Higher HEI-2015 score is associated with reduced risk of fecal incontinence: insights from a large cross-sectional study

Abstract Objective Diet habit plays a vital role in fecal incontinence (FI) progression. However, it remains unknown whether dietary quality is related to FI. Our study sought to explore the relationship between healthy eating index-2015 (HEI-2015) score and FI among US adults. Methods An analysis o...

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Main Authors: Zhuhui Zhang, Pengfei Wang, Guoce Cui, Huashan Li
Format: Article
Language:English
Published: BMC 2024-11-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-024-20729-w
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author Zhuhui Zhang
Pengfei Wang
Guoce Cui
Huashan Li
author_facet Zhuhui Zhang
Pengfei Wang
Guoce Cui
Huashan Li
author_sort Zhuhui Zhang
collection DOAJ
description Abstract Objective Diet habit plays a vital role in fecal incontinence (FI) progression. However, it remains unknown whether dietary quality is related to FI. Our study sought to explore the relationship between healthy eating index-2015 (HEI-2015) score and FI among US adults. Methods An analysis of data from the 2005–2010 National Health and Nutrition Examination Survey was conducted in our study. The Bowel Health Questionnaire defined FI as losing liquid, solid, or mucus stool at least monthly. The diet’s quality was evaluated using HEI-2015 score. The odds ratios (ORs) and 95% confidence interval (95%CI) were calculated using multi-variable logistic regression models. Results There were 11,452 participants, with 9.3% (1062/11452) who experienced FI. Compared with individuals with inadequate group (HEI score < 50), the adjusted OR values for HEI score and FI in average group (50 ≤ HEI score < 70) and optimal group (HEI score ≥ 70) were 0.89 (95%CI: 0.74–1.07, p = 0.214) and 0.69 (95%CI: 0.52–0.91, p = 0.011), respectively. Subsequent stratified analyses did not reveal any interactions. Conclusions High-quality diets are related with a lower risk of FI. Therefore, it is imperative to take into account the potential impact of diet on FI when devising strategies for the treatment and prevention.
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spelling doaj-art-5a2e8bcec1b0414c946de7d6417e554a2025-08-20T02:22:20ZengBMCBMC Public Health1471-24582024-11-012411910.1186/s12889-024-20729-wHigher HEI-2015 score is associated with reduced risk of fecal incontinence: insights from a large cross-sectional studyZhuhui Zhang0Pengfei Wang1Guoce Cui2Huashan Li3Department of Anorectal surgery, Guang’ anmen Hospital, China Academy of Chinese Medical SciencesDepartment of Traditional Chinese Medicine, Fujian Provincial HospitalDepartment of Traditional Chinese Medicine Surgery, Beijing Shijitan Hospital, Capital Medical UniversityDepartment of Anorectal surgery, Guang’ anmen Hospital, China Academy of Chinese Medical SciencesAbstract Objective Diet habit plays a vital role in fecal incontinence (FI) progression. However, it remains unknown whether dietary quality is related to FI. Our study sought to explore the relationship between healthy eating index-2015 (HEI-2015) score and FI among US adults. Methods An analysis of data from the 2005–2010 National Health and Nutrition Examination Survey was conducted in our study. The Bowel Health Questionnaire defined FI as losing liquid, solid, or mucus stool at least monthly. The diet’s quality was evaluated using HEI-2015 score. The odds ratios (ORs) and 95% confidence interval (95%CI) were calculated using multi-variable logistic regression models. Results There were 11,452 participants, with 9.3% (1062/11452) who experienced FI. Compared with individuals with inadequate group (HEI score < 50), the adjusted OR values for HEI score and FI in average group (50 ≤ HEI score < 70) and optimal group (HEI score ≥ 70) were 0.89 (95%CI: 0.74–1.07, p = 0.214) and 0.69 (95%CI: 0.52–0.91, p = 0.011), respectively. Subsequent stratified analyses did not reveal any interactions. Conclusions High-quality diets are related with a lower risk of FI. Therefore, it is imperative to take into account the potential impact of diet on FI when devising strategies for the treatment and prevention.https://doi.org/10.1186/s12889-024-20729-wFecal incontinenceHealthy eating indexCross-sectional studyNHANES
spellingShingle Zhuhui Zhang
Pengfei Wang
Guoce Cui
Huashan Li
Higher HEI-2015 score is associated with reduced risk of fecal incontinence: insights from a large cross-sectional study
BMC Public Health
Fecal incontinence
Healthy eating index
Cross-sectional study
NHANES
title Higher HEI-2015 score is associated with reduced risk of fecal incontinence: insights from a large cross-sectional study
title_full Higher HEI-2015 score is associated with reduced risk of fecal incontinence: insights from a large cross-sectional study
title_fullStr Higher HEI-2015 score is associated with reduced risk of fecal incontinence: insights from a large cross-sectional study
title_full_unstemmed Higher HEI-2015 score is associated with reduced risk of fecal incontinence: insights from a large cross-sectional study
title_short Higher HEI-2015 score is associated with reduced risk of fecal incontinence: insights from a large cross-sectional study
title_sort higher hei 2015 score is associated with reduced risk of fecal incontinence insights from a large cross sectional study
topic Fecal incontinence
Healthy eating index
Cross-sectional study
NHANES
url https://doi.org/10.1186/s12889-024-20729-w
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AT pengfeiwang higherhei2015scoreisassociatedwithreducedriskoffecalincontinenceinsightsfromalargecrosssectionalstudy
AT guocecui higherhei2015scoreisassociatedwithreducedriskoffecalincontinenceinsightsfromalargecrosssectionalstudy
AT huashanli higherhei2015scoreisassociatedwithreducedriskoffecalincontinenceinsightsfromalargecrosssectionalstudy