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Dietary fat in respiratory diseases: A multi-case control study

Lucia Cazzoletti, Marcello Ferrari, Roberto Bono, Liliya Chamitava, Isa Cerveri, Amelia Grosso, Pietro Pirina, Francesco Spelta, Maria Elisabetta Zanolin
European Respiratory Journal 2016 48: PA1143; DOI: 10.1183/13993003.congress-2016.PA1143
Lucia Cazzoletti
1Department of Diagnostics and Public Health, University of Verona, Verona, Italy
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Marcello Ferrari
2Department of Medicine, University of Verona, Verona, Italy
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Roberto Bono
3Department of Public Health and Pediatrics, University of Turin, Turin, Italy
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Liliya Chamitava
1Department of Diagnostics and Public Health, University of Verona, Verona, Italy
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Isa Cerveri
4Division of Respiratory Diseases, Istituto di Ricovero e Cura a Carattere Scientifico “S.Matteo” Hospital Foundation, Pavia, Italy
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Amelia Grosso
4Division of Respiratory Diseases, Istituto di Ricovero e Cura a Carattere Scientifico “S.Matteo” Hospital Foundation, Pavia, Italy
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Pietro Pirina
5Institute of Respiratory Diseases, University of Sassari, Sassari, Italy
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Francesco Spelta
2Department of Medicine, University of Verona, Verona, Italy
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Maria Elisabetta Zanolin
1Department of Diagnostics and Public Health, University of Verona, Verona, Italy
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Abstract

Epidemiological studies provide some evidence that dietary fat intake is important in asthma and other respiratory diseases, even though the results are often conflicting.

In the frame of the Genes Environment Interaction in Respiratory Diseases, an Italian population-based multi-case control study, we studied the associations between respiratory diseases and intake of total, animal, vegetal, saturated, monounsaturated and polyunsaturated dietary fat. The European Investigation into Cancer and Nutrition Food Frequency Questionnaire was used for dietary assessment in controls (n=345) and in subjects with asthma (past, n=76, or current, n=147), rhinitis (allergic, n=303, or non allergic, n=164) and chronic bronchitis (n=77).The associations between fat and respiratory diseases were estimated by means of multinomial (for asthma and rhinitis) or logistic (for chronic bronchitis) regression models. The estimates were adjusted for age, gender, centre, BMI, smoking habits, alcohol intake, physical activity, educational level and total energy intake.

Current asthma risk was inversely related to the intake of vegetable fat (RRR=0.49, 95% CI 0.27–0.91 for the highest quartile as compared with the lowest one, p for trend=0.036). Monounsaturated fat showed a trend similar to vegetable fat but this trend was not statistically significant (p=0.139). A significant increased risk of allergic rhinitis was observed with increasing saturated fat (RRR = 1.92, 95% CI 1.17–3.16 for the highest quartile, p for trend=0.030). No other significant association was found between fat and respiratory diseases.

Our results suggest that vegetable fat is protective for asthma, whereas saturated fat is a possible risk factor for allergic rhinitis.

  • Epidemiology
  • Chronic disease
  • Rhinitis
  • Copyright ©the authors 2016
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Dietary fat in respiratory diseases: A multi-case control study
Lucia Cazzoletti, Marcello Ferrari, Roberto Bono, Liliya Chamitava, Isa Cerveri, Amelia Grosso, Pietro Pirina, Francesco Spelta, Maria Elisabetta Zanolin
European Respiratory Journal Sep 2016, 48 (suppl 60) PA1143; DOI: 10.1183/13993003.congress-2016.PA1143

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Dietary fat in respiratory diseases: A multi-case control study
Lucia Cazzoletti, Marcello Ferrari, Roberto Bono, Liliya Chamitava, Isa Cerveri, Amelia Grosso, Pietro Pirina, Francesco Spelta, Maria Elisabetta Zanolin
European Respiratory Journal Sep 2016, 48 (suppl 60) PA1143; DOI: 10.1183/13993003.congress-2016.PA1143
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