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A Traditional Chinese Medicine Characteristic Therapy for Bronchial Asthma: Moxibustion
Published on: May 12, 2023
Cured meat intake is associated with worsening asthma symptoms
Zhen Li1,2,3, Marta Rava1,4, Annabelle Bédard1,2
1INSERM, U1168, VIMA: Aging and Chronic Diseases. Epidemiological and Public Health Approaches, Villejuif, France.
Background:
Cured meat intake-a recent carcinogenic factor-may increase the risk of COPD, but its association with asthma remains unknown. Though body mass index (BMI) is a likely risk factor for asthma, its role in the diet-asthma association as a mediator has never been studied. We investigated the association between cured meat intake and worsening asthma symptoms in adults, and the role of BMI as a potential mediator.
Methods:
Using data from the French prospective EGEA study (baseline: 2003-2007; follow-up: 2011-2013), we applied a mediation analysis in the counterfactual framework, a marginal structural model (MSM), to estimate the direct effect of baseline cured meat intake (<1, 1-3.9, ≥4 servings/week) on change in asthma symptom score (worsening or not), and the indirect effect mediated by BMI.
Results:
Among the 971 participants (mean age 43 years; 49% men; 42% with asthma), 20% reported worsening asthma symptoms during the mean follow-up time of 7 years. Using the MSM, we reported a positive direct effect of cured meat intake on worsening asthma symptoms (multivariable OR=1.76, 95% CI 1.01 to 3.06 for ≥4 vs <1 serving/week). We also reported an indirect effect mediated by BMI (OR=1.07; 95% CI 1.01 to 1.14), accounting for 14% of the total effect.
Conclusions:
Higher cured meat intake was associated with worsening asthma symptoms over time, through a direct effect and to a lesser extent an effect mediated by BMI. This research extends the effect of diet on asthma in adults.
Insights
Higher cured meat consumption is linked to worsening asthma symptoms in adults. Body mass index (BMI) partially mediates this diet-asthma link, highlighting dietary impacts on respiratory health.
Area of Science:
- Epidemiology
- Nutritional Science
- Respiratory Medicine
Background:
- Cured meat intake is a known carcinogenic factor, potentially increasing COPD risk.
- The association between cured meat consumption and asthma exacerbation is not well-established.
- The mediating role of body mass index (BMI) in the diet-asthma relationship requires investigation.
Purpose of the Study:
- To investigate the association between cured meat intake and worsening asthma symptoms in adults.
- To examine the potential mediating role of BMI in the diet-asthma symptom association.
Main Methods:
- Utilized data from the French prospective EGEA study (2003-2013).
- Applied mediation analysis using a marginal structural model (MSM) in a counterfactual framework.
- Assessed the direct effect of cured meat intake (servings/week) on asthma symptom change and the indirect effect via BMI.
Main Results:
- A significant direct effect of higher cured meat intake (≥4 servings/week) on worsening asthma symptoms was observed (OR=1.76).
- An indirect effect mediated by BMI was also found (OR=1.07), accounting for 14% of the total effect.
- 20% of participants reported worsening asthma symptoms over a 7-year follow-up.
Conclusions:
- Increased cured meat intake is associated with the worsening of asthma symptoms in adults.
- BMI partially mediates the relationship between cured meat consumption and asthma symptom exacerbation.
- Dietary patterns, including cured meat intake, significantly impact adult asthma management.
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