scholarly journals Greater Maternal Perceived Stress Levels Are Associated with a Higher Dietary Inflammatory Index Among Hispanic Pregnant Women

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1027-1027
Author(s):  
Karen Lindsay ◽  
Claudia Buss ◽  
Sonja Entringer ◽  
Pathik Wadhwa
Keyword(s):  
Dietary Intake ◽  
Pregnant Women ◽  
Perceived Stress ◽  
Diet Quality ◽  
Hispanic Women ◽  
Minority Group ◽  
Psychological State ◽  
Dietary Inflammatory Index ◽  
Inflammatory Index ◽  
Stress Levels

Abstract Objectives Suboptimal diet quality has been reported in Hispanic pregnant women in the US, but the potential moderating role of maternal psychological state has not been considered. The aim of this study is to test whether maternal perceived stress in pregnancy moderates the association between ethnicity and the Dietary Inflammatory Index (DII), a validated marker of the inflammatory potential of the diet. Methods N = 195 pregnant women underwent detailed assessment of diet and psychological state at the beginning of the second trimester (mean(SD) = 13(1.7) weeks). Dietary intake data from 24-hr diet recalls on 3 non-consecutive days were used to compute a mean DII score. Ecological Momentary Assessment of psychological state was performed in ambulatory settings using an electronic diary, with multiple daily entries over 4 consecutive days, from which a mean composite Perceived Stress Score (PSS) was derived. Maternal age, socioeconomic status (SES) score and self-reported pre-pregnancy body mass index (BMI) were included as covariates in the analysis of the effects of PSS, ethnicity, and PSS*ethnicity interaction on DII score. Results Hispanic pregnant women (N = 87) had higher mean DII (0.56(1.81) vs −0.001(1.82), P = 0.034) and PSS scores (1.14(0.61) vs 1.00(0.55), P = 0.093) compared to women of non-Hispanic ethnicity (N = 108). Hispanic women were also younger (26.33(6.30) vs 28.62(4.76) years, P = 0.004) and of lower SES (2.67(0.83) vs 3.62(0.86), p = <0.001), but pre-pregnancy BMI did not differ from non-Hispanic women (population mean = 26.7 (6.55) Kg/m2). There was no significant main effect of ethnicity or PSS on DII after controlling for confounding factors. However, PSS was found to moderate the relationship between ethnicity and DII (P = 0.018 for PSS*ethnicity interaction in adjusted model), such that Hispanic pregnant women consumed a more pro-inflammatory diet as perceived stress levels increased, while perceived stress had no influence on DII in non-Hispanic women. Conclusions Higher levels of perceived stress among Hispanic pregnant women may contribute to poorer quality dietary intake. The potential implications of the combined effects of poorer diet quality and higher stress levels on prenatal metabolism, inflammation and pregnancy outcomes in this minority group warrants further research. Funding Sources National Institute of Health: NICHD.

Dietary inflammatory index and healthy eating index-2015 are associated with rheumatoid arthritis

2021 ◽  
pp. 1-21
Author(s):  
Sajedeh Jandari ◽  
Negin Mosalmanzadeh ◽  
Mohammad Reza Shadmand Foumani Moghadam ◽  
Davood Soleimani ◽  
Nitin Shivappa ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Healthy Eating ◽  
Diet Quality ◽  
Odds Ratio ◽  
Dietary Habits ◽  
Healthy Eating Index ◽  
Dietary Quality ◽  
Dietary Inflammatory Index ◽  
Convenience Sample ◽  
Inflammatory Index

