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ArticleIndian journal of gastroenterology : official journal of the Indian Society of Gastroenterology2026

Association between dietary advanced glycation end products and gallstone disease: A case-control study.

Leyli Zahra Bahreini Boroujeni, Fatemeh Javaheri-Tafti, Zeinab Ghaeminejad, Danial Fotros, Mehrnaz Momenan, Azita Hekmatdoost, Moloud Ghorbani, Amir Sadeghi, Zahra Yari

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Article in Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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9 authors.

Leyli Zahra Bahreini BoroujeniStudent Research Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Fatemeh Javaheri-TaftiStudent Research Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Zeinab GhaeminejadStudent Research Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Danial FotrosDepartment of Nutritional Sciences, College of Human Sciences, Texas Tech University, Lubbock, TX, 79409, USA.
Mehrnaz MomenanDepartment of Clinical Nutrition and Dietetics, Faculty of Nutrition Sciences and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Azita HekmatdoostDepartment of Clinical Nutrition and Dietetics, Faculty of Nutrition Sciences and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Moloud GhorbaniDepartment of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Amir SadeghiResearch Institute for Gastroenterology and Liver Diseases of Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Zahra YariDepartment of Nutrition Research, National Nutrition and Food Technology Research Institute and Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran. zahrayari_nut@yahoo.com.ORCID http://orcid.org/0000-0003-2796-2413

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6 · The paper itself

Abstract

BACKGROUND AND

aimsGallstone disease is a common gastrointestinal disorder involving metabolic and inflammatory pathways. Advanced glycation end products, abundant in processed foods and generated during high-temperature cooking, promote oxidative stress and inflammation, mechanisms implicated in gallstone formation. Therefore, this study investigated the association between advanced glycation end products intake and gallstone among Iranian adults.

methodsIn this case-control study, 189 newly diagnosed patients with gallstone and 342 controls were included. Dietary intake was assessed using a validated 168-item food frequency questionnaire. Dietary advanced glycation end products intake was estimated using established advanced glycation end products databases and expressed as Kilounits (Ku) per day. Multivariable logistic regression models were used to estimate odds ratios (ORs) and 95% confidence intervals (CIs) after adjustment for age, sex, body mass index, total energy intake, physical activity, smoking status and alcohol consumption.

resultsMean advanced glycation end products intake was significantly higher among gallstone cases than controls (11,027.8 ± 5903.6 vs. 9490.5 ± 4773.5 kU/day, p = 0.002). Participants in the highest quartile of advanced glycation end products had greater total energy intake and meat consumption compared with those in the lowest quartile (both p < 0.001). In the crude model, individuals in the highest quartile had twice the odds of gallstone compared with those in the lowest quartile (OR = 2.00; 95% CI = 1.20-3.34). After adjustment for potential confounders, the association remained significant (OR = 1.89; 95% CI = 1.07-3.38; p = 0.016). A significant positive trend across quartiles was observed (p for trend = 0.026).

conclusionHigher dietary advanced glycation end products were significantly associated with greater odds of gallstone. These findings suggest that reducing dietary exposure to advanced glycation end products may represent a potential nutritional strategy for gallstone prevention. Prospective studies are warranted to confirm these findings.

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Advanced glycation end productsAGEsGallstone diseaseGSD

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