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Cited by 4Pancreatitis Pathology and TreatmentPancreatic and Hepatic Oncology ResearchNutritional Studies and Diet

Overall diet quality and risk of recurrence and progression of non-gallstone-related acute pancreatitis: a prospective cohort study

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Oskarsson, Viktor, Sadr-Azodi, Omid, Discacciati, Andrea, Orsini, Nicola, Wolk, Alicja·2018·European Journal of Nutrition
DOI 10.1007/s00394-017-1526-8PMC PMC6182691
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Abstract

An incident episode of acute pancreatitis is often followed by recurrent attacks and/or progression to chronic pancreatitis, especially if the etiology is non-gallstone-related. We examined whether overall diet quality influences the natural history of non-gallstone-related acute pancreatitis. Three hundred and eighty-six individuals (born 1914–1952) were included in a prospective study, all of whom had an incident diagnosis of non-gallstone-related acute pancreatitis in the Swedish National Patient Register between 1998 and 2013. Participants were already enrolled in two population-based cohorts and had completed a food frequency questionnaire in 1997. Overall diet quality was calculated using a recommended food score (RFS), which was based on 25 food items. Post-diagnosis follow-up was conducted throughout 2014 for recurrence of acute pancreatitis and/or progression to chronic pancreatic disease (including cancer). Hazard ratios were estimated using Cox models. During 1859 person-years of follow-up, 23.3% of the study population (n = 90) developed recurrent or progressive pancreatic disease. An inverse association was observed between the RFS and risk of recurrent and progressive pancreatic disease after adjustment for age and sex (hazard ratio for each 2-unit increase 0.90, 95% confidence interval 0.81–1.01) (P overall association = 0.06). However, the association became weaker and was not statistically significant after adjustment for other potential confounders, including alcohol drinking and cigarette smoking (P overall association = 0.27). In this prospective study of individuals with non-gallstone-related acute pancreatitis, there was no clear association between overall diet quality and risk of recurrent and progressive pancreatic disease.

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  • A meta-analysis of three RCTs with 362 patients showed that a non-liquid soft or solid diet did not increase pain recurrence after refeeding compared with a clear liquid diet, and reduced hospitalization with a pooled mean difference of -1.05 days.

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Cited by

Sorted by citations

Authors
Oskarsson, V., Sadr-Azodi, O., Discacciati, A., Orsini, N., & Wolk, A.
Affiliations
Karolinska Institutet (SE)
Corresponding author
Oskarsson, Viktor
ORCID
Venue
European Journal of Nutrition
Publisher
Springer Science and Business Media LLC
Published
2017-08-30
Volume
57
Issue
7
Pages
2537-2545
ISSN
  • 1436-6207 (ISSN-L)
  • 1436-6215
DOI
10.1007/s00394-017-1526-8
PMC
PMC6182691
OpenAlex
W2752189087
Cited by
4
References
0
Citations by year
2026: 2 · 2021: 2
FWCI
0.00
Type
journal article
Language
en
Open access
Licence
Locations
  • European Journal of Nutrition (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • KTH Publication Database DiVA (KTH Royal Institute of Technology) (submittedVersion, other-oa)
Funders
  • The Swedish Research Council/Committee for Infrastructure (dnr. 2008-5947, dnr. 2011-6262)
  • Karolinska Institutet (dnr. 2368/10-221, dnr. 3023/11-225)
  • The Swedish Society of Medicine (SLS-501861)
  • The Centre for Clinical Research Sörmland (DLL-518471)
Topics
  • Health Sciences › Medicine › Surgery › Pancreatitis Pathology and Treatment
  • Health Sciences › Medicine › Oncology › Pancreatic and Hepatic Oncology Research
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
Keywords
diet quality, recurrent acute pancreatitis, chronic pancreatitis, pancreatic cancer, disease progression, alcohol consumption, cigarette smoking
MeSH terms
Acute Disease, Aged, Aged, 80 and over, Diet, Female, Humans, Male, Pancreatitis, Prospective Studies, Recurrence, Risk Factors, Sweden, Cohort Studies

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