Dietary Inflammatory Index (DII) – Nützlicher Wegweiser in der praktischen Beratung oder rein theoretisches Modell in der Ernährungsforschung?

2021 ◽  
Vol 46 (03) ◽  
pp. 174-185
Author(s):  
Ulrike Haß ◽  
Olivia Schütte ◽  
Kristina Franz ◽  
Kristina Norman
Keyword(s):  
Mediterranean Diet ◽  
Dietary Inflammatory Index ◽  
Mediterranean Diet Score ◽  
Inflammatory Index ◽  
Diet Score

Zusammenfassung Hintergrund Mithilfe des Dietary Inflammatory Index (DII) lässt sich das inflammatorische Potenzial einer jeweiligen Ernährungsweise charakterisieren. Voraussetzung hierfür ist das Vorliegen von ausreichend Ernährungsdaten, wie in etwa einem Verzehrfragebogen. Da der DII unabhängig von der jeweiligen Esskultur ist, kann er prinzipiell global eingesetzt werden. Aktuell gibt es keinen vergleichbaren Index, der zu diesem Zweck verwendet werden kann. Das inflammatorische Potenzial der Ernährung ist ein hochaktuelles Thema, zu dem inzwischen fast täglich neue Veröffentlichungen erscheinen. Eine nähere Betrachtung dieses noch relativ jungen Indexes ist daher sinnvoll. Material und Methoden Es wurde eine umfangreiche Literaturrecherche zur Extraktion und Evaluierung relevanter Artikel bezogen auf den DII in Pubmed ausgeführt. Für diese Übersichtsarbeit wurden initial insgesamt 352 Artikel gesichtet. Von diesen waren 128 Querschnittstudien, 103 Kohortenstudien, 83 Fallkontrollstudien, 28 Metaanalysen und 10 Interventionsstudien aus insgesamt 36 Nationen. Mithilfe der extrahierten Metaanalysen wurde eine detailliertere Zusammenfassung zum Nutzen und der klinischen Relevanz des DII als Äquivalent zum ernährungsbedingten Inflammationspotenzial gegeben. Ergebnisse und Schlussfolgerung Die Validität des DII wurde bereits vielfach überprüft. Schwierig wird die globale Vergleichbarkeit, wenn der Index in den verschiedenen Populationen mit einer unterschiedlichen Anzahl und verschiedenartigen Nahrungsparametern berechnet wurde. Nichtsdestotrotz evaluiert der Index das inflammatorische Potenzial einer gesamten Ernährungsweise und ist daher nicht begrenzt auf eine spezifische (regionale) Diät, wie es bspw. der Mediterranean Diet Score ist. Hiervon profitiert in erster Linie die grenzübergreifende Ernährungsforschung. Darüber hinaus könnte sich der DII zukünftig auch als evaluierendes Tool innerhalb der Ernährungsmedizin/-beratung als nützlich erweisen.

scholarly journals Dietary inflammatory index, Mediterranean diet score, and lung cancer: a prospective study

2016 ◽  
Vol 27 (7) ◽  
pp. 907-917 ◽  
Author(s):  
A. M. Hodge ◽  
J. K. Bassett ◽  
N. Shivappa ◽  
J. R. Hébert ◽  
D. R. English ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Prospective Study ◽  
Mediterranean Diet ◽  
Dietary Inflammatory Index ◽  
Mediterranean Diet Score ◽  
Inflammatory Index ◽  
A Prospective Study ◽  
Diet Score

scholarly journals Comparison of Different Dietary Indices as Predictors of Inflammation, Oxidative Stress and Intestinal Microbiota in Middle-Aged and Elderly Subjects

Nutrients ◽  
2020 ◽  
Vol 12 (12) ◽  
pp. 3828
Author(s):  
Sergio Ruiz-Saavedra ◽  
Nuria Salazar ◽  
Ana Suárez ◽  
Clara G. de los Reyes-Gavilán ◽  
Miguel Gueimonde ◽  
...  
Keyword(s):  
Oxidative Stress ◽  
Mediterranean Diet ◽  
Intestinal Microbiota ◽  
Healthy Eating ◽  
Healthy Eating Index ◽  
Dietary Inflammatory Index ◽  
Mediterranean Diet Score ◽  
Inflammatory Index ◽  
Diet Score ◽  
Dietary Indices

