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Dietary Factors Reduce Risk of Acute Pancreatitis in a Large Multiethnic Cohort.

ABSTRACT: BACKGROUND & AIMS:Pancreatitis is a source of substantial morbidity and health cost in the United States. Little is known about how diet might contribute to its pathogenesis. To characterize dietary factors that are associated with risk of pancreatitis by disease subtype, we conducted a prospective analysis of 145,886 African Americans, Native Hawaiians, Japanese Americans, Latinos, and whites in the Multiethnic Cohort. METHODS:In the Multiethnic Cohort (age at baseline, 45-75 y), we identified cases of pancreatitis using hospitalization claim files from 1993 through 2012. Patients were categorized as having gallstone-related acute pancreatitis (AP) (n = 1210), AP not related to gallstones (n = 1222), or recurrent AP or suspected chronic pancreatitis (n = 378). Diet information was obtained from a questionnaire administered when the study began. Associations were estimated by hazard ratios and 95% confidence intervals using Cox proportional hazard models adjusted for confounders. RESULTS:Dietary intakes of saturated fat (P trend = .0011) and cholesterol (P trend = .0008) and their food sources, including red meat (P trend < .0001) and eggs (P trend = .0052), were associated positively with gallstone-related AP. Fiber intake, however, was associated inversely with gallstone-related AP (P trend = .0005) and AP not related to gallstones (P trend = .0035). Vitamin D, mainly from milk, was associated inversely with gallstone-related AP (P trend = .0015), whereas coffee consumption protected against AP not related to gallstones (P trend < .0001). With the exception of red meat, no other dietary factors were associated with recurrent acute or suspected chronic pancreatitis. CONCLUSIONS:Associations between dietary factors and pancreatitis were observed mainly for gallstone-related AP. Interestingly, dietary fiber protected against AP related and unrelated to gallstones. Coffee drinking protected against AP not associated with gallstones. Further studies are warranted to confirm our findings.

SUBMITTER: Setiawan VW

PROVIDER: S-EPMC5241169 | biostudies-literature | 2017 Feb

REPOSITORIES: biostudies-literature

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Dietary Factors Reduce Risk of Acute Pancreatitis in a Large Multiethnic Cohort.

Setiawan Veronica Wendy VW Pandol Stephen J SJ Porcel Jacqueline J Wei Pengxiao C PC Wilkens Lynne R LR Le Marchand Loïc L Pike Malcolm C MC Monroe Kristine R KR

Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association 20160905 2

<h4>Background & aims</h4>Pancreatitis is a source of substantial morbidity and health cost in the United States. Little is known about how diet might contribute to its pathogenesis. To characterize dietary factors that are associated with risk of pancreatitis by disease subtype, we conducted a prospective analysis of 145,886 African Americans, Native Hawaiians, Japanese Americans, Latinos, and whites in the Multiethnic Cohort.<h4>Methods</h4>In the Multiethnic Cohort (age at baseline, 45-75 y), ...[more]

PMID: 27609706

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Dietary Factors Reduce Risk of Acute Pancreatitis in a Large Multiethnic Cohort.

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Dietary Factors Reduce Risk of Acute Pancreatitis in a Large Multiethnic Cohort.

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