Bowel Health in U.S. Vegetarians: A 4-Year Data Report from the National Health and Nutrition Examination Survey (NHANES)

Storz, Maximilian Andreas; Rizzo, Gianluca; Müller, Alexander; Lombardo, Mauro

doi:10.3390/nu14030681

Cited by 12 publications

(11 citation statements)

References 50 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Research investigating GI health in shift workers using U.S. data is generally scarce, and we tried to address this gap in the literature with our study. As mentioned in our previous study [ 49 ], the employed assessment methods were found to be valid and reliable, which is important when comparing different populations.…”

Section: Discussionmentioning

confidence: 86%

See 1 more Smart Citation

Bowel Health in U.S. Shift Workers: Insights from a Cross-Sectional Study (NHANES)

Storz

Lombardo²,

Rizzo³

et al. 2022

IJERPH

Self Cite

View full text Add to dashboard Cite

Working outside of regular daytime hours is increasingly common in current societies and poses a substantial challenge to an individual’s biological rhythm. Disruptions of the gastrointestinal tract’s circadian rhythm and poor dietary choices subsequent to shiftwork may predispose the shift workforce to an increased risk of gastrointestinal disorders, including constipation, peptic ulcer disease, and erosive gastritis. We investigated bowel health in a US population of shift workers, using data from the National Health and Nutrition Examination Survey, and compared bowel movement (BM) frequency and defecation patterns between 2007 day workers and 458 shift workers (representing 55,305,037 US workers). Using bivariate and multivariate logistic regression techniques, our results suggested no association between shiftwork status and BM frequency, bowel leakage of gas, and stool consistency. Constipation prevalence was high but comparable in both groups (6.90% vs. 7.09%). The low fiber intake observed in both groups (15.07 vs. 16.75 g/day) could play a potential role here. The two groups did not differ with regard to other nutrients that may influence BM frequency and stool consistency (e.g., carbohydrate or caffeine intake). Additional studies including food group analyses and fecal biomarkers are warranted for a better understanding of GI health in shift workers.

show abstract

Section: Discussionmentioning

confidence: 86%

“…We assessed bowel health using data from the Bowel Health Questionnaire (BHQ) [ 47 , 48 ]. A detailed description of the methods can be obtained from one of our previous publications [ 49 ]. The BHQ provides personal interview data on stool morphology, defecating function, and incontinence symptoms in adults aged 20 years and older.…”

Section: Methodsmentioning

confidence: 99%

Bowel Health in U.S. Shift Workers: Insights from a Cross-Sectional Study (NHANES)

Storz

Lombardo²,

Rizzo³

et al. 2022

IJERPH

Self Cite

View full text Add to dashboard Cite

show abstract

“…The NHANES is a national health-related program conducted by the Centers for Disease Control and Prevention’s National Center for Health Statistics in the United States [ 17 ]. Background data on the NHANES have been described elsewhere in great detail [ 18 ]. In brief, the NHANES is a large and ongoing project designed to assess the general health and nutritional status of the U.S. civilian population.…”

Section: Methodsmentioning

confidence: 99%

“…The examination protocol as well as the data collection methods are fully documented in the NHANES dietary interviewer’s procedure manuals [ 26 ]. Additional information may be obtained from our previous publication [ 18 ].…”

Section: Methodsmentioning

confidence: 99%

Dietary Acid Load in Gluten-Free Diets: Results from a Cross-Sectional Study

Storz

Ronco

Lombardo³

2022

Nutrients

Self Cite

View full text Add to dashboard Cite

The gluten-free diet (GFD) ensures improvement of clinical symptoms in the vast majority of celiac disease (CD) patients. Despite stable CD rates in many countries, an increasing number of healthy individuals are adopting gluten-free diets, believing that this diet is an inherently healthier choice. The health effects of gluten-free diets are controversial, and a recent study added to the debate by reporting a lower acidogenic potential of this diet. The effects of the GFD on potential renal acid load (PRAL) and net endogenous acid production (NEAP)—two important markers of dietary acid load (DAL)—are poorly understood, and have never been examined in a Western population. Using cross-sectional data from the National Health and Nutrition Examination Surveys, we estimated DAL in U.S. individuals reporting a GFD and contrasted the results to the general U.S. population consuming gluten and denying special diets. The GFD was associated with significantly lower crude DAL scores, and after adjustments for confounders in multivariate regression, the results remain significant. Yet, our study could not confirm the reported alkalizing properties of the GFD. Although overall DAL scores were significantly lower in the GFD group, they were comparable to Western diets producing 50–75 mEq of acid per day.

show abstract

“…The NHANES sample is selected through a complex, multistage probability design (15) , and we used the "svyset" and "svy" commands for all statistical procedures to properly account for population weights and the NHANES survey design characteristics. We conducted all statistical analyses with STATA software version 14 (StataCorp., College Stadion, TX, USA) (32). We performed unconditional subclass analyses (preserving the main survey design and providing larger standard errors) to estimate nutrient intake in self-identified LCD followers (33) .…”

Section: Statisticsmentioning

confidence: 99%

Nutrient intake in low-carbohydrate diets in comparison to the 2020–2025 Dietary Guidelines for Americans: a cross-sectional study

Storz¹,

Ronco

2022

Br J Nutr

Self Cite

View full text Add to dashboard Cite

The percentage of U.S. adults following low-carbohydrate diets (LCD) doubled in the last decade. Some researchers observed this trend with concern, and highlighted the potential for nutritional deficiencies and impaired overall diet quality with LCD. The present study investigated nutrient intake in a nationally-representative sample of 307 U.S. adults following a LCD. Using cross-sectional data from the National Health and Nutrition Examination Surveys, we compared nutrient intake profiles in said individuals with the Daily Nutritional Goals (DNG) specified in the current 2020-2025 Dietary Guidelines for Americans (DGA). Results were then compared to the general population consuming a standard American diet. Almost 57% of low-carbohydrate dieters were female, mean age was 48.67 (1.35) years. Individuals consuming LCD exceeded the recommendations for saturated fat, total lipid, and sodium intake (both sexes). An insufficient intake was observed for fiber, magnesium, potassium and several other vitamins (Vitamins A, E, D in both sexes as well as Vitamin C in men and folate in women). Neither men nor women met the recommendations for fiber intake. A comparable picture was found for the general population. The potentially insufficient intake of several essential nutrients in LCD warrants consideration and a careful assessment with regard to the current DGA.

show abstract

Bowel Health in U.S. Vegetarians: A 4-Year Data Report from the National Health and Nutrition Examination Survey (NHANES)

Cited by 12 publications

References 50 publications

Bowel Health in U.S. Shift Workers: Insights from a Cross-Sectional Study (NHANES)

Bowel Health in U.S. Shift Workers: Insights from a Cross-Sectional Study (NHANES)

Dietary Acid Load in Gluten-Free Diets: Results from a Cross-Sectional Study

Nutrient intake in low-carbohydrate diets in comparison to the 2020–2025 Dietary Guidelines for Americans: a cross-sectional study

Contact Info

Product

Resources

About