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Meta-Analysis
. 2024 Aug 17;16(16):2747.
doi: 10.3390/nu16162747.

Dairy Consumption and Inflammatory Bowel Disease among Arab Adults: A Case-Control Study and Meta-Analysis

Anas M Almofarreh  1 , Haytham A Sheerah  2 , Ahmed Arafa  3   4 , Ahmed S Al Mubarak  5 , Aidrous M Ali  5 , Nasser M Al-Otaibi  6 , Mohammed A Alzahrani  7 , Atif R Aljubayl  8 , Mohammad A Aleid  9 , Suliman S Alhamed  9
Affiliations
Meta-Analysis

Dairy Consumption and Inflammatory Bowel Disease among Arab Adults: A Case-Control Study and Meta-Analysis

Anas M Almofarreh et al. Nutrients. .

Abstract

Background: Inflammatory bowel disease (IBD), which includes ulcerative colitis (UC) and Crohn's disease (CD), is a complex disease with increasing global incidence and prevalence. Although dairy consumption has been linked to various chronic diseases, its relationship with IBD remains uncertain. Additionally, there is a lack of data on this topic from Arab countries. This study aimed to investigate the association between dairy consumption and IBD through a case-control study among Arab populations, followed by a meta-analysis of available studies.

Method: First, we used data from 158 UC patients, 244 CD patients, and 395 controls attending a polyclinic in Riyadh, Saudi Arabia. All participants were aged ≥ 18 years. Logistic regression was used to calculate the odds ratios (ORs) and 95% confidence intervals (95% CIs) of UC and CD for individuals who reported the highest versus the lowest frequencies of dairy consumption. Next, we conducted a meta-analysis, combining our results with those from other eligible studies after searching several databases. We used the I2 statistics to examine statistical heterogeneity across studies and the regression test for funnel plot asymmetry to assess publication bias.

Results: The case-control study showed a negative association between frequent dairy consumption and UC (OR (95% CI) = 0.64 (0.41, 1.00)) but not CD (OR (95% CI) = 0.97 (0.65, 1.45)). In the meta-analysis, the highest frequencies of dairy consumption were negatively associated with both UC and CD: ORs (95% CIs) = 0.82 (0.68, 0.98) and 0.72 (0.59, 0.87), respectively. A moderate heterogeneity across studies was noticed in the UC meta-analysis (I2 = 59.58%) and the CD meta-analysis (I2 = 41.16%). No publication bias was detected.

Conclusions: Frequent dairy consumption could protect against the development of UC and CD, suggesting potential dietary recommendations in the context of IBD prevention.

Keywords: Crohn’s disease; case–control study; dairy; meta-analysis; systematic review; ulcerative colitis.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
PRISMA flowchart of the studies included in the meta-analysis.
Figure 2
Figure 2
Meta-analysis of the association between dairy consumption and ulcerative colitis.
Figure 3
Figure 3
Meta-analysis of the association between dairy consumption and Crohn’s disease.
See this image and copyright information in PMC

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