During the last decades the gut microbiota has been identified as a key mediator in the diet-health interaction. However, our understanding on the impact of general diet upon microbiota is still limited. Dietary indices represent an essential approach for addressing the link between diet and health from a holistic point of view. Our aim was to test the predictive potential of seven dietary ratings on biomarkers of inflammation, oxidative stress and on the composition and metabolic activity of the intestinal microbiota. A cross-sectional descriptive study was conducted on a sample of 73 subjects aged >50 years with non-declared pathologies. Dietary inflammatory index (DII), Empirical Dietary Inflammatory Index (EDII), Healthy Eating Index (HEI), Alternative Healthy Eating Index (AHEI), Mediterranean adapted Diet Quality Index-International (DQI-I), Modified Mediterranean Diet Score (MMDS) and relative Mediterranean Diet Score (rMED) were calculated based on a Food Frequency Questionnaire. Major phylogenetic types of the intestinal microbiota were determined by real time polymerase chain reaction (qPCR) and fecal short chain fatty acids (SCFAs) by gas chromatography. While DII, HEI, DQI-I and MMDS were identified as predictors of Faecalibacterium prausnitzii levels, AHEI and MMDS were negatively associated with Lactobacillus group. HEI, AHEI and MMDS were positively associated with fecal SCFAs. In addition, DII and EDII explained lipoperoxidation level and Mediterranean scores the serum IL-8 concentrations. The lower detection of IL-8 in individuals with higher scores on Mediterranean indices may be partially explained by the increased levels of the anti-inflammatory bacterium F. prausnitzii in such individuals.

Mediterranean Diet in patients with acute ischemic stroke: Relationships between Mediterranean Diet score, diagnostic subtype, and stroke severity index

2015 ◽  
Vol 243 (1) ◽  
pp. 260-267 ◽  
Author(s):  
Antonino Tuttolomondo ◽  
Alessandra Casuccio ◽  
Carmelo Buttà ◽  
Rosaria Pecoraro ◽  
Domenico Di Raimondo ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Acute Ischemic Stroke ◽  
Mediterranean Diet ◽  
Severity Index ◽  
Stroke Severity ◽  
Mediterranean Diet Score ◽  
Diet Score

scholarly journals The Mediterranean Diet Score and Mortality Are Inversely Associated in Adults Living in the Subarctic Region

2012 ◽  
Vol 142 (8) ◽  
pp. 1547-1553 ◽  
Author(s):  
Gianluca Tognon ◽  
Lena Maria Nilsson ◽  
Lauren Lissner ◽  
Ingegerd Johansson ◽  
Göran Hallmans ◽  
...  
Keyword(s):  
Mediterranean Diet ◽  
Subarctic Region ◽  
Mediterranean Diet Score ◽  
The Mediterranean ◽  
Diet Score

scholarly journals Alternate Mediterranean diet score is positively associated with skeletal muscle mass index in middle-aged adults

2017 ◽  
Vol 117 (8) ◽  
pp. 1181-1188 ◽  
Author(s):  
Hui-yuan Tian ◽  
Rui Qiu ◽  
Li-peng Jing ◽  
Zhan-yong Chen ◽  
Geng-dong Chen ◽  
...  
Keyword(s):  
Skeletal Muscle ◽  
Mediterranean Diet ◽  
Muscle Mass ◽  
Skeletal Muscle Mass ◽  
General Information ◽  
Whole Body ◽  
Cross Sectional ◽  
Mediterranean Diet Score ◽  
Skeletal Muscle Mass Index ◽  
Diet Score

AbstractResearches have suggested Mediterranean diet might lower the risk of chronic diseases, but data on skeletal muscle mass (SMM) are limited. This community-based cross-sectional study examined the association between the alternate Mediterranean diet score (aMDS) and SMM in 2230 females and 1059 males aged 40–75 years in Guangzhou, China. General information and habitual dietary information were assessed in face-to-face interviews conducted during 2008–2010 and 3 years later. The aMDS was calculated by summing the dichotomous points for the items of higher intakes of whole grain, vegetables, fruits, legumes, nuts, fish and ratio of MUFA:SFA, lower red meat and moderate ethanol consumption. The SMM of the whole body, limbs, arms and legs were measured using dual-energy X-ray absorptiometry during 2011–2013. After adjusting for potential covariates, higher aMDS was positively associated with skeletal muscle mass index (SMI, SMM/height2, kg/m2) at all of the studied sites in males (all Ptrend<0·05). The multiple covariate-adjusted SMI means were 2·70 % (whole body), 2·65 % (limbs), 2·50 % (arms) and 2·70 % (legs) higher in the high (v. low) category aMDS in males (all P<0·05). In females, the corresponding values were 1·35 % (Ptrend=0·03), 1·05, 0·52 and 1·20 %, (Ptrend>0·05). Age-stratified analyses showed that the favourable associations tended to be more pronounced in the younger subjects aged less than the medians of 59·2 and 62·2 years in females and males (Pinteraction>0·10). In conclusion, the aMDS shows protective associations with SMM in Chinese adults, particularly in male and younger subjects.

