic symptoms were explored.ResultsThere were 1,304 adult residents recruited for the study survey; 165 residents had existing organic dyspepsia (OD), 203 residents were diagnosed with FD, and the other 936 participants, who were without dyspeptic symptoms or functional gastrointestinal diseases, were regarded as the control group. Subtype diagnosis indicated 61 participants had EPS, 66 participants had PDS, and 76 participants had coexisting EPS and PDS. Unhealthy dietary habits were more prevalent in the FD group than in the control groups (75.86% versus 37.50%; p<0.001). FD was found to be associated with irregular mealtime, dining out, fatty food, sweet food, and coffee (p<0.05). The impact of each dietary factor varied with FD subtypes.ConclusionsCertain types of dietary habits were positively correlated with the prevalence of FD. FD subtypes showed relatively different associations with dietary factors.

The Alignment of Dietary Intake and Symptom-Reporting Capture Periods in Studies Assessing Associations between Food and Functional Gastrointestinal Disorder Symptoms: A Systematic Review

“…Following the screening on title and abstract, 140 articles remained for full text screening. Forty articles met the inclusion criteria and were included in this systematic review (Figure 1) [21,22,23,24,25,26,27,28,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,59,60]. Reasons for the exclusion of the other 100 articles are also shown in Figure 1.…”

“…As shown in Table 2, eight included studies were conducted prior to 2010 [22,25,36,46,50,51,53,54], seventeen between 2010 and 2014 [23,24,27,29,31,33,38,39,41,42,43,44,45,47,55,57], and the remaining sixteen studies were conducted since 2015 [21,26,28,30,32,34,35,37,40,48,49,52,56,58,59,60]. As shown in Table 2, the 40 included studies were conducted in 20 countries—of which, 12 were conducted in Europe/United Kingdom [22,23,24,25,29,30,33,42,46,56,57,60], eleven in Scandinavia [26,27,34,35,38,39,40,41,44,…”

“…Critical appraisal resulted in twenty-two included studies being rated as positive study quality [22,24,25,26,28,31,32,34,35,36,38,42,43,46,47,49,50,53,55,56,59,60] and eighteen studies rated as neutral study quality [21,23,27,29,30,33,37,39,40,41,44,45,48,51,52,54,57,58]. No studies were rated negative for study quality.…”

“…Of the 25 prospective studies, nine were double-blind randomised controlled trials (RCTs) [23,34,35,42,46,53,55,59,60], eight were single-blind randomised controlled trials [22,24,25,26,28,31,36,43], three were unblinded randomised controlled trials [32,47,49], two were intervention studies [50,57], one was a pre-RCT [38] and one was a case control study [56]. Of the remaining studies, thirteen were cross-sectional [27,29,30,33,37,39,40,41,44,45,51,52,54] and two were longitudinal studies [48,58].…”

Dispepsia funcional en estudiantes de medicina de la Universidad Nacional Hermilio Valdizán, 2017

“…También se encontró que la DF estaba asociada con la hora irregular de comer, comer afuera, alimentos grasos, alimentos dulces y café (p <0.05). (14) De manera similar, Benites Velasquez y colaboradores reportan que los hábitos alimenticios como el omitir el almuerzo tuvo una relación e s t a d í s t i c a m e n t e s i g n i fi c a t i va c o n e l diagnostico de dispepsia (p=0,007). 15Hassanzadeh S y colaboradores encontraron que los individuos que consumieron entre seis y siete comidas y refrigerios por día tenían menos probabilidades de DF (OR, 0.51; IC del 95%, 0.31-0.82) en comparación con aquellos con quienes comieron menos de tres comidas y m e r i e n d a s d i a r i a s .…”