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Cited by 516

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Long-term intake of dietary fat and risk of ulcerative colitis and Crohn's disease

Open access
Ananthakrishnan, Ashwin N, Khalili, Hamed, Konijeti, Gauree G, Higuchi, Leslie M, de Silva, Punyanganie, Fuchs, Charles S, Willett, Walter C, Richter, James M, Chan, Andrew T·2014·Gut

Abstract

Introduction: Dietary fats influence intestinal inflammation and regulate mucosal immunity. Data on the association between dietary fat and risk of Crohn's disease (CD) and ulcerative colitis (UC) are limited and conflicting. Methods: We conducted a prospective study of women enrolled in the Nurses’ Health Study cohorts. Diet was prospectively ascertained every 4 years using a validated semi-quantitative food frequency questionnaire. Self-reported CD and UC were confirmed through medical record review. We examined the effect of energy-adjusted cumulative average total fat intake and specific types of fat and fatty acids on the risk of CD and UC using Cox proportional hazards models adjusting for potential confounders. Results: Among 170 805 women, we confirmed 269 incident cases of CD (incidence 8/100 000 person-years) and 338 incident cases of UC (incidence 10/100 000 person-years) over 26 years and 3 317 338 person-years of follow-up. Cumulative energy-adjusted intake of total fat, saturated fats, unsaturated fats, n-6 and n-3 polyunsaturated fatty acids (PUFAs) were not associated with risk of CD or UC. However, greater intake of long-chain n-3 PUFAs was associated with a trend towards lower risk of UC (HR 0.72, 95% CI 0.51 to 1.01). In contrast, high long-term intake of trans-unsaturated fatty acids was associated with a trend towards an increased incidence of UC (HR 1.34, 95% CI 0.94 to 1.92). Conclusions: A high intake of dietary long-chain n-3 PUFAs may be associated with a reduced risk of UC. In contrast, high intake of trans-unsaturated fats may be associated with an increased risk of UC.

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Metadata

Authors
Ananthakrishnan, A. N., Khalili, H., Konijeti, G. G., Higuchi, L. M., de Silva, P., Fuchs, C. S., Willett, W. C., Richter, J. M., & Chan, A. T.
Venue
Gut
Publisher
BMJ
Published
2013-07-04
Volume
63
Issue
5
Pages
776-784
ISSN
  • 0017-5749 (ISSN-L)
  • 1468-3288
OpenAlex
W2112416468
Cited by
516
References
8
FWCI
15.17
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Long-term intake of dietary fat and risk of ulcerative colitis and Crohn's disease. https://app.cochat.ai/papers/10.1136/gutjnl-2013-305304
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Ananthakrishnan, A. N., Khalili, H., Konijeti, G. G., Higuchi, L. M., de Silva, P., Fuchs, C. S., Willett, W. C., Richter, J. M., & Chan, A. T. (2014). Long-term intake of dietary fat and risk of ulcerative colitis and Crohn's disease. Gut. https://doi.org/10.1136/gutjnl-2013-305304

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