ABSTRACT Objective: Many arthritic patients have the belief that dietary habits can worsen or ameliorate their symptoms. Whether diet quality can modify the risk of rheumatoid arthritis (RA) is an issue of continued scientific debate and interest. Therefore, we aimed to examine the association between both overall diet quality and the overall diet inflammatory potential on the risk of RA. Design: Overall diet quality and the overall inflammatory potential of the diet were evaluated with the use of Dietary Inflammatory Index (DII) and the Healthy Eating Index (HEI)-2015, respectively. Both DII and HEI-2015 scores were calculated based on a validated semi-quantitative Food Frequency Questionnaire (FFQ). Multivariable-adjusted odds of RA were calculated across tertiles of HEI, and Energy-adjusted DII (E-DII) scores using binary logistic regression. Setting: Mashhad, Iran Participants: 50 newly diagnosed RA cases and 100 well-matched healthy people controls. Results: Individuals in the highest tertile of DII scores, indicating the most pro-inflammatory diet, were about three times more likely to have RA than those in the lowest tertile (Odds Ratio: 2.99; 95%CI: 1.08 to 8.24; P-trend:0.037), whereas individuals in the highest tertile of HEI scores, indicating more top dietary quality, had a significantly lower odds of RA than those in the lowest tertile (Odds Ratio: 0.33; 95%CI: 0.12 to 0.87; P-trend:0.024). Conclusion: Our findings show that E-DII and HEI-2015 are positively and negatively associated, respectively, with the odds of RA in a convenience sample of Iranians. These results highlight the importance of overall diet quality in modulating the risk of RA.

Diet quality, dietary inflammatory index and body mass index as predictors of response to adjunctive N-acetylcysteine and mitochondrial agents in adults with bipolar disorder: A sub-study of a randomised placebo-controlled trial

2019 ◽  
Vol 54 (2) ◽  
pp. 159-172 ◽  
Author(s):  
Melanie M Ashton ◽  
Olivia M Dean ◽  
Wolfgang Marx ◽  
Mohammadreza Mohebbi ◽  
Michael Berk ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Diet Quality ◽  
Combination Treatment ◽  
Bipolar Depression ◽  
Controlled Trial ◽  
Depression Symptoms ◽  
Dietary Inflammatory Index ◽  
Inflammatory Index ◽  
Predictors Of Response

Aims: We aimed to explore the relationships between diet quality, dietary inflammatory potential or body mass index and outcomes of a clinical trial of nutraceutical treatment for bipolar depression. Methods: This is a sub-study of a randomised controlled trial of participants with bipolar depression who provided dietary intake data ( n = 133). Participants received 16 weeks adjunctive treatment of either placebo or N-acetylcysteine-alone or a combination of mitochondrial-enhancing nutraceuticals including N-acetylcysteine (combination treatment). Participants were followed up 4 weeks post-treatment discontinuation (Week 20). Diet was assessed by the Cancer Council Victoria Dietary Questionnaire for Epidemiological Studies, Version 2, converted into an Australian Recommended Food Score to measure diet quality, and energy-adjusted dietary inflammatory index score to measure inflammatory potential of diet. Body mass index was also measured. Generalised estimating equation models were used to assess whether diet quality, energy-adjusted dietary inflammatory index score and/or body mass index were predictors of response to significant outcomes of the primary trial: depression symptoms, clinician-rated improvement and functioning measures. Results: In participants taking combination treatment compared to placebo, change in depression scores was not predicted by Australian Recommended Food Score, dietary inflammatory index or body mass index scores. However, participants with better diet quality (Australian Recommended Food Score) reported reduced general depression and bipolar depression symptoms ( p = 0.01 and p = 0.03, respectively) and greater clinician-rated improvement ( p = 0.02) irrespective of treatment and time. Participants who had a more anti-inflammatory dietary inflammatory index had less impairment in functioning ( p = 0.01). Combination treatment may attenuate the adverse effects of pro-inflammatory diet ( p = 0.03) on functioning. Participants with lower body mass index who received combination treatment ( p = 0.02) or N-acetylcysteine ( p = 0.02) showed greater clinician-rated improvement. Conclusion: These data support a possible association between diet (quality and inflammatory potential), body mass index and response to treatment for bipolar depression in the context of a nutraceutical trial. The results should be interpreted cautiously because of limitations, including numerous null findings, modest sample size and being secondary analyses.

scholarly journals The association between perceived stress and diet quality in women of childbearing age: A systematic review

2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Karim Khaled ◽  
Vanora Hundley ◽  
Fotini Tsofliou
Keyword(s):  
Systematic Review ◽  
Factor Analysis ◽  
Dietary Intake ◽  
Psychological Stress ◽  
Perceived Stress ◽  
Healthy Eating ◽  
Diet Quality ◽  
Healthy Eating Index ◽  
Women Of Childbearing Age ◽  
Childbearing Age

