NDLI: Associations between temporal eating patterns and energy distribution patterns with gallstones: a cross-sectional study based on NHANES 2017

Content Provider	Springer Nature : BioMed Central
Author	Zhang, Huan Xu, Chao Zhu, Xiaojing Zhang, Ju Yin, Jumei Yao, Nuo Pang, Qimeng Liu, Zhihua Wang, Chenchen Wu, Dawei Shi, Yongquan Shang, Lei Han, Zheyi
Abstract	Background Gallstones are strongly associated with eating occasion (EO) and energy distribution, but few studies have addressed this aspect. Therefore, we utilize the data from 2017 to 2018 National Health and Nutrition Examination Survey (NHANES) to explore the association between temporal eating patterns and energy distribution patterns with the incidence of gallstones. Methods Our study comprised participants who completed the NHANES dietary intake interview and self-reported health questionnaire at age 20 or older. The self-report method for gallstones (have you ever been told by a doctor) was used. We use the latent class analysis (LCA) identified temporal eating patterns, and identified energy distribution patterns through latent profile analysis (LPA). The association between temporal eating patterns, energy distribution patterns, and gallstones was examined using logistic regression modeling. Results The study included a total of 4,692 participants. LCA identified four temporal eating patterns labeled as “Conventional,” “Early breakfast,” “Later breakfast,” and “Grazing.” Compared to the “Conventional” pattern, the “Early breakfast” pattern (OR 0.809, 95%CI 0.808–0.811) was associated with a reduced risk of gallstones, while the “Later breakfast” (OR 1.435, 95%CI 1.432–1.438) and “Grazing” (OR 1.147, 95%CI 1.145–1.148) patterns were associated with an increased risk of gallstones. LPA identified four energy distribution patterns labeled as “Guideline,” “High carbohydrates,” “Carbs-fat balance,” and “High fat.” The “High carbohydrates” pattern (OR 1.329, 95%CI 1.326–1.331) was associated with an increased risk of gallstones compared to the “Guideline” pattern. The “Carbs-fat balance” pattern (OR 0.877, 95%CI 0.876–0.879) and the “High fat” pattern (OR 0.848, 95%CI 0.846-0.850) were significantly and negatively associated with the risk of gallstones. Conclusions To summarize, inappropriate timing of eating and energy sources are associated with gallstones. As a dietary prevention measure for gallstones, we suggest adhering to a regular eating routine and avoiding overly casual and frequent food consumption. If the main EO routine occurs in the morning, this time should not exceed 9:00 a.m. Additionally, reducing carbohydrate intake and maintaining a moderate level of fat intake is believed to contribute to a lower risk of gallstones.
Related Links	https://bmcpublichealth.biomedcentral.com/counter/pdf/10.1186/s12889-024-20512-x.pdf
Ending Page	14
Page Count	14
Starting Page	1
File Format	HTM / HTML
ISSN	14712458
DOI	10.1186/s12889-024-20512-x
Journal	BMC Public Health
Issue Number	1
Volume Number	24
Language	English
Publisher	BioMed Central
Publisher Date	2024-10-29
Access Restriction	Open
Subject Keyword	Public Health Medicine Epidemiology Biostatistics Vaccine Environmental Health Gallstone Eating occasion Temporal eating patterns NHANES Macronutrients Carbohydrate Latent class analysis Latent profile analysis Medicine/Public Health
Content Type	Text
Resource Type	Article
Subject	Public Health, Environmental and Occupational Health
Journal Impact Factor	3.5/2023
5-Year Journal Impact Factor	3.9/2023

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