Physical Activity and Fat-Related Eating Behaviour Among Patients with Cholelithiasis in Erbil City: A Case Control Study
A Case Control Study
DOI:
https://doi.org/10.15218/ejnm.2019.01Keywords:
Gallstone, Diet, Activity, Case-Control StudyAbstract
Background and objective: The effect of physical activity and diet is an essential modifiable or environmental factor. Evidence from epidemiological studies suggests that assessing associations between diet and general health is important. The aim of the study was to assess the level of physical activity and fat-related eating behaviour of patients with cholelithiasis.
Methods: A matched case-control study was done on 100 participants; 50 were patients with gallstone disease and 50 were patients without gallstone disease. The study was conducted from December 2017 to June 2018. The constructed questionnaire used and designed based on the literature review. It consisted of four parts: demographic data, physical activity, fat-related eating behaviour, and investigations. Ultrasounds were done on all study participants to confirm whether patients had gallstone disease or not. Reliability of the questionnaire was determined through a pilot study and the validity through a panel of experts from medicine and nursing fields. Frequency, percentage, mean and standard deviation, and the chi-square test was used for analyzing data.
Results: In total, 70 female and 30 male patients were investigated. Most (52%) were 28 to 47 years old. Most (72%) were physically inactive. Regarding fat-related eating behaviour most (73%) had unhealthy behavior. There was a significant association between physical activity and the risk of getting cholelithiasis. Risk of disease the development was about 2.8 times higher in patients who were physically inactive (odds ratio = 2.79, 95% CI; 1.1–7.0) in comparison to patients were physically active. There was no significant difference between development of cholelithiasis and unhealthy fat-related eating behaviour (odds ratio = 0.886, 95% CI; 0.338–2.323).
Conclusion: There is a significant relationship between cholelithiasis and engaging in physical activity.
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References
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Shannon J, Kristal AR, Curry SJ, Beresford S. Application of a behavioral approach to measuring dietary change: the fat-and fiber-related diet behavior questionnaire. Cancer Epidemiology and Prevention Biomarkers. 1997;6(5):355-361, Retrieved from: http://www.scopus.com/inward/record.url?scp=0030987393&partnerID=8YFLogxK.
Hendrychova T, Vytrisalova M, Vlcek J, Smahelova A, Kubena AA. An analysis of fat-related and fiber-related behavior in men and women with type 2 diabetes mellitus: key findings for clinical practice. Patient preference and adherence. 2013;7:877-884, https://doi.org/10.2147/ppa.s47497.
Hendrychova T, Vytrisalova M, Alwarafi A, Tebbens JD, Vankatova H, Leal S, et al. Fat-and fiber-related diet behavior among type 2 diabetes patients from distinct regions. Patient preference and adherence. 2015;9:319-325, https://doi.org/10.2147/ppa.s71373.
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Hendrychova T, Vytrisalova M, Alwarafi A, Tebbens JD, Vankatova H, Leal S, et al. Fat-and fiber-related diet behavior among type 2 diabetes patients from distinct regions. Patient preference and adherence. 2015;9:319-325, https://doi.org/10.2147/ppa.s71373.
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Liu T, Wang W, Ji Y, Wang Y, Liu X, Cao L, et al. Association between different combination of measures for obesity and new-onset gallstone disease. PloS one. 2018;13(5):e0196457, https://doi.org/10.1371/journal.pone.0196457.
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*8+ Hu FB. Dietary pattern analysis: a new direc-tion in nutritional epidemiology. Current opinion in lipidology. 2002;13(1):3-9, https://doi.org/10.1097/00041433-200202000-00002.
[9] Tseng M, Everhart JE, Sandler RS. Dietary intake and gallbladder disease: a review. Public health nutrition. 1999;2(2):161-172,https://doi.org/10.1017/s136898009900021x.
*10+ Faul F, Erdfelder E, Buchner A, Lang A-G. Sta-tistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods. 2009;41:1149-1160,
*11+ Jessri M, Rashidkhani B. Dietary patterns and risk of gallbladder disease: A hospital-based case-control study in adult women. Journal of Health, Population, and Nutrition. 2015;33(1):39,
[12] IPAQ. International Physical Activity Ques-tionnaire Online: IPAQ; 2002 *updated 12 Jan 2012; cited 2017 November+. Available from: https://sites.google.com/site/theipaq/.
[13] Dai S. Validity of the international physical activity questionnaire short form (IPAQ-SF) in adults: a systematic review: The University of Hong Kong; 2015, Thesis, Retrieved from: https://doi.org/10.5353/th_b5662548.
[14] Macfarlane DJ, Lee CC, Ho EY, Chan KL, Chan DT. Reliability and validity of the Chinese version of IPAQ (short, last 7 days). Journal of Science and Medicine in Sport. 2007;10(1):45-51, https://doi.org/10.1016/j.jsams.2006.05.003.
[15] Boon RM, Hamlin MJ, Steel GD, Ross JJ. Vali-dation of the New Zealand physical activity questionnaire (NZPAQ-LF) and the interna-tional physical activity questionnaire (IPAQ-LF) with accelerometry. British Journal of Sports Medicine. 2010;44(10):741-746, https://doi.org/10.1136/bjsm.2008.052167.
[16] Duncan MJ, Arbour-Nicitopoulos K, Subrama-nieapillai M, Remington G, Faulkner G. Revis-iting the International Physical Activity Ques-tionnaire (IPAQ): Assessing physical activity among individuals with schizophrenia. Schiz-ophrenia research. 2017;179:2-7, https://doi.org/10.1016/j.schres.2016.09.010.
Hirvensalo M, Magnussen CG, Yang X, Telama R, Heinonen I, Hutri-Kähönen N, et al. Convergent Validity of a Physical Activity Questionnaire against Objectively Measured Physical Activity in Adults: The Cardiovascular Risk in Young Finns Study. Advances in Physical Education. 2017;7(04):457-472, https://doi.org/10.4236/ape.2017.74038.
Blasio AD, Donato FD, Mazzocco C. IPAQ - AUTOMATIC REPORT - English version online: IPAQ; 2016 [updated 30 Jul 2016; cited 2017 November]. Available from: https://docs.google.com/viewer?a=v&pid=sites&srcid=ZGVmYXVsdGRvbWFpbnx0aGVpcGFxfGd4OjUxNjA1MzU5ZDI3NjViNmQ.
Shannon J, Kristal AR, Curry SJ, Beresford S. Application of a behavioral approach to measuring dietary change: the fat-and fiber-related diet behavior questionnaire. Cancer Epidemiology and Prevention Biomarkers. 1997;6(5):355-361, Retrieved from: http://www.scopus.com/inward/record.url?scp=0030987393&partnerID=8YFLogxK.
Hendrychova T, Vytrisalova M, Vlcek J, Smahelova A, Kubena AA. An analysis of fat-related and fiber-related behavior in men and women with type 2 diabetes mellitus: key findings for clinical practice. Patient preference and adherence. 2013;7:877-884, https://doi.org/10.2147/ppa.s47497.
Hendrychova T, Vytrisalova M, Alwarafi A, Tebbens JD, Vankatova H, Leal S, et al. Fat-and fiber-related diet behavior among type 2 diabetes patients from distinct regions. Patient preference and adherence. 2015;9:319-325, https://doi.org/10.2147/ppa.s71373.
Hou L, Shu X-O, Gao Y-T, Ji B-T, Weiss JM, Yang G, et al. Anthropometric measurements, physical activity, and the risk of symptomatic gallstone disease in Chinese women. Annals of Epidemiology. 2009;19(5):344-350, https://doi.org/10.1016/j.annepidem.2008.12.002.
De Oliveira EP, Burini RC. The impact of physical exercise on the gastrointestinal tract. Current Opinion in Clinical Nutrition & Metabolic Care. 2009;12(5):533-538, https://doi.org/10.1097/mco.0b013e32832e6776.
Hirvensalo M, Magnussen CG, Yang X, Telama R, Heinonen I, Hutri-Kähönen N, et al. Convergent Validity of a Physical Activity Questionnaire against Objectively Measured Physical Activity in Adults: The Cardiovascular Risk in Young Finns Study. Advances in Physical Education. 2017;7(04):457-472, https://doi.org/10.4236/ape.2017.74038.
Blasio AD, Donato FD, Mazzocco C. IPAQ - AUTOMATIC REPORT - English version online: IPAQ; 2016 [updated 30 Jul 2016; cited 2017 November]. Available from: https://docs.google.com/viewer?a=v&pid=sites&srcid=ZGVmYXVsdGRvbWFpbnx0aGVpcGFxfGd4OjUxNjA1MzU5ZDI3NjViNmQ.
Shannon J, Kristal AR, Curry SJ, Beresford S. Application of a behavioral approach to measuring dietary change: the fat-and fiber-related diet behavior questionnaire. Cancer Epidemiology and Prevention Biomarkers. 1997;6(5):355-361, Retrieved from: http://www.scopus.com/inward/record.url?scp=0030987393&partnerID=8YFLogxK.
Hendrychova T, Vytrisalova M, Vlcek J, Smahelova A, Kubena AA. An analysis of fat-related and fiber-related behavior in men and women with type 2 diabetes mellitus: key findings for clinical practice. Patient preference and adherence. 2013;7:877-884, https://doi.org/10.2147/ppa.s47497.
Hendrychova T, Vytrisalova M, Alwarafi A, Tebbens JD, Vankatova H, Leal S, et al. Fat-and fiber-related diet behavior among type 2 diabetes patients from distinct regions. Patient preference and adherence. 2015;9:319-325, https://doi.org/10.2147/ppa.s71373.
Hou L, Shu X-O, Gao Y-T, Ji B-T, Weiss JM, Yang G, et al. Anthropometric measurements, physical activity, and the risk of symptomatic gallstone disease in Chinese women. Annals of Epidemiology. 2009;19(5):344-350, https://doi.org/10.1016/j.annepidem.2008.12.002.
De Oliveira EP, Burini RC. The impact of physical exercise on the gastrointestinal tract. Current Opinion in Clinical Nutrition & Metabolic Care. 2009;12(5):533-538, https://doi.org/10.1097/mco.0b013e32832e6776.
Hirvensalo M, Magnussen CG, Yang X, Telama R, Heinonen I, Hutri-Kähönen N, et al. Convergent Validity of a Physical Activity Questionnaire against Objectively Measured Physical Activity in Adults: The Cardiovascular Risk in Young Finns Study. Advances in Physical Education. 2017;7(04):457-472, https://doi.org/10.4236/ape.2017.74038.
Blasio AD, Donato FD, Mazzocco C. IPAQ - AUTOMATIC REPORT - English version online: IPAQ; 2016 [updated 30 Jul 2016; cited 2017 November]. Available from: https://docs.google.com/viewer?a=v&pid=sites&srcid=ZGVmYXVsdGRvbWFpbnx0aGVpcGFxfGd4OjUxNjA1MzU5ZDI3NjViNmQ.
Shannon J, Kristal AR, Curry SJ, Beresford S. Application of a behavioral approach to measuring dietary change: the fat-and fiber-related diet behavior questionnaire. Cancer Epidemiology and Prevention Biomarkers. 1997;6(5):355-361, Retrieved from: http://www.scopus.com/inward/record.url?scp=0030987393&partnerID=8YFLogxK.
Hendrychova T, Vytrisalova M, Vlcek J, Smahelova A, Kubena AA. An analysis of fat-related and fiber-related behavior in men and women with type 2 diabetes mellitus: key findings for clinical practice. Patient preference and adherence. 2013;7:877-884, https://doi.org/10.2147/ppa.s47497.
Hendrychova T, Vytrisalova M, Alwarafi A, Tebbens JD, Vankatova H, Leal S, et al. Fat-and fiber-related diet behavior among type 2 diabetes patients from distinct regions. Patient preference and adherence. 2015;9:319-325, https://doi.org/10.2147/ppa.s71373.
Hou L, Shu X-O, Gao Y-T, Ji B-T, Weiss JM, Yang G, et al. Anthropometric measurements, physical activity, and the risk of symptomatic gallstone disease in Chinese women. Annals of Epidemiology. 2009;19(5):344-350, https://doi.org/10.1016/j.annepidem.2008.12.002.
De Oliveira EP, Burini RC. The impact of physical exercise on the gastrointestinal tract. Current Opinion in Clinical Nutrition & Metabolic Care. 2009;12(5):533-538, https://doi.org/10.1097/mco.0b013e32832e6776.
AV A, KG K. Diabetes Mellitus and Other Lifestyle Risk Factors for Cholelithiasis: A Case Control Study. International Journal of Preventive and Therapeutic Medicine. 2015;3(1), Retrived from: http://ijptm.com/index.php/ijptm/article/view/270.
Jørgensen T, Kay L, Schultz-Larsen K. The epidemiology of gallstones in a 70-year-old Danish population. Scandinavian Journal of Gastroenterology. 1990;25(4):335-340, https://doi.org/10.3109/00365529009095495.
Basso L, McCollum P, Darling M, Tocchi W, Tanner W. A descriptive study of pregnant women with gallstones. Relation to dietary and social habits, education, physical activity, height, and weight. European Journal of Epidemiology. 1992;8(5):629-633, https://doi.org/10.1007/bf00145375.
Liu T, Wang W, Ji Y, Wang Y, Liu X, Cao L, et al. Association between different combination of measures for obesity and new-onset gallstone disease. PloS one. 2018;13(5):e0196457, https://doi.org/10.1371/journal.pone.0196457.
Lammert F, Sauerbruch T. Mechanisms of disease: the genetic epidemiology of gallbladder stones. Nature Reviews Gastroenterology and Hepatology. 2005;2(9):423, https://doi.org/10.1038/ncpgasthep0257.
Banim PJ. Aetiological and clinical aspects of symptomatic gallstone disease and pancreatic cancer. Norwich: University of East Anglia; 2011, Thesis, Retrieved from: https://ueaeprints.uea.ac.uk/id/eprint/49763.
Ruvalcaba CB, Hita MG, Sanchez-Enriquez S. Diet and Nutritional Factors Related to Symptomatic Gallstone Disease in Women. Journal of Clinical Case Rep. 2014;4(12), https://doi.org/10.4172/2165-7920.1000458.
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2019-05-30
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Mohammed-Ameen AT, Younis YM. Physical Activity and Fat-Related Eating Behaviour Among Patients with Cholelithiasis in Erbil City: A Case Control Study: A Case Control Study. Erbil j. nurs. midwifery [Internet]. 2019 May 30 [cited 2024 Apr. 19];2(1):1-8. Available from: https://ejnm.hmu.edu.krd/index.php/ejnm/article/view/31
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Copyright (c) 2019 Ali Taher Mohammed-Ameen, Yousif Mohammed Younis (Author)
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