Abstract
Introduction
The role of dietary fatty acids in ulcerative colitis (UC) pathogenesis has been shown in animal models; however, human studies are rare. We hypothesized that there might be a relationship between dietary fatty acid composition and the risk of developing incident UC.
Material and methods
Overall, 62 new cases of UC and 124 healthy age and sex-matched controls were studied. Information on usual diet was measured by a validated country-specific food frequency questionnaire (FFQ). Logistic regression analysis adjusting for potential confounding variables was carried out to compare dietary fatty acid intakes between cases and controls.
Results
We found positive associations between dietary intake of total fat (P value for trend <0.01), oleic acid (P value for trend <0.01), saturated fatty acid (SAFA) (P value for trend = 0.02), total polyunsaturated fatty acid (PUFA) (P value for trend = 0.04), and trans fat (P value for trend <0.01).
Conclusion
Our results showed that higher consumptions of total fats, oleic acid, SAFAs, total PUFAs, trans fat, MUFAs, and linoleic acid are significantly associated with increased risk for UC; however, no statistically significant associations were detected between the risk of disease and n-3 PUFAs and cholesterol intake.
Similar content being viewed by others
References
Andersen V, Olsen A, Carbonnel F, Tjonneland A, Vogel U (2012) Diet and risk of inflammatory bowel disease. Digest Liver Dis: Off J Italian Soc Gastroenterol Italian Assoc Stud Liver 44:185–194
Shores DR, Binion DG, Freeman BA, Baker PR (2011) New insights into the role of fatty acids in the pathogenesis and resolution of inflammatory bowel disease. Inflamm Bowel Dis 17:2192–2204
de Silva PS, Olsen A, Christensen J, Schmidt EB, Overvaad K, Tjonneland A et al (2010) An association between dietary arachidonic acid, measured in adipose tissue, and ulcerative colitis. Gastroenterology 139:1912–1917
Neuman MG, Nanau RM (2012) Inflammatory bowel disease: role of diet, microbiota, life style. Transl Res 160:29–44
Cabré E, Domènech E (2012) Impact of environmental and dietary factors on the course of inflammatory bowel disease. World J Gastroenterol: WJG 18:3814
D’Souza S, Levy E, Mack D, Israel D, Lambrette P, Ghadirian P et al (2008) Dietary patterns and risk for Crohn’s disease in children. Inflamm Bowel Dis 14:367–373
Hart AR, Luben R, Olsen A, Tjonneland A, Linseisen J, Nagel G et al (2008) Diet in the aetiology of ulcerative colitis: a European prospective cohort study. Digestion 77:57–64
John S, Luben R, Shrestha SS, Welch A, Khaw K-T, Hart AR (2010) Dietary n-3 polyunsaturated fatty acids and the aetiology of ulcerative colitis: a UK prospective cohort study. Europ J Gastroenterol Hepatol 22:602–606
Hekmatdoost A, Feizabadi MM, Djazayery A, Mirshafiey A, Eshraghian MR, Yeganeh SM et al (2008) The effect of dietary oils on cecal microflora in experimental colitis in mice. Indian J Gastroenterol 27:186–189
Hekmatdoost A, Mirshafiey A, Feizabadi MM, Djazayeri A (2009) Polyunsaturated fatty acids, microflora and colitis. Ann Nutr Metab 55:325
Hekmatdoost A, Wu X, Morampudi V, Innis SM, Jacobson K (2013) Dietary oils modify the host immune response and colonic tissue damage following Citrobacter rodentium infection in mice. Am J Physiol Gastrointest Liver Physiol 304:G917–G928
de Silva PS, Luben R, Shrestha SS, Khaw KT, Hart AR (2014) Dietary arachidonic and oleic acid intake in ulcerative colitis etiology: a prospective cohort study using 7-day food diaries. Eur J Gastroenterol Hepatol 26:11–18
Hou JK, Abraham B, El-Serag H (2011) Dietary intake and risk of developing inflammatory bowel disease: a systematic review of the literature. Am J Gastroenterol 106:563–573
Esfahani FH, Asghari G, Mirmiran P, Azizi F (2009) Reproducibility and relative validity of food group intake in a food frequency questionnaire developed for the Tehran Lipid and Glucose Study. J Epidemiol/Jap Epidemiol Assoc 20:150–158
Ma X, Torbenson M, Hamad AR, Soloski MJ, Li Z (2008) High-fat diet modulates non-CD1d-restricted natural killer T cells and regulatory T cells in mouse colon and exacerbates experimental colitis. Clin Exp Immunol 151:130–138
Geerling BJ, Dagnelie PC, Badart-Smook A, Russel MG, Stockbrugger RW, Brummer RJ (2000) Diet as a risk factor for the development of ulcerative colitis. Am J Gastroenterol 95:1008–1013
Tjonneland A, Overvaad K, Bergmann MM (2009) Linoleic acid, a dietary n-6 polyunsaturated fatty acid, and the aetiology of ulcerative colitis: a nested case–control study within a European prospective cohort study. Gut 58:1606–1611
Acknowledgments
The present study was supported by the National Nutrition and Food Technology Research Institute (NNFTRI) of Shahid Beheshti University of Medical Sciences, Tehran, Iran. We are thankful to all other investigators, staffs, and participants of this study
Conflict of interest
There is no conflict of interest for this study.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Rashvand, S., Somi, M.H., Rashidkhani, B. et al. Dietary fatty acid intakes are related to the risk of ulcerative colitis: a case–control study. Int J Colorectal Dis 30, 1255–1260 (2015). https://doi.org/10.1007/s00384-015-2232-8
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00384-015-2232-8