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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00005093naa a2200829 4500
001oai:gup.ub.gu.se/307049
003SwePub
008240528s2021 | |||||||||||000 ||eng|
024a https://gup.ub.gu.se/publication/3070492 URI
024a https://doi.org/10.1136/bmj.n15542 DOI
040 a (SwePub)gu
041 a eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Narula, N.4 aut
2451 0a Association of ultra-processed food intake with risk of inflammatory bowel disease: prospective cohort study
264 c 2021-07-14
264 1b BMJ,c 2021
520 a OBJECTIVE To evaluate the relation between intake of ultra processed food and risk of inflammatory bowel disease (IBD). DESIGN Prospective cohort study. SETTING 21 low, middle, and high income countries across seven geographical regions (Europe and North America, South America, Africa, Middle East, south Asia, South East Asia, and China). PARTICIPANTS 116 087 adults aged 35-70 years with at least one cycle of follow-up and complete baseline food frequency questionnaire (FFQ) data (country specific validated FFQs were used to document baseline dietary intake). Participants were followed prospectively at least every three years. MAIN OUTCOME MEASURES The main outcome was development of IBD, including Crohn & rsquo;s disease or ulcerative colitis. Associations between ultra-processed food intake and risk of IBD were assessed using Cox proportional hazard multivariable models. Results are presented as hazard ratios with 95% confidence intervals. RESULTS Participants were enrolled in the study between 2003 and 2016. During the median follow-up of 9.7 years (interquartile range 8.9-11.2 years), 467 participants developed incident IBD (90 with Crohn & rsquo;s disease and 377 with ulcerative colitis). After adjustment for potential confounding factors, higher intake of ultra-processed food was associated with a higher risk of incident IBD (hazard ratio 1.82, 95% confidence interval 1.22 to 2.72 for >= 5 servings/day and 1.67, 1.18 to 2.37 for 1-4 servings/day compared with <1 serving/day, P=0.006 for trend). Different subgroups of ultra-processed food, including soft drinks, refined sweetened foods, salty snacks, and processed meat, each were associated with higher hazard ratios for IBD. Results were consistent for Crohn & rsquo;s disease and ulcerative colitis with low heterogeneity. Intakes of white meat, red meat, dairy, starch, and fruit, vegetables, and legumes were not associated with incident IBD. CONCLUSIONS Higher intake of ultra-processed food was positively associated with risk of IBD. Further studies are needed to identify the contributory factors within ultra processed foods.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Gastroenterologi0 (SwePub)302132 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Gastroenterology and Hepatology0 (SwePub)302132 hsv//eng
653 a dose-response metaanalysis
653 a long-term intake
653 a ulcerative-colitis
653 a cardiovascular-disease
653 a crohns-disease
653 a gut microbiota
653 a dietary factors
653 a protein-intake
653 a 18 countries
653 a epidemiology
653 a General & Internal Medicine
700a Wong, E. C. L.4 aut
700a Dehghan, M.4 aut
700a Mente, A.4 aut
700a Rangarajan, S.4 aut
700a Lanas, F.4 aut
700a Lopez-Jaramillo, P.4 aut
700a Rohatgi, P.4 aut
700a Lakshmi, P. V. M.4 aut
700a Varma, R. P.4 aut
700a Orlandini, A.4 aut
700a Avezum, A.4 aut
700a Wielgosz, A.4 aut
700a Poirier, P.4 aut
700a Almadi, M. A.4 aut
700a Altuntas, Y.4 aut
700a Ng, K. K.4 aut
700a Chifamba, J.4 aut
700a Yeates, K.4 aut
700a Puoane, T.4 aut
700a Khatib, R.4 aut
700a Yusuf, R.4 aut
700a Boström, Kristina Bengtssonu Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine4 aut0 (Swepub:gu)xbenkr
700a Zatonska, K.4 aut
700a Iqbal, R.4 aut
700a Liu, W. D.4 aut
700a Zhu, Y. B.4 aut
700a Li, S. D.4 aut
700a Dans, A.4 aut
700a Yusufali, A.4 aut
700a Mohammadifard, N.4 aut
700a Marshall, J. K.4 aut
700a Moayyedi, P.4 aut
700a Reinisch, W.4 aut
700a Yusuf, S.4 aut
710a Göteborgs universitetb Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa4 org
773t Bmj-British Medical Journald : BMJg 374q 374x 1756-1833
856u https://www.bmj.com/content/bmj/374/bmj.n1554.full.pdf
8564 8u https://gup.ub.gu.se/publication/307049
8564 8u https://doi.org/10.1136/bmj.n1554

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