scholarly journals Clustering of lifestyle risk factors among Algerian adolescents: Comparison between urban and rural area

2021 ◽  
Author(s):  
Fatima alzahra Hasan Yakti ◽  
Hissa Al-Mannai ◽  
Dana Saad ◽  
Abdelhamid Kerkadi ◽  
Grace Attieh ◽  
...  
Keyword(s):  
Risk Factors ◽  
Urban Area ◽  
Rural Area ◽  
Physical Inactivity ◽  
Fruits And Vegetables ◽  
Positive Association ◽  
Negative Association ◽  
Design Data ◽  
Significant Positive Association ◽  
Cross Sectional

Background: Lifestyle behavior risk factors (LBRs) such as sedentary behavior, physical inactivity, smoking, unhealthy eating patterns and being overweight/obese play a major role in the development or prevention of NCDs. Objective: Compare the clustering of LBRs between urban and rural Algerian adolescents. We expect differences in LBRs between urban and rural area. Design: Data of this cross-sectional study was derived from GSHS. Self-administered, anonymous questionnaire was filled out by 4532 adolescents (11–16 years), which addressed LBRs of NCDs. LBRs clustering was measured by the ratios of observed (O) and expected (E) prevalence of one or more simultaneously occurring LBRs for urban and rural area separately. Multivariate logistic regression was performed to examine the association of LBRs as dependent variable with demographic variables (location, age, gender). Results: The most common LBR was physical inactivity (84.6%: 50.9% for urban and 49.1% for rural). Adolescents in urban area had a higher prevalence of two (56.8% vs. 43.2%) and three and more (61.3 vs. 38.7%) LBRs than rural. In urban area, a significant positive association was found between: (low fruits and vegetables + physical inactivity) [2.06 (1.61-2.64)] and (high SB + smoking) [2.10 (1.54-2.76)], while (physical inactivity + high SB) [0.70 (0.54-0.91)] showed a significant negative association. In rural area, (high SB + overweight/obesity) [1.49 (1.09-2.04)] had a significant positive association. While, (low fruits and vegetables + high SB) [0.75 (0.60-0.94)], (physical inactivity + high SB) [0.65 (0.49-0.86)] and (physical inactivity + smoking) [0.70 (0.49-0.99)] had a negative association. Conclusions: Several socio-demographic factors have been identified to play a role in LBRs clustering among Algerian adolescents. Results of the study suggest the development of intervention aiming to tackle different LBRs rather than focusing on a single LBR.

Perceived Overprotection and Its Association With Quality of Life in Dementia

GeroPsych ◽  
2019 ◽  
Vol 32 (3) ◽  
pp. 125-134
Author(s):  
Mechthild Niemann-Mirmehdi ◽  
Andreas Häusler ◽  
Paul Gellert ◽  
Johanna Nordheim
Keyword(s):  
Quality Of Life ◽  
Patient Autonomy ◽  
Positive Association ◽  
Well Being ◽  
Negative Association ◽  
Significant Positive Association ◽  
Cross Sectional ◽  
People With Dementia ◽  
Mental Well Being

Abstract. To date, few studies have focused on perceived overprotection from the perspective of people with dementia (PwD). In the present examination, the association of perceived overprotection in PwD is examined as an autonomy-restricting factor and thus negative for their mental well-being. Cross-sectional data from the prospective DYADEM study of 82 patient/partner dyads (mean age = 74.26) were used to investigate the association between overprotection, perceived stress, depression, and quality of life (QoL). The analyses show that an overprotective contact style with PwD has a significant positive association with stress and depression, and has a negative association with QoL. The results emphasize the importance of avoiding an overprotective care style and supporting patient autonomy.

scholarly journals Mental Stress and Multiple Risk Factors of Cardiovascular Diseases with Regional Variations in Women of Urban and Rural Areas of Sindh, Pakistan