Abstract 13: Adherence to Various Dietary Patterns and Risk of Recurrent Coronary Heart Disease and Mortality in the REasons for Geographic and Racial Differences in Stroke (REGARDS) Study

Circulation ◽  
2017 ◽  
Vol 135 (suppl_1) ◽  
Author(s):  
James M Shikany ◽  
Monika M Safford ◽  
Joanna Bryan ◽  
PK Newby ◽  
Joshua S Richman ◽  
...  
Keyword(s):  
Racial Differences ◽  
Mediterranean Diet ◽  
Dietary Patterns ◽  
Dietary Pattern ◽  
Lower Risk ◽  
Proportional Hazards ◽  
Cox Proportional Hazards ◽  
Mediterranean Diet Score ◽  
The Mediterranean ◽  
Diet Score

Background: We have shown that the Southern dietary pattern, characterized by added fats, fried foods, organ and processed meats, and sugar-sweetened beverages, is associated with a greater risk of incident CHD in REGARDS, a national, population-based, longitudinal cohort. We sought to determine if the Southern pattern, other dietary patterns, and the Mediterranean diet score were associated with CHD events and mortality in REGARDS participants who previously reported CHD. Methods: REGARDS enrolled white and black adults aged ≥45 years between 2003-2007. Data were analyzed from 3,562 participants with CHD at baseline. Participants completed an FFQ at baseline, from which 5 dietary patterns were derived through factor analysis (Table). The Mediterranean diet score was calculated for each participant. Expert-adjudicated CHD events included myocardial infarction and CHD death. Cox proportional hazards regression was used to model the association of the dietary patterns and score with CHD events and death, adjusting for sociodemographics, lifestyle factors, energy intake, anthropometrics, and medical conditions. Results: Over 7 years of follow-up, there were 581 recurrent CHD events and 1,098 deaths. In fully-adjusted analyses, the highest quartile of adherence to the alcohol/salads pattern and highest group of the Mediterranean diet score were associated with lower risk of recurrent CHD compared to the lowest quartile/group (HR: 0.76; 95% CI: 0.59 – 0.98, HR: 0.78; 95% CI: 0.62 – 0.98, respectively). The highest quartile of adherence to the Southern pattern was associated with higher mortality (HR: 1.57; 95% CI: 1.28 – 1.91), while the highest group of the Mediterranean diet score was associated with lower mortality (HR: 0.80; 95% CI: 0.68 – 0.95). Conclusions: While the Southern dietary pattern was not related to risk of recurrent CHD, it was associated with higher mortality in REGARDS participants with existing CHD. Greater adherence to a Mediterranean diet was associated with lower risk of recurrent CHD and mortality.

scholarly journals Healthy dietary patterns from food diaries and FFQ are not associated with colorectal cancer risk: results from the UKWCS

2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Petra Jones ◽  
Janet Cade ◽  
Charlotte Evans ◽  
Neil Hancock ◽  
Darren Greenwood
Keyword(s):  
Colorectal Cancer ◽  
Cancer Risk ◽  
Mediterranean Diet ◽  
Dietary Patterns ◽  
Dietary Pattern ◽  
Colorectal Cancer Risk ◽  
Mediterranean Diet Score ◽  
Bland Altman Method ◽  
The Mediterranean ◽  
Diet Score

AbstractDietary pattern analyses have most commonly used food frequency questionnaire (FFQ) data for large population studies, whilst food diaries (FD) tend to be used with smaller datasets and followed up for shorter terms, restricting the possibility of a direct comparison. Studies comparing dietary patterns derived from two different assessment methods, in relation to diet and disease are limited. The aims of this study are to assess the agreement between dietary patterns derived from FFQ and FDs and to compare the associations between the Mediterranean dietary pattern and the World Cancer Research Fund/American Institute of Cancer Research (WCRF/AICR) dietary pattern in relation to colorectal cancer incidence.The study population included 2276 healthy middle-aged women – participants of the UK Women's Cohort Study. Energy and nutrient intakes, derived from 4-day FDs and from a 217-item FFQ were compared. A 10 and an 8-component score indicating adherence to the Mediterranean diet and to the 2007 WCRF/AICR cancer prevention recommendations respectively were generated. Agreement was assessed by weighted Kappa statistics and the Bland-Altman method. Cox regression was used to estimate hazard ratios (HRs) for colorectal cancer risk for both the FD and the FFQ patterns, for each score separately.The Bland-Altman method showed that the FFQ gave a higher energy intake compared to the FD with a bias of -525 kcal (95% CI -556, -493) between the two methods. Agreement was slight for the Mediterranean diet score (Κ = 0.15; 95% CI: 0.14, 0.16) and fair for the WCRF/AICR score (Κ = 0.38; 95% CI: 0.37, 0.39). A total of 173 incident cases of colorectal cancer were documented. In the multi-variable adjusted models, the estimates for an association with colorectal cancer were weak: HR = 0.94 (95% CI: 0.83 to 1.06) for a 1-unit increment in the Mediterranean diet score using FD and HR = 1.01 (95% CI: 0.83 to 1.24) for a 1-unit increment in the WCRF/AICR score using FD. For scores derived from the FFQ, estimates were inverse, but weak (HR = 0.80 (95% CI: 0.90 to 1.00) for a 1-unit increment in the Mediterranean diet score using FFQ and HR = 0.84 (95% CI: 0.67 to 1.05) for a 1-unit increment in the WCRF/AICR score using FFQ.There is insufficient evidence of an association of colorectal cancer risk with the Mediterranean dietary pattern or with the WCRF/AICR cancer prevention recommendations, irrespective of the dietary assessment method in this sample. Further studies with larger sample sizes, using FD for diet assessment are warranted.

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