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A Descriptive Study of Gall Stone Patient's Dietary Habits and Nutritional Status  

Kim, Eun-Jung (Department of Food and Nutrition, Kyungwon University)
Lee, Young-Mee (Department of Food and Nutrition, Kyungwon University)
Publication Information
Korean Journal of Community Nutrition / v.12, no.6, 2007 , pp. 826-837 More about this Journal
Abstract
Gallstone composition has changed over the past decades in the Korean with a prominent increase in the prevalence of cholesterol gallstone. This trend is possibly due to the westernization of dietary habits. The purpose of this study was descriptive of GB patient's health related eating behaviors and nutrient consumption patterns. One hundred and six gallstone patients who have had cholecystitis surgery enrolled in this study. Anthropomertic indices, such as height, weight, waist circumference, and hip circumference were measured and calculated BMI and WHR. As the biomarker, TC, TG, LDL-C, HDL-C, FBG level and SBP/DBP were measured and analyzed the relationship with GB stone formation. The structured checklist of health related eating behavior and the semiquantitative food frequency questionnaire after pre-test was used in the face to face interview study. The mean age was $54.9{\pm}13.3$ and gallstone disease was more frequent in the fifties and sixties. Mean BMI was $24.3{\pm}2.8$ in males, and $23.4{\pm}3.9$ in females, the average of waist circumference was $91.1{\pm}7.0cm$ in males and females were $85.4{\pm}9.6cm$. The WHR of men and women was $0.93{\pm}0.0,\;0.90{\pm}0.1$, respectively. The obesity and overweight trend was observed in gallstone patients. The mean blood sugar was researched at $114.5{\pm}35.0mg/dL$. And the ratio of both symptoms DM and gallstone was 26.4%. The rate of dramatic eating repast was significantly higher in the females (p<0.01). Males tended to more frequently consume meat, of high fat content meats and greasy food consumption when eating out. The CPF ratio was 57:16.5:26.5. There was a significant positive correlation between WC and energy (r=0.252, p<0.05), carbohydrate (r=0.255, p<0.05) and niacin (r=0.227, p<0.05). In addition, carbohydrate were significantly correlatied with TC (r=0.230, p<0.05). BMI appeared positive in correlation of protein (r=0.201, p<0.05) and fat (r=0.205, p<0.05). These findings provide a little association that dietary habits are related with cholesterol gallstone formation.
Keywords
gallstone; cholecystitis; obesity; waist-hip ratio; health related behavior;
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1 Attili AF, Scafato E, Marchioli R, Marfisi RM, Festi D (1998): Diet and gallstones in Italy: the cross-sectional MICOL results. Hepatology 27(6): 1492-1498   DOI   ScienceOn
2 Chung HR (2006): Prevalence of Abdominal Obesity and Associated Factors among Korean Adults: The 2001 Korean Naional Health and Nutrition Examination Survey. Korean J Comm Nutr 39(7): 684-691   과학기술학회마을
3 Hong SJ, Koo YH, Bae YH, Han BH, Ji SK, Kim KH, Ahn SY, Lee SU, Park BC (1996): The Effect of the Serum Lipids on Gallstone Formation. Korean J Gastroenterol 28: 683-689
4 Kratzer W, Mason RA, Kachele V (1999): Prevalence of gallstones in sonographic surveys worldwide. J Clin Ultrasound 27(1): 1-7   DOI   ScienceOn
5 Leitzmann MF, Rimm EB, Willett WC, Spiegelman D, Grodstein F, Stampfer MJ, Colditz GA, Giovannucci E (1999): Recreational physical activity and the risk of cholecystectomy in women. N Engl J Med 341(11): 777-784   DOI   ScienceOn
6 Lee SY, Park HS, Kim SM, Kwon HS, Kim DY, Kim DJ, Cho GJ, Han JH, Kim SR, Park CY (2006): Cut-off Points of Waist Circumference for Defining Abdominal Obesity in the Korean Population. J Korean Oriental Assoc for Study of Obesity 15(1): 1-9
7 Min YI, Lee SK, Kim MH, Lim CM, Shong YK, Lee KU, Moon DH, Lee MH (1991): Gallbladder Emptying in Diabetes Mellitus. Korean J Gastroenterol 23(2): 528-532
8 Park HS, Lee YS, Gu SJ, Han MU, Jo YW, Oh SY (2006): Diet & Health. pp 136 Hyo-II Publishing Company
9 Shim CS (2000): Gallstone and Dietary Therapy, pp. 12-14, 25-26, Korea Medical Publishing Company
10 Wang SN, Yeh YT, Yu ML, Dai CY, Chi WC, Chung WL, Lee KT (2006): Hyperleptinaemia and hypoadiponectinaemia are associated with gallstone disease. Eur J Clin Invest 36(3): 176-180   DOI   ScienceOn
11 Yun YB, Park SJ, Kim SW, Park SJ YC, Kim YT, Park YH (2003): Clinical and Epidemiological Analysis of 20-Year Eeperience of Surgically Treated Gallstone Patients. Korean J Gastroenterol 42: 415-422
12 Klass DM, Buhrmann K, Sauter G, Del Puppo M, Scheibner J, Fuchs M, Stange EF (2006): Biliary lipids, cholesterol and bile synthesis: different adaptive mechanisms to dietary cholesterol in lean and obese subjects. Aliment Pharmacol Ther 1; 23(7): 895-905
13 Diehl AK, Haffner SM, Hazuda HP, Stern MP (1987): Coronary risk factors and clinical gallbladder disease: an approach to the prevention of gallstones? Am J Public Health 77(7): 841-845   DOI   ScienceOn
14 Kim YK (2005): Study on provalence and related factors of gallstones gealth screening subjects by ultrasonography. The Graduate School of Eulji University
15 Park HS, Kim MH, Lee SK, Seo DW, Nam SW, Kim YS, Myung SJ, Min YI (1997): Study of the Dietary Factors in the Formation of Biliary Stone. Korean J Gastroenterol 29: 805-814
16 Chung YJ (2006): Prevalence and risk factor of gallstone in general health screening people. Master degree thesis, Kyungpook University
17 Leitzmann MF, Giovannucci EL, Stampfer MJ, Spiegelman D, Colditz GA, Willett WC, Rimm EB (1999): Prospective study of alcohol consumption patterns in relation to symptomatic gallstone disease in men. Alcohol Clin Exp Res 23(5): 835-841   DOI   ScienceOn
18 Leitzmann MF, Giovannucci EL, Rimm EB, Stampfer MJ, Spiegelman D, Wing AL, Willett WC (1998): The relation of physical activity to risk for symptomatic gallstone disease in men. Ann Intern Med 128(6): 417-425   DOI   ScienceOn
19 Tandon RK, Saraya A, Paul S, Kapur BM.(1996): Dietary habits of gallstone patients in Northern India. J Clin Gastroenterol 22(1): 23-27   DOI   ScienceOn
20 RO Kamrath, LJ Plummer, CN Sadur, MA Adler, WJ Strader, RL Young and RL Weinstein (1992): Cholelithiasis in patients treated with a very-low-calorie diet. American J Clin Nutr 56: 255S-257S
21 Qin J, Han TQ, Fei J, Jiang ZY, Zhang Y, Yang SY, Jiang ZH, Cai XX, Huang W, Zhang SD (2005): Risk factors of familial gallstone disease: study of 135 pedigrees. Zhonghua Yi Xue Za Zhi 85(28): 1966-1969
22 Stampfer MJ, Maclure KM, Colditz GA, Manson JE, Willett WC (1992): Risk of symptomatic gallstones in women with severe obesity. Am J Clin Nutr 55(3): 652-658   DOI
23 Leitzmann MF, Stampfer MJ, Willett WC, Spiegelman D, Colditz GA, Giovannucci E (2002): Coffee intake is associated with lower risk of symptomatic gallstone disease in women. Gastroenterology 123(6): 1823-1830   DOI   ScienceOn
24 Lee YM, Kim JH (2001): Nutritional Assessment, pp 348-349, Hyo-II Publishing Company
25 Piero Portincasa, Antonio Moschetta, Giuseppe Palasciano (2006): Cholesterol gallstone disease. The Lancet 368(9531): 230-239   DOI   ScienceOn
26 Caroli-Bosc FX, Deveau C, Peten EP, Delabre B, Zanaldi H, Hebuterne X, Hastier P, Viudes F, Belanger F, Caroli-Bosc C, Harris A, Hardion M, Rampal P, Delmont JP (1998): Cholelithiasis and dietary risk factors: an epidemiologic investigation in Vidauban, Southeast France. General Practitioner's Group of Vidauban. Dig Dis Sci 43(9): 2131-2137   DOI   ScienceOn
27 Lee JK, Choi SH, Rhee PL, Lee JH, Lee JH, Lee KT, Kim JJ, Noh JH, Koh KC, Paik SW, Rhee JC (1997): Prenalence and Risk Factors of Gallstone in Health Screening People. Korean J Gastroenterol 29(1): 85-92
28 Sichieri R, Everhart JE, Roth H (1991): A prospective study of hospitalization with gallstone disease among women: role of dietary factors, fasting period, and dieting. Am J Public Health 81(7): 880-884   DOI   ScienceOn
29 Misciagna G, Centonze S, Leoci C, Guerra V, Cisternino AM, Ceo R, Trevisan M (1999): Diet, physical activity, and gallstones-a population-based, case-control study in southern Italy. Am J Clin Nutr 69(1): 120-126   DOI
30 Tsai CJ, Leitzmann MF, Hu FB, Willett WC, Giovannucci EL (2004): Frequent nut consumption and decreased risk of cholecystectomy in women. Am J Clin Nutr 80(1): 76-81   DOI
31 Son SM, Huh GY (2006): Dietary Risk Factors Associated with Hypertension in Patients. Korean J Commu Nutr 11(5): 661-672   과학기술학회마을
32 Tsai CJ, Leitzmann MF, Willett WC, Giovannucci EL (2006): Central adiposity, regional fat distribution, and the risk of cholecystectomy in women. Gut 55(5): 708-714   DOI   ScienceOn
33 Yun YB (2004): Pathgenesis of Gallstones. Med Postgraduates 32(2): 66-67
34 Kim GH, Ok CM, Kim BJ, Chu HJ, Song CS, Song GA, Cho M, Yang US (1996): A Clinical Review of Gallstone Diseases in Koreans. Korean J Gastroenterol 28: 352-361
35 Shaffer EA (2006) Gallstone disease: Epidemiology of gallbladder stone disease. Best Pract Res Clin Gastroenterol 20(6): 981-96   DOI
36 Tsai CJ, Leitzmann MF, Willett WC, Giovannucci EL (2005): Dietary carbohydrates and glycaemic load and the incidence of symptomatic gall stone disease in men. Gut 54(6): 823-828   DOI   ScienceOn