2021 ◽  
Vol 6 (2) ◽  
Keyword(s):  
Risk Factors ◽  
Urban Area ◽  
Rural Area ◽  
Psychological Stress ◽  
Rural Women ◽  
Rural Population ◽  
Urban Areas ◽  
Mental Stress ◽  
Physical Inactivity ◽  
Urban Population

Introduction: The high prevalence of risk factors in women in developing countries of South Asia appears to have been translated into early and severe CHD in contrast to their counterpart in the first world nations, which has been related to obesity and insulin resistance and genetically determined increased lipoprotein Lp(a) levels. Mental stress due to urbanization, sedentary life style and physical inactivity may be the most important factor initiating obesity and the clustering of all other risk factors hypertension, dyslipidaemia and (WHR). These risk factors vary in different regions of South Asia. Aims and Objectives: Our aim of the study was to describe and analyse differences between the frequency of risk factors such as psychological stress due to, socio-economical aspects, life style especially physical activity, and health behaviours which may contribute in the course of CAD in women of both rural and urban areas of Pakistan because no such significant data is available in women with CAD. Study Design: This descriptive cross-sectional comparative study was conducted in Cardiology Department of Dow University of Health and Sciences Karachi, Pakistan, from March 2014 to March 2016 by filling a questionnaire and laboratory data. The study group comprised female subjects around 577 (Urban 347 {60.1%} and Rural 230 {39.9%}) women ranged from 25-65 years of age who underwent coronary angiography and had definite coronary atherosclerotic diseases. Our study was conducted by examining the psychological stress in women of both areas and its strength of association with frequency of other risk factors in female patients of urban and rural areas with definite CHD taking account the difference in age and education level into account. Result: Analysis of this study conducted at department of Cardiology in Dow University Karachi from March 2014 to March 2017 revealed that the women of rural area were comparatively more physically active then women of urban area. Prevalence of mental stress, hypertension, diabetes, obesity, higher BMI, hyperlipidaemia (especially TC) waist and hip circumference of both areas were found to be different after adjustment made for age. A considerable association was found between psychological stress and other factors in ischemic heart disease patients showing the p-value (p=0.043). Psychological stress was found 82% in both groups and (13%) women had no stress rated as normal more in rural (26%) vs (04%) in urban population. Physical inactivity in women with CHD was found in 92% urban in contrast to 45% in rural population, (p=0.009). Hypertension prevalence was more in urban 253 in comparison to 151 women in rural area. Diabetes Mellitus was also found more in urban than rural population, especially in age below 50, 79 (23%) urban vs 60 (26%) in rural population. Women beyond 50 years of age, 85 (24%) urban vs 64 (27%) rural area had prevalence of obesity comparatively higher in urban residents 71 (20%) than 44(%) in rural dwellers and 32 (9%) urban vs 16 (7%) in rural women in age range below 50 years. Higher waist circumstance was observed more in urban residents (4.8 cm) whereas BMI was more (1.8 unit) in women of rural area than urban women. Prevalence of smoking and nicotine chewing was relatively higher in urban population in below 50 years of age with 30 (09%) urban vs 13 (05%) in rural women and in age beyond 50, 11 (03%) urban vs 10 (04%) in rural women was witnessed. Average total cholesterol, serum triglycerides and LDL were found to be higher in urban compared to rural area residents and HDL was comparatively lower in urban area group. Mean cholesterol level was seen at average of 353 mg% in urban vs 223 mg% in rural population. Serum cortisol level showed significant variation in urban group 19.1 vs 14.2 in rural group (sample, as well as serum fibrinogen was raised more raised in urban population). Conclusion: Our study shows increased prevalence of mental stress and physical inactivity in female residents of urban area leading to Higher blood pressure, DM, dyslipidaemia and central obesity specially in Waist circumference than rural area. The mental stress induced by excessive demands of work at home and at working place with too little control is not unique to women of urban areas.

scholarly journals P119 Average percent fat is associated with decreased bone mineral density at the hip but increase at the spine longitudinally, where weight shows a positive association at all anatomical locations

Rheumatology ◽  
2021 ◽  
Vol 60 