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Gut 58:1606-1611 doi:10.1136/gut.2008.169078
  • Inflammatory bowel disease

Linoleic acid, a dietary n-6 polyunsaturated fatty acid, and the aetiology of ulcerative colitis: a nested case–control study within a European prospective cohort study

Table 2

Odds ratios for developing ulcerative colitis by quartile of intake of specific polyunsaturated fatty acids (PUFAs)

Macro-nutrient Quartile of increasing intake Quartile range Unadjusted ORs (plus 95% CIs) for quartiles of intake* Adjusted ORs (plus 95% CIs) for quartiles of intake† Adjusted ORs (plus 95% CIs) for quartiles of intake‡
Women Men
Linoleic acid (n-6 PUFA) (g/day) 1 (27, 131)§ 1.9–6.1 3.1–7.8 1.00 1.00 1.00
2 (31, 126) 6.2–8.8 7.9–11.3 1.21 (0.68 to 2.17) 1.38 (0.74 to 2.56) 1.46 (0.72 to 2.93)
3 (26, 132) 8.9–12.5 11.4–14.8 1.00 (0.54 to 1.85) 1.20 (0.61 to 2.38) 1.24 (0.57 to 2.72)
4 (41, 115) 12.6–37.5 14.9–35.4 1.85 (1.03 to 3.32) 2.49 (1.23 to 5.07) 2.31 (0.99 to 5.36)
Trend OR = 1.19 (0.99 to 1.45, p = 0.07) Trend OR = 1.32 (1.04 to 1.66, p = 0.02) Trend OR = 1.28 (0.97 to 1.68, p = 0.08)
α-Linolenic acid (n-3 PUFA) (g/day) 1 (33, 125) 0.4–0.9 0.5–1.0 1.00 1.00 1.00
2 (24, 133) 1.0–1.2 1.1–1.5 0.68 (0.38 to 1.23) 0.78 (0.41 to 1.47) 0.73 (0.34 to 1.58)
3 (33, 125) 1.3–1.6 1.6–2.0 1.00 (0.57 to 1.75) 1.22 (0.63 to 2.39) 1.20 (0.50 to 2.91)
4 (35, 121) 1.7–3.7 2.1–5.0 1.11 (0.62 to 1.99) 1.46 (0.67 to 3.14) 1.28 (0.46 to 3.58)
Trend OR = 1.07 (0.89 to 1.30, p = 0.47) Trend OR = 1.17 (0.91 to 1.51, p = 0.21) Trend OR = 1.15 (0.83 to 1.61, p = 0.40)
Oleic acid (n-9 MUFA) (g/day) 1 (31, 127) 5.0–15.5 7.4–19.6 1.00 1.00 1.00
2 (28, 129) 15.6–20.7 19.7–26.2 0.88 (0.50 to 1.57) 0.97 (0.52 to 1.81) 0.90 (0.42 to 1.93)
3 (35, 123) 20.8–28.2 26.3–33.4 1.16 (0.6 to 2.03) 1.30 (0.63 to 2.66) 0.85 (0.35 to 2.08)
4 (31, 125) 28.3–69.8 33.5–78.4 1.02 (0.55 to 1.89) 1.21 (0.48 to 3.01) 0.78 (0.26 to 2.40)
Trend OR = 1.04 (0.85 to 1.26, p = 0.72) Trend OR = 1.10 (0.81 to 1.47, p = 0.55) Trend OR = 0.92 (0.64 to 1.33, p = 0.67)
Docosahexaenoic acid (n-3 PUFA) (g/day) 1 (34, 114) 0.0 0–0.10 0.00–0.11 1.00 1.00 1.00
2 (30, 117) 0.11–0.18 0.12–0.21 0.79 (0.43 to 1.44) 0.76 (0.41 to 1.41) 0.54 (0.25 to 1.19)
3 (24, 123) 0.19–0.32 0.22–0.40 0.57 (0.29 to 1.10) 0.53 (0.27 to 1.05) 0.27 (0.09 to 0.79)
4 (29, 118 0.33–1.35 0.41–2.00 0.70 (0.3 to 1.37) 0.64 (0.32 to 1.30) 0.23 (0.06 to 0.97)
Trend OR = 0.87 (0.70 to 1.09, p = 0.23) Trend OR = 0.85 (0.68 to 1.07, p = 0.17) Trend OR = 0.59 (0.37 to 0.94, p = 0.03)
Eicosapentaenoic acid (n-3 PUFA) (g/day) 1 (30, 118) 0.0 1–0.04 0.00–0.05 1.00 1.00 1.00
2 (30, 117) 0.05–0.09 0.06–0.11 1.00 (0.54 to 1.86) 1.02 (0.54 to 1.90) 1.49 (0.68 to 3.29)
3 (27, 120) 0.10–0.16 0.12–0.18 0.87 (0.46 to 1.67) 0.86 (0.44 to 1.66) 2.01 (0.70 to 5.79)
4 (30, 117) 0.17–0.73 0.19–1.05 1.00 (0.52 to 1.91) 0.96 (0.49 to 1.88) 2.58 (0.66 to 10.05)
Trend OR = 0.99 (0.80 to 1.21, p = 0.90). Trend OR = 0.97 (0.78 to 1.20, p = 0.78). Trend OR = 1.37 (0.88 to 2.15, p = 0.16).
  • *Odds ratios (ORs) adjusted for age at recruitment into the European Prospective Investigation into Cancer and Nutrition (EPIC), gender and centre.

  • †Odds ratios adjusted for age at recruitment into EPIC, gender, centre, cigarette smoking and total energy intake.

  • ‡Odds ratios adjusted for age at recruitment into EPIC, gender, centre, cigarette smoking, total energy intake and the other listed fatty acids.

  • §Results in parentheses are number of cases and number of controls.

  • CI, confidence interval; MUFA, mono-unsaturated fatty acid.

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