Objective Here, we ascertained the clinical characteristics of Chinese patients with autoimmune gastritis (AIG) and determined the correlation of dietary and lifestyle factors with AIG occurrence and development to establish a noninvasive predictive model for AIG. Methods In this case-control study, we enrolled 479 patients from seven independent centers nationwide in China; of them, 279 had AIG, 112 had chronic atrophic gastritis mostly in the antrum, and 88 had chronic nonatrophic gastritis. Their clinical and lifestyle data were systematically collected and analyzed. Finally, a multivariate logistic regression disease prediction model was then established and validated. Results Most of the 279 patients with AIG were middle-aged, older, and female. In the predictive model of AIG, the larger amount of cooking oil used per meal and comorbid autoimmune thyroid disease was considered risk factors, and a diet rich in vitamin B12 was considered a protective factor. We plotted a receiver operating characteristic (ROC) curve of the model in the discovery and validation cohorts, and the areas under the ROC curves were 0.72 and 0.74, respectively. In addition, dietary structure, eating habits, sleep quality, and smoking status were noted to be correlated with the occurrence of gastrointestinal symptoms and complications, as well as histopathological grades of AIG. Conclusion Dietary and lifestyle factors may predict AIG risk in Chinese populations and were related to AIG prognosis.
基金:
National Key R&D Program of China (2020YFA0509200 to J-YF), the Shanghai Municipal Health
Commission, Collaborative Innovation Cluster Project (2019CXJQ02 to J-YF), the Innovative Research Team of high-level local universities in Shanghai
(SSMU-ZLCX20180200 to J-YF), Shanghai Municipal Hospital Gastroenterology clinical competence improvement and advancement specialist alliance
(SHDC22021311 to J-YF), National Natural Science Foundation of China (82203224 to C-BZ), Chenguang Program of Shanghai Education Development
Foundation and Shanghai Municipal Education Commission (22CGA17 to C-BZ), China Postdoctoral Science Foundation (2022M712124 to C-BZ),
Shanghai “Rising Stars of Medical Talents” Youth Development Specialist Program (2023-62 to C-BZ), and Shanghai Municipal Health Commission Health Industry Clinical Research Project (20224Y0024 to C-BZ).
第一作者机构:[1]Shanghai Jiao Tong Univ, Renji Hosp, Sch Med, Div Gastroenterol & Hepatol,NHC Key Lab Digest Dis, Shanghai, Peoples R China
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通讯作者:
推荐引用方式(GB/T 7714):
Ma Xin-Yue,Hao Yu,Xie Yuan-Hong,et al.Risk Factors Analysis and Predictive Model Construction for Autoimmune Gastritis: A Nationwide Multicenter Case-Control Study in China[J].JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY.2025,40(5):1202-1212.doi:10.1111/jgh.16912.
APA:
Ma, Xin-Yue,Hao, Yu,Xie, Yuan-Hong,Cao, Qin,Sun, Dan-Feng...&Fang, Jing-Yuan.(2025).Risk Factors Analysis and Predictive Model Construction for Autoimmune Gastritis: A Nationwide Multicenter Case-Control Study in China.JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY,40,(5)
MLA:
Ma, Xin-Yue,et al."Risk Factors Analysis and Predictive Model Construction for Autoimmune Gastritis: A Nationwide Multicenter Case-Control Study in China".JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY 40..5(2025):1202-1212