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Pre-illness diet as risk factor in pediatric inflammatory bowel disease in Saudi Arabia.
Saudi J Gastroenterol 2017 Sep-Oct; 23(5):287-290SJ

Abstract

BACKGROUND/AIM

Inflammatory bowel disease (IBD) is increasing in Saudi Arabia but there's little knowledge about its risk factors. Our aim is to investigate the dietary risk factors of this disease in Saudi children.

PATIENTS AND METHODS

The children investigated for IBD were prospectively enrolled. Those with confirmed IBD were designated cases and the others were controls. The average food frequency intake at least 3 months before onset of illness was obtained by direct interview and recorded on a modified food frequency questionnaire. Fast food, sweet gaseous soft drinks, fruits, and vegetables were selected. Statistical analysis included descriptive statistics, multivariate logistic regression was used, and the odds ratio was calculated to report the statistical significance of the results.

RESULTS

A total of 91 children, 52 IBD (38 CD, 14 UC) and 39 controls were enrolled. Consumption of fast food and sweet gaseous drinks was more frequent in children with IBD than controls, whereas consumption of fruits and vegetables was less frequent in children with IBD. Only less fruits consumption was significantly associated with IBD as the odds of children getting IBD was 2.89 (1.06, 7.87).

CONCLUSIONS

We report statistically significant positive association between less fruits consumption and IBD. Awaiting the results of larger sample size and more quantitative studies, the benefits of frequent fruit consumptions should be part of public health education.

Authors+Show Affiliations

Department of Pediatrics, Gastroenterology Division, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia.Department of Gastroenterology, Al Mofarreh Poly Clinic, Riyadh, Kingdom of Saudi Arabia.Department of Pediatrics, Gastroenterology Division, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia.Department of Pediatrics, Gastroenterology Division, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia.Department of Pediatrics, Gastroenterology Division, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28937023

Citation

El Mouzan, Mohammad I., et al. "Pre-illness Diet as Risk Factor in Pediatric Inflammatory Bowel Disease in Saudi Arabia." Saudi Journal of Gastroenterology : Official Journal of the Saudi Gastroenterology Association, vol. 23, no. 5, 2017, pp. 287-290.
El Mouzan MI, Al Mofarreh MA, Al Sarkhy AA, et al. Pre-illness diet as risk factor in pediatric inflammatory bowel disease in Saudi Arabia. Saudi J Gastroenterol. 2017;23(5):287-290.
El Mouzan, M. I., Al Mofarreh, M. A., Al Sarkhy, A. A., Assiri, A. M., & Hamed, Y. M. (2017). Pre-illness diet as risk factor in pediatric inflammatory bowel disease in Saudi Arabia. Saudi Journal of Gastroenterology : Official Journal of the Saudi Gastroenterology Association, 23(5), pp. 287-290. doi:10.4103/sjg.SJG_619_16.
El Mouzan MI, et al. Pre-illness Diet as Risk Factor in Pediatric Inflammatory Bowel Disease in Saudi Arabia. Saudi J Gastroenterol. 2017;23(5):287-290. PubMed PMID: 28937023.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pre-illness diet as risk factor in pediatric inflammatory bowel disease in Saudi Arabia. AU - El Mouzan,Mohammad I, AU - Al Mofarreh,Mohammad A, AU - Al Sarkhy,Ahmad A, AU - Assiri,Asaad M, AU - Hamed,Yassin M, PY - 2017/9/23/entrez PY - 2017/9/25/pubmed PY - 2018/5/31/medline SP - 287 EP - 290 JF - Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association JO - Saudi J Gastroenterol VL - 23 IS - 5 N2 - BACKGROUND/AIM: Inflammatory bowel disease (IBD) is increasing in Saudi Arabia but there's little knowledge about its risk factors. Our aim is to investigate the dietary risk factors of this disease in Saudi children. PATIENTS AND METHODS: The children investigated for IBD were prospectively enrolled. Those with confirmed IBD were designated cases and the others were controls. The average food frequency intake at least 3 months before onset of illness was obtained by direct interview and recorded on a modified food frequency questionnaire. Fast food, sweet gaseous soft drinks, fruits, and vegetables were selected. Statistical analysis included descriptive statistics, multivariate logistic regression was used, and the odds ratio was calculated to report the statistical significance of the results. RESULTS: A total of 91 children, 52 IBD (38 CD, 14 UC) and 39 controls were enrolled. Consumption of fast food and sweet gaseous drinks was more frequent in children with IBD than controls, whereas consumption of fruits and vegetables was less frequent in children with IBD. Only less fruits consumption was significantly associated with IBD as the odds of children getting IBD was 2.89 (1.06, 7.87). CONCLUSIONS: We report statistically significant positive association between less fruits consumption and IBD. Awaiting the results of larger sample size and more quantitative studies, the benefits of frequent fruit consumptions should be part of public health education. SN - 1998-4049 UR - https://www.unboundmedicine.com/medline/citation/28937023/Pre_illness_diet_as_risk_factor_in_pediatric_inflammatory_bowel_disease_in_Saudi_Arabia_ L2 - http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2017;volume=23;issue=5;spage=287;epage=290;aulast=El DB - PRIME DP - Unbound Medicine ER -