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Background: Previous investigations have primarily examined the relationship between various dietary patterns and the risk of chronic obstructive pulmonary disease (COPD); however, there have been limited studies that have evaluated the association between diet quality presented by Healthy Eating Index 2010 (HEI-2010) and COPD. The aim of this study was to investigate this association in Iranian population.

Methods: This case-control study recruited 84 cases and 252 healthy controls who were randomly selected. Diet, smoking, and physical activity were assessed using validated questionnaires. The HEI-2010 score ranged from zero to hundred twenty, with zero indicating an unhealthy diet and hundred twenty indicating a healthy diet. Logistic regression models were utilized to analyze the association between HEI-2010 and the odds of COPD.

Results: Results from logistic regression showed that individuals with higher HEI scores had a significantly lower odds of COPD (OR: 0.34; 95% CI: 0.16-0.72). After adjusting for confounders, individuals with the highest HEI score were 82% less likely to have COPD (OR: 0.18; 95% CI: 0.03-0.96). This association remained significant after adjusting for smoking and physical activity (OR: 0.08; 95% CI: 0.01-0.93) and with additional adjustment for BMI (OR: 0.08; 95% CI: 0.01-0.92).

Conclusions: This study found a significant association between a higher HEI-2010 score and a lower odd of COPD in the Iranian population. These results suggest that a healthy diet may play a crucial role in reducing the odds of COPD and in improving the function of the lungs. However, further prospective studies are warranted to elucidate this relationship.

Titel:	The association between diet quality and chronic obstructive pulmonary disease: a case-control study.
Autor/in / Beteiligte Person:	Ghosn, B ; Onvani, S ; Ardestani, ME ; Feizi, A ; Azadbakht, L ; Esmaillzadeh, A
Link:	Zum Volltext
Zeitschrift:	BMC public health, Jg. 23 (2023-10-23), Heft 1, S. 2071
Veröffentlichung:	London : BioMed Central, [2001-, 2023
Medientyp:	academicJournal
ISSN:	1471-2458 (electronic)
DOI:	10.1186/s12889-023-16586-8
Schlagwort:	Humans Case-Control Studies Iran epidemiology Diet, Healthy Diet Pulmonary Disease, Chronic Obstructive epidemiology Pulmonary Disease, Chronic Obstructive etiology
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [BMC Public Health] 2023 Oct 23; Vol. 23 (1), pp. 2071. <i>Date of Electronic Publication: </i>2023 Oct 23. MeSH Terms: Diet* ; Pulmonary Disease, Chronic Obstructive* / epidemiology ; Pulmonary Disease, Chronic Obstructive* / etiology ; Humans ; Case-Control Studies ; Iran / epidemiology ; Diet, Healthy References: Organization WH. Chronic obstructive pulmonary disease (COPD). WHO fact sheet 2023. Available from: https://www.who.int/news-room/fact-sheets/detail/chronic-obstructive-pulmonary-disease-(copd) . ; Petty TL. The history of COPD. Int J Chronic Obstr Pulm Dis. 2006;1(1):3. ; Vogelmeier CF, Criner GJ, Martinez FJ, Anzueto A, Barnes PJ, Bourbeau J, et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive lung disease 2017 report. GOLD executive summary. Am J Respir Crit Care Med. 2017;195(5):557–82. 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The association between diet quality and chronic obstructive pulmonary disease: a case-control study.