AbstractPoor diet quality is a major cause of maternal obesity and associated with adverse metabolic effects for mother and offspring. Psychological stress can increase intake of unhealthy dietary choices (e.g. highly palatable, energy dense diet), but no study has investigated the association between stress and diet quality in women of childbearing age.This systematic review of the association between psychological stress and diet quality used the PEO (Population, Exposure, and Outcome) model.Medline, CINAHL, Scopus, Cochrane Library, Web of Science, and Sciencedirect were searched (October 2018 - January 2019). From 139,552 hits, 471 papers were screened, but only 8 studies met our inclusion criteria: English language, stress (exposure) measured in combination with diet quality (outcome), healthy women (18–49 years of age (population). Data extraction was determined by the PEO. Quality assessment used CASP tool for Cohort studies.The review included eight studies from USA (n = 6), Egypt (n = 1), and Iran (n = 1). The six cross-sectional and two longitudinal studies were published between 2011 and 2017 and had a total of 3,982 participants. Studies were heterogeneous in methods: three used food frequency questionnaires to assess dietary intake while the others used 24-hour dietary recalls. Diet quality was measured using different indices: Alternate Healthy Eating Index (n = 2), Healthy Eating Index (n = 2), Dietary Approach to Stop Hypertension (DASH) Diet Index (n = 2), Dietary Quality Index- Pregnancy (n = 2), and Dietary Guideline Adherence Index (n = 1). Only one study used three diet quality indices. No study explored dietary patterns using factor analysis and other statistical techniques. Most studies used the perceived stress scale to measure stress; however, there were differences regarding the use of this scale to form a continuous or categorical variable (with varying cut-off scores) perceived stress, whereas no study reported biological response to stress. Outcomes also varied in direction of association; no association (n = 4), negative association (n = 3), mixed results (n = 1).This review is the first to systematically examine association between stress and diet quality in women of childbearing age; there was heterogeneity in measures of diet quality and study designs. Future studies that explore diet quality/patterns should include both diet indices and factor analysis and additionally measure biological markers of both dietary intake and stress.

scholarly journals No Effect of the Dietary Inflammatory Index on Psychological Health During Caloric Restriction: A Secondary Analysis of the CALERIE Trial Data

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 567-567
Author(s):  
Rachel Silver ◽  
Susan Roberts ◽  
Elena Naumova ◽  
Kenneth Chui ◽  
Arthur Kramer ◽  
...  
Keyword(s):  
Health Outcomes ◽  
Caloric Restriction ◽  
Perceived Stress ◽  
Psychological Health ◽  
General Health ◽  
Secondary Analysis ◽  
Control Group ◽  
Dietary Inflammatory Index ◽  
Inflammatory Index ◽  
Anti Inflammatory

Abstract Objectives Anti-inflammatory diets have been suggested to improve psychological health. This research evaluated the combined effects of consuming an anti-inflammatory diet and caloric restriction (CR) on changes in perceived stress and health-related quality of life in a healthy, non-obese population. Methods We conducted a secondary analysis of the publicly available CALERIE data. Participants were randomized to a 2 year CR intervention (n = 143) or an ad libitum Control group (n = 75) and self-selected their dietary intake. An energy-adjusted dietary inflammatory index (DII) was calculated based on 28 components from self-reported food records. Self-reported stress and general health outcomes were measured using validated questionnaires. Linear mixed models were used to assess changes in each outcome from baseline to 12 and 24 months. Models were adjusted for age, sex, baseline outcome measure, change in body fat, and a treatment by DII interaction term. Results On average, participants were 38.1 ± 7.2 years old with a BMI of 25.1 ± 1.7 kg/m2. Baseline characteristics, including the DII, stress, and general health, did not differ with randomization. There was no significant association between temporal changes in DII and changes in stress or general health in the CR or Control groups. On average, both groups tended to report higher stress at 12 months; however, there was no difference in perceived stress between groups (adjusted mean difference [MD]: 0.5; 95% confidence interval [CI]: −0.4, 1.5; P = 0.25). There was an improvement in reported general health in the CR group at 12 months (MD: 4.1; 95% CI: 2.2, 6.0; P < 0.001), but not in Controls (MD: 1.6; 95% CI: −1.2, 4.3; P = 0.26). Yet self-reported general health was similar both groups (MD: 2.5; 95% CI: −1.3, 6.3; P = 0.16). The effect of a CR intervention on both outcomes did not differ with change in DII. Similar results were observed at 24 months. Conclusions There was no indication of any contribution of a low DII score on perceived stress and general health in the presence of CR. Additional research is required to enhance our understanding of the implications of dietary inflammation on a broad range of psychological health outcomes. Funding Sources Jean Mayer USDA Human Nutrition Research Center on Aging Doctoral Scholarship; USDA agreement #8050–51,000-105–01S.

scholarly journals Relationship among Periodontal Disease, Insulin Resistance, Salivary Cortisol, and Stress Levels during Pregnancy

2016 ◽  
Vol 27 (2) ◽  
pp. 123-127 ◽  
Author(s):  
Ana Paula Castilho Garcia Seraphim ◽  
Fernando Yamamoto Chiba ◽  
Renato Felipe Pereira ◽  
Maria Sara de Lima Coutinho Mattera ◽  
Suzely Adas Saliba Moimaz ◽  
...  
Keyword(s):  
Insulin Resistance ◽  
Periodontal Disease ◽  
Pregnant Women ◽  
Perceived Stress ◽  
Salivary Cortisol ◽  
Cortisol Concentration ◽  
Systemic Complications ◽  
Periodontal Condition ◽  
Significant Difference ◽  
Stress Levels

Abstract Pregnancy is a period involving important metabolic changes that enable the maintenance of the mother's health and development of the fetus. This study aimed to assess the relationship among periodontal disease, insulin resistance, salivary cortisol concentration and level of perceived stress in pregnant women. This was a cross-sectional study. The sample comprised 96 pregnant women between the fifth and seventh month of pregnancy registered at the Basic Health Units of the Unified Health System (SUS). The periodontal condition was assessed after obtainment free and informed consent from the participants. Participants were divided into three groups: control subjects with a healthy periodontal condition (CN; n=46), patients with gingivitis (GI; n=26), and patients with periodontitis (PI; n=24). Saliva and blood samples were collected for evaluation of salivary cortisol concentration, glycemia, insulinemia and Homeostasis Model Assessment-Insulin Resistance index. A validated survey for the assessment of perceived stress levels was also performed. PI group showed significantly higher (p<0.05) blood glucose levels (CN: 4.43±0.05; GI: 4.46±0.04; PI: 4.68±0.08), insulinemy (CN: 6.93±0.45; GI: 8.87±0.79; PI: 12.77±1.30), insulin resistance (CN: 1.40±0.10; GI: 1.81±0.18; PI: 2.66±0.29) compared with the CN and GI groups. The levels of perceived stress were higher (p<0.05) in PI and GI groups when compared to CN group (CN: 20.5±1.26; GI: 25.8±1.95; PI: 26.6±1.36). There was no significant difference in the concentration of salivary cortisol between the groups (CN: 11.13±0.58; GI: 11.96±0.74; PI: 11.47±0.74). It was concluded that there is a relationship between higher levels of perceived stress, insulin resistance and the occurrence of periodontal disease during pregnancy. This study emphasizes the importance of preventing periodontitis in order to avoid insulin resistance and stress during pregnancy since these can cause systemic complications for the mother and the fetus.

Dietary inflammatory index and parameters of diet quality in normal weight and obese patients undergoing hemodialysis

Nutrition ◽  
2019 ◽  
Vol 61 ◽  
pp. 32-37 ◽  
Author(s):  
Elham Alipoor ◽  
Razieh Karimbeiki ◽  
Nitin Shivappa ◽  
Mehdi Yaseri ◽  
James R. Hebert ◽  
...  
Keyword(s):  
Diet Quality ◽  
Normal Weight ◽  
Obese Patients ◽  
Dietary Inflammatory Index ◽  
Inflammatory Index

Dietary and serum vitamin D and preeclampsia risk in Chinese pregnant women: a matched case–control study

2021 ◽  
pp. 1-26
Author(s):  
Xue-min Huang ◽  
Yan-hua Liu ◽  
Han Zhang ◽  
Yuan Cao ◽  
Wei-feng Dou ◽  
...  
Keyword(s):  
Vitamin D ◽  
Dietary Intake ◽  
Pregnant Women ◽  
Case Control Study ◽  
Serum Levels ◽  
Case Control ◽  
Serum Concentrations ◽  
Matched Case ◽  
Matched Case Control Study ◽  
Control Study

Abstract The effect of vitamin D (VD) on the risk of preeclampsia (PE) is uncertain. Few of previous studies focused on the relationship between dietary VD intake and PE risk. Therefore, we conducted this 1:1 matched case-control study to explore the association of dietary VD intake and serum VD concentrations with PE risk in Chinese pregnant women. A total of 440 pairs of participants were recruited during March 2016 to June 2019. Dietary information was obtained using a 78-item semi-quantitative food frequency questionnaire. Serum concentrations of 25(OH)D2 and 25(OH)D3 were measured by liquid chromatography–tandem mass spectrometry. Multivariate conditional logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals (CIs). Restricted cubic splines (RCS) were plotted to evaluate the dose-response relationship of dietary VD intake and serum VD concentrations with PE risk. Compared with the lowest quartile, the ORs of the highest quartile were 0.45 (95%CI: 0.29-0.71, Ptrend = 0.001) for VD dietary intake and 0.26 (95%CI: 0.11-0.60, Ptrend = 0.003) for serum levels after adjusting for confounders. In addition, the RCS analysis suggested a reverse J-shaped relationship between dietary VD intake and PE risk (P-nonlinearity = 0.02). A similar association was also found between serum concentrations of total 25(OH)D and PE risk (P-nonlinearity = 0.02). In conclusion, this study provides evidence that higher dietary intake and serum levels of VD are associated with the lower risk of PE in Chinese pregnant women.

Association between Dietary Inflammatory Index and kidney stones in US adults: Data from the NHANES 2007-2016

2021 ◽  
pp. 1-27
Author(s):  
Chichen Zhang ◽  
Shi Qiu ◽  
Haiyang Bian ◽  
Bowen Tian ◽  
Haoyuan Wang ◽  
...  
Keyword(s):  
National Health ◽  
Kidney Stones ◽  
Primary Outcome ◽  
Secondary Outcome ◽  
Nutrition Examination Survey ◽  
Dietary Inflammatory Index ◽  
Inflammatory Index ◽  
Health And Nutrition ◽  
Multivariate Adjustment ◽  
Increased Risk

Abstract Objective: We evaluate the association between the Dietary Inflammatory Index (DII) and kidney stones. Design: We performed a cross-sectional analysis using data from National Health and Nutrition Examination Survey. Dietary intake information was assessed using first 24-HR dietary recall interviews, and the Kidney Conditions was presented by questionnaire. The primary outcome was to investigate the association between DII and incidence of kidney stones, and the secondary outcome was to assess the association between DII and nephrolithiasis recurrence. Setting: The National Health and Nutrition Examination Survey (NHANES), 2007-2016. Participants: The study included 25984 NHANES participants, whose data on DII and kidney stones were available, of whom 2439 reported a history of kidney stones. Results: For the primary outcome, after fully multivariate adjustment, DII score is positively associated with the risk of kidney stones (OR = 1.07; 95% CI: [1.04–1.10]). Then, compared Q4 with Q1, a significant 38% increased likelihood of nephrolithiasis was observed. (OR=1.38; 95% CI: [1.19–1.60]). For the secondary outcome, the multivariate regression analysis showed that DII score is positively correlated with nephrolithiasis recurrence (OR=1.07; 95% CI: [1.00–1.15]). The results noted that higher DII scores (Q3 and Q4) are positively associated with a significant 48% and 61% increased risk of nephrolithiasis recurrence compared with the reference after fully multivariate adjustment. (OR=1.48; 95% CI: [1.07–2.05]; OR=1.61; 95% CI: [1.12–2.31]). Conclusions: Our findings revealed that increased intake of pro-inflammatory diet, as a higher DII score, is correlated with increased odds of kidney stones incidence and recurrence.

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