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CN 34-1304/RISSN 1674-3679

Volume 28 Issue 8
Aug.  2024
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SHU Xing, LI Bin, JIANG Haoqi, TANG Jinzhi, SHI Chang′e, ZHAO Qihong, YANG Wanshui, TANG Min, U Anla. A case-control study of empirical dietary index for insulin resistance and risk of gastric precancerous lesions[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(8): 944-949. doi: 10.16462/j.cnki.zhjbkz.2024.08.012
Citation: SHU Xing, LI Bin, JIANG Haoqi, TANG Jinzhi, SHI Chang′e, ZHAO Qihong, YANG Wanshui, TANG Min, U Anla. A case-control study of empirical dietary index for insulin resistance and risk of gastric precancerous lesions[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(8): 944-949. doi: 10.16462/j.cnki.zhjbkz.2024.08.012

A case-control study of empirical dietary index for insulin resistance and risk of gastric precancerous lesions

doi: 10.16462/j.cnki.zhjbkz.2024.08.012
Funds:

National Natural Science Fund 81502806

Preventive Medicine National First-class Professional Construction Planning Project AHMUPM-307

Clinical Medicine Discipline Construction Project of Anhui Medical University 2020lcxk033

More Information
  • Corresponding author: TANG Min,E-mail: tangpanpan1@163.com; HU Anla,E-mail: huanla@ahmu.edu.cn
  • Received Date: 2023-12-08
  • Rev Recd Date: 2024-05-17
  • Available Online: 2024-09-29
  • Publish Date: 2024-08-10
  •   Objective  To explore the relationship between empirical dietary index for insulin resistance (EDIR) and the risk of gastric precancerous lesions (GPL) and provide epidemiological basis for dietary prevention and control of GPL.   Methods  From September 2021 to July 2022, 102 patients with GPL, 204 with non-atrophic gastritis (NAG) or normal gastric mucosa patients were selected for a non-matched case-control study in the First Affiliated Hospital of Anhui Medical University. Then EDIR were applied to unmatched cases-control studies.   Results  The EDIR score of the case group was higher than that of the control group, and the difference was statistically significant (Z=-2.141, P=0.032); Compared with the control group, the refined grain intake (Z=-2.475, P=0.013) was higher in the case group; After adjustment for confounders, the higher EDIR[Quartile 2: OR(95% CI): 4.36(1.61~11.84), P=0.003] was positively associated with an increased risk of GPL.   Conclusions  Higher EDIR scores and high intake of refined grains increase the risk of developing GPL.
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