The role of high fat diet in the development of complications of chronic pancreatitis

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Castineira-Alvarino, M. (author)

The role of high fat diet in the development of complications of chronic pancreatitis

Article/chapterEnglish2013

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Elsevier BV,2013

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LIBRIS-ID:oai:gup.ub.gu.se/186948
https://gup.ub.gu.se/publication/186948URI
https://doi.org/10.1016/j.clnu.2013.02.002DOI

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Language:English

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Subject category:art swepub-publicationtype

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Background: Little is known about risk factors for complications in chronic pancreatitis (CP). High fat diet (HFD) has been demonstrated to aggravate pancreatic injury in animal models. The aim of this study was to investigate the role of HFD in age at diagnosis of CP and probability of CP related complications. Methods: A cross-sectional case-case study was performed within a prospectively collected cohort of patients with CP. Diagnosis and morphological severity of CP was established by endoscopic ultrasound. Pancreatic exocrine insufficiency (PEI) was diagnosed by C-13 mixed triglyceride breath test. Fat intake was assessed by a specific nutritional questionnaire. Odds ratios (OR) for CP related complications were estimated by multivariate logistic regression analysis. Results: 168 patients were included (128 (76.2%) men, mean age 44 years (SD 13.5)). Etiology of CP was alcohol abuse in 89 patients (53.0%), other causes in 30 (17.9%) and idiopathic in the remaining 49 subjects (29.2%). 24 patients (14.3%) had a HFD. 68 patients (40.5%) had continuous abdominal pain, 39 (23.2%) PEI and 43 (25.7%) morphologically severe CP. HFD was associated with an increased probability for continuous abdominal pain (OR = 2.84 (95%Cl, 1.06-7.61)), and a younger age at diagnosis (37.0 +/- 13.9 versus 45.8 +/- 13.0 years, p = 0.03) but not with CF related complications after adjusting for sex, years of follow-up, alcohol and tobacco consumption, etiology and body mass index. Conclusions: Compared with a normal fat diet, HFD is associated with a younger age at diagnosis of CP and continuous abdominal pain, but not with severity and complications of the disease. (C) 2013 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Näringslära hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Nutrition and Dietetics hsv//eng
Chronic pancreatitis
High fat diet
Pancreatic exocrine insufficiency
Diarrhea
Pain
Age at onset
ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY
QUALITY-OF-LIFE
CIGARETTE-SMOKING
ALCOHOLIC PANCREATITIS
RISK
RATS
PAIN
PREVALENCE
DISEASE
HABITS

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Lindkvist, BjörnGothenburg University,Göteborgs universitet,Institutionen för medicin,Institute of Medicine(Swepub:gu)xlibjo (author)
Luaces-Regueira, M. (author)
Iglesias-Garcia, J. (author)
Larino-Noia, José (author)
Nieto-Garcia, L. (author)
Dominguez-Munoz, J. E. (author)
Göteborgs universitetInstitutionen för medicin (creator_code:org_t)

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In:Clinical Nutrition: Elsevier BV32:5, s. 830-8360261-5614

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