Wang L, Li Y, Zhang YJ, Peng LH. Relationship between dietary fiber intake and chronic diarrhea in adults. World J Clin Cases 2024; 12(19): 3692-3700 [PMID: 38994290 DOI: 10.12998/wjcc.v12.i19.3692]
Corresponding Author of This Article
Li-Hua Peng, MD, PhD, Chief Physician, Associate Professor, Department of Gastroenterology and Hepatology, The First Medical Center, Chinese People's Liberation Army General Hospital, No. 28 Fu Xing Road, Beijing 100853, China. penglihua301@126.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
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World J Clin Cases. Jul 6, 2024; 12(19): 3692-3700 Published online Jul 6, 2024. doi: 10.12998/wjcc.v12.i19.3692
Table 1 Clinical characteristics of the study population from national health and nutrition examination survey 2005-2010, n (%)/ mean ± SD
Variables
No chronic diarrhea (n = 10861)
Chronic diarrhea (n = 1968)
Statistic
P value
Dietary fiber, median (25th-75th percentiles)
29.7 (21.0-41.2)
28.5 (20.0-40.2)
8.458
0.004
Dietary fiber T
10.822
0.013
Dietary fiber T1
2650 (24.4)
546 (27.7)
Dietary fiber T2
2698 (24.8)
485 (24.6)
Dietary fiber T3
2771 (25.5)
468 (23.8)
Dietary fiber T4
2742 (25.2)
469 (23.8)
Gender
5.618
0.018
Man
5271 (48.5)
898 (45.6)
Female
5590 (51.5)
1070 (54.4)
Age
49.6 ± 18.1
51.6 ± 17.0
21.419
< 0.001
BMI
28.9 ± 6.5
30.4 ± 7.4
81.543
< 0.001
Race
16.981
< 0.001
Non-Hispanic whites
1894 (17.4)
377 (19.2)
Non-Hispanic black
5558 (51.2)
968 (49.2)
Mexican Americans
2146 (19.8)
345 (17.5)
Hispanics and other races
1263 (11.6)
278 (14.1)
Education
Fisher
< 0.001
Below high school
2821 (26)
638 (32.4)
High school diploma or equivalent
2594 (23.9)
478 (24.3)
University or above
5437 (50.1)
850 (43.2)
Marriage
0.934
0.334
Married
9156 (84.3)
1676 (85.2)
Unmarried
1699 (15.7)
291 (14.8)
Poverty-income ratio
54.58
< 0.001
≤ 1.30
2788 (27.6)
643 (35.6)
1.31-3.5
3941 (39)
675 (37.4)
> 3.5
3384 (33.5)
489 (27.1)
Smoke
21.73
< 0.001
Yes
2221 (20.4)
469 (23.8)
No
2812 (25.9)
552 (28)
Dink
Fisher
0.427
Yes
7710 (71)
1406 (71.4)
No
3146 (29)
560 (28.5)
Diabetes
21.766
< 0.001
Yes
1034 (9.5)
254 (12.9)
No
9459 (87.1)
1643 (83.5)
Hypertension
Fisher
< 0.001
Yes
4553 (41.9)
982 (49.9)
No
6307 (58.1)
984 (50)
Table 2 Quartile distribution of dietary fiber intake
Group
n
Mean (g)
Median (g)
Fiber
T1
3196.0
14.985
15.8
T2
3183.0
25.031
25.0
T3
3239.0
34.643
34.4
T4
3211.0
55.491
51.0
Table 3 Univariate logistic analysis of chronic diarrhea, dietary fiber and covariates
Variable
OR (95%CI)
P value
Dietary fiber T1
1 (Ref.)
Dietary fiber T2
0.872 (0.763-0.997)
0.0452
Dietary fiber T3
0.820 (0.717-0.938)
0.0038
Dietary fiber T4
0.830 (0.726-0.950)
0.0067
Male
1 (Ref.)
Female
1.124 (1.020-1.237)
0.0178
Age
1.006 (1.004-1.009)
< 0.001
BMI
1.031 (1.024-1.038)
< 0.001
Non-Hispanic whites
1 (Ref.)
Non-Hispanic black
0.875 (0.768-0.996)
0.0439
Mexican Americans
0.808 (0.689-0.946)
0.0083
Hispanics and other races
1.106 (0.932-1.311)
0.2477
Education
0.832 (0.787-0.88)
< 0.001
Married
1 (Ref.)
Unmarried
0.936 (0.818-1.071)
0.3338
Poverty-income ratio ≤ 1.30
1(Ref)
Poverty-income ratio 1.31-3.5
0.743 (0.66-0.836)
< 0.001
Poverty-income ratio > 3.5
0.627 (0.551-0.712)
< 0.001
Smoke
0.93 (0.812-1.064)
0.2895
Dink
0.976 (0.878-1.086)
0.6558
Diabetes
1.414 (1.221-1.638)
< 0.001
Hypertension
1.382 (1.256-1.522)
< 0.001
Table 4 logistic analysis of chronic diarrhea and dietary fiber
Model 1
Model 2
Model 3
Variable
n (%)
OR (95%CI)
P value
OR (95%CI)
P value
OR (95%CI)
P value
Dietary fiber T1
546 (17.1)
1 (Ref.)
1 (Ref.)
1 (Ref.)
Dietary fiber T2
485 (15.2)
0.87 (0.76-1.00)
0.045
0.85 (0.74-0.97)
0.019
0.88 (0.77-1.01)
0.062
Dietary fiber T3
468 (14.4)
0.82 (0.72-0.94)
0.004
0.82 (0.71-0.94)
0.004
0.85 (0.74-0.98)
0.026
Dietary fiber T4
469 (14.6)
0.83 (0.73-0.95)
0.007
0.83 (0.73-0.96)
0.011
0.89 (0.77-1.03)
0.108
t test
1968 (15.3)
0.94 (0.9-0.98)
0.004
0.94 (0.9-0.98)
0.009
0.96 (0.92-1.01)
0.092
Citation: Wang L, Li Y, Zhang YJ, Peng LH. Relationship between dietary fiber intake and chronic diarrhea in adults. World J Clin Cases 2024; 12(19): 3692-3700