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Diet and Risk of Cholecystectomy: A Prospective Study Based on the French E3N Cohort

Barré, Amélie, Gusto, Gaëlle, Cadeau, Claire, Carbonnel, Franck, Boutron-Ruault, Marie-Christine·2017·American Journal of Gastroenterology
DOI 10.1038/ajg.2017.216
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Abstract

Objectives This study aimed to examine the relationship between diet and cholecystectomy risk, using three approaches, in a large French cohort. Methods In a prospective cohort study in French women who completed a food-frequency questionnaire at baseline, we analyzed diet with three approaches: food groups, dietary patterns obtained by factor analysis, and the Mediterranean diet score. The primary outcome was cholecystectomy. We used Cox proportional hazards regression to assess the relationship between diet and cholecystectomy risk, adjusting for the main potential confounders. Results During 1,033,955 person years of follow-up, we identified 2,778 incident cases of cholecystectomy. Higher intakes of legumes, fruit, vegetable oil, and wholemeal bread were associated with decreased cholecystectomy risk. Two dietary patterns were identified by factor analysis: "Western" (essentially processed meat, pizza, pies, high-alcohol beverages, French fries, sandwiches…) and "Mediterranean" (essentially fruits, vegetables, seafood, and olive oil). The "Mediterranean" pattern was inversely associated with cholecystectomy risk in the subgroup of postmenopausal women who ever used menopausal hormone therapy (hazard ratio for quartile 4 vs. 1=0.79, 95% confidence interval (CI): 0.65-0.95; P for linear trend=0.008). High adherence to the Mediterranean diet was associated with decreased risk of cholecystectomy (hazard ratio for a 6-9 score vs. 0-3=0.89, 95% CI: 0.80-0.99; P for linear trend=…

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  • A high dietary glycemic load increases the risk of gallbladder stone formation.

    “A high dietary glycemic load increases the risk of gallbladder stone formation [61][62][63].”

    From Excess Body Weight and Gallstone Disease (2021) · cites this paper as [63]

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Metadata

Authors
Barré, A., Gusto, G., Cadeau, C., Carbonnel, F., & Boutron-Ruault, M.-C.
Venue
American Journal of Gastroenterology
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2017-09
Volume
112
Issue
9
Pages
1448-1456
ISSN
0002-9270
DOI
10.1038/ajg.2017.216
Cited by
23
References
0
Language
en

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