Fruits and vegetables consumption and the risk of gallstone diasease

Zhang, Junwei; Xiong, Jianping; Xu, Weiyu; Sang, Xinting; Huang, Hanchun; Bian, Jin; Xu, Yiyao; Lü, Xin; Zhao, Haitao

doi:10.1097/md.0000000000016404

Cited by 10 publications

(8 citation statements)

References 36 publications

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“…Overall, the combined RR was 0.83 (95% CI 0.76–0.89), and each additional cup of coffee consumed per day was associated with a 5% (RR = 0.95, 95% CI 0.91–1.00, p = 0.049) reduction in cholecystolithiasis risk. As for the relationship between vegetable and fruit consumption and cholecystolithiasis, current evidence suggests that vegetable consumption is associated with a 17% (RR = 0.83, 95% CI 0.74–0.94) lower risk and fruit with a 12% (RR = 0.83, 95% CI 0.83–0.92) lower risk [ 40 ]. Moreover, there is a dose–response relationship between the intake of vegetables and fruits and the risk of disease, that is, for each additional 200 g per day, the corresponding risk of disease will be reduced by 4% (RR = 0.96, 95% CI 0.93–0.98, p = 0.001) and 3% (RR = 0.97, 95% CI 0.96–0.98, p = 0.001).…”

Section: Resultsmentioning

confidence: 99%

The role of diet and nutrition related indicators in biliary diseases: an umbrella review of systematic review and meta-analysis

Wang

Wen

et al. 2022

Nutr Metab (Lond)

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Background Diet and nutrition, as a modifiable risk factor, have been demonstrated to play a significant role in the etiology of biliary diseases, whereas few comprehensive studies have been able to evaluate the strength and quality of these evidence. This umbrella review aims to evaluate the evidence pertaining risk factors for biliary diseases in terms of diet and nutrition-related indicators. Methods An umbrella review method was adopted: evidence from observational studies up to 22 November 2021 were identified using PubMed, Web of Science, the Cochrane database, as well as manual screening. Eligible systematic reviews and meta-analyses were screened according to inclusion and exclusion criteria. The inclusion criteria were: (1) meta analysis or systematic review; (2) The theme of the study is the relationship between diet or nutrition and biliary tract diseases; (3) Summarized and reported OR, RR or HR values and corresponding 95% CI; (4) No restrictions on the use of participants and languages; (5) Only extract the data of biliary tract diseases from multiple health outcomes; (6) Only the most recent studies on the same subject were included. This study had been registered at PROSPERO (CRD42021293908). For each eligible systematic review and meta-analysis, we extracted the data of general characteristics and the main findings. The methodological quality of the meta-analyses included in our study were assessed by AMSTAR2 and the quality of evidence was evaluated by the GRADE. Results A total of 323 articles were searched, among which 24 articles with 83 unique outcomes were identified as eligible. 35 of these outcomes were downgraded in GRADE evaluation as they reported heterogeneity. In short, among 83 unique outcomes, 5 were rated as moderate, 16 as low, and the rest as very low. For the prevention of biliary tract diseases, emphasis should be placed on appropriately increasing the intake of fruits, vegetables, coffee and tea, and reducing the intake of alcohol, raw fish and foods with high nitrate. Meanwhile, weight, blood sugar and lipid levels should be controlled, and diabetes should be actively prevented and treated. Drinking is not recommended to prevent gallstones, although studies have shown that it may reduce the risk of cholecystolithiasis. Conclusions Our study summarizes the current multifaceted evidence on the relationship between dietary and nutritional indicators and biliary diseases, but the quality of all evidence was not high. Evidence from additional high-quality prospective studies are needed in the future.

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Section: Resultsmentioning

confidence: 99%

The role of diet and nutrition related indicators in biliary diseases: an umbrella review of systematic review and meta-analysis

Wang

Wen

et al. 2022

Nutr Metab (Lond)

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“…Secondly, consumption of fruits and vegetables should also be preferred because, according to Ansari-Moghaddam, low consumption of fruit and vegetables would increase the risk of cholelithiasis by twice (OR, 2.51; 95% CI, 1.29 -4.88) [20]. And one study about the dose-response correlation indicated that gallstone risk was reduced by 3% and 4% for every 200 g per day increment in fruits and vegetables consumption [8]. A nonvegetarian diet and hypercholesterolemia may have an additive effect in increasing GSD risk in women.…”

Section: Discussionmentioning

confidence: 99%

“…It has been well documented that the presence of gallstones increases with age and that predisposing risk factors for gallstone formation include obesity, diabetes mellitus, estrogen and pregnancy, hemolytic diseases and cirrhosis [6]. Furthermore, diet can be a modifiable risk factor to prevent gallstone disease [7][8][9]. And in our country, despite the impact of globalization on dietary habits and lifestyle, the Malagasy culture keeps its features.…”

Section: Introductionmentioning

confidence: 99%

Epidemiology and Risk Factor of the Gallstone Disease in a Southern Tropical Country

Rakotomena¹,

Arimino²,

Rahantasoa³

et al. 2019

EJCBS

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Despite the tendency to westernize our way of life, the Malagasy culture keeps its peculiarities. We report the epidemiological features of patients with cholelithiasis in our population in order to raise hypothesis about their risk factors. This is a retrospective descriptive multicenter and analytical case-control study of patients with cholelithiasis as "cases" and non-carriers of cholelithiasis as "controls". The odds ratios (ORs) were calculated with a 95% confidence interval to verify the correlation between food consumption and the occurrence of cholelithiasis. 51 patients were respectively enrolled for both groups. Consumption of animal products and legumes, such as offal (OR 95% CI 3.23-1.36-7.67), chicken (OR 95% CI 8.85 [3.02-25.9]), peas (OR 95% CI 1.13 [0.43-2.95]) and Bambara peas (OR 95% CI 1.31 [0.57-3.01 ]) would expose the risk of occurrence of cholelithiasis. In contrast, whole milk (OR 95% CI 1.27 [0.58-2.77]), sweet potato (OR 95% CI 0.72 [0.23-2.25]) and cassava (OR 95% CI 0.83 [0.36-1.92]) would be a protective factor. To conclude, the diversification of our fruits and vegetables could be an asset to reduce the frequency of occurrence of cholelithiasis, giving priority to their consumption.

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“…Reduced risks of chronic obstructive pulmonary disease ( 33 ) and gallstone disease ( 34 ) have also been reported; however, the latter also included case-control studies and cross-sectional studies ( 34 ). Inverse associations between the intake of fruits and vegetables and the risk of inflammatory bowel disease (Crohn’s disease and ulcerative colitis) are also indicated ( 35 , 36 ), of which one report was based on case-control studies only ( 36 ).…”

Section: Health Outcomes Relevant For Nordic and Baltic Countriesmentioning

confidence: 99%

Vegetables, fruits, and berries – a scoping review for Nordic Nutrition Recommendations 2023

Rosell,

Fadnes

2024

Food & Nutrition Research

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Vegetables, fruits, and berries comprise a large variety of foods and are recognised to play an important role in preventing chronic diseases. Many observational studies have been published during the last decade, and the aim of this scoping review is to describe the overall evidence for the role of vegetables, fruits, and berries for health-related outcomes as a basis for setting and updating food-based dietary guidelines. A scoping review was conducted according to the protocol developed within the Nordic Nutrition Recommendations 2023 project. Current available evidence strengthens the role of consuming vegetables, fruits, and berries in preventing chronic diseases. The most robust evidence is found for cancer in the gastric system and lung cancer, cardiovascular disease, and all-cause mortality. Steeper risk reductions are generally seen at the lower intake ranges, but further reductions have been seen for higher intakes for cardiovascular disease. Weaker associations are seen for type 2 diabetes. There is evidence that suggests a beneficial role also for outcomes such as osteoporosis, depression, cognitive disorders, and frailty in the elderly. The observed associations are supported by several mechanisms, indicting causal effects. Some subgroups of vegetables, fruits, and berries may have greater benefits than other subgroups, supporting a recommendation to consume a variety of these foods.

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Fruits and vegetables consumption and the risk of gallstone diasease

Abstract: Supplemental Digital Content is available in the text

Cited by 10 publications

References 36 publications

The role of diet and nutrition related indicators in biliary diseases: an umbrella review of systematic review and meta-analysis

The role of diet and nutrition related indicators in biliary diseases: an umbrella review of systematic review and meta-analysis

Epidemiology and Risk Factor of the Gallstone Disease in a Southern Tropical Country

Vegetables, fruits, and berries – a scoping review for Nordic Nutrition Recommendations 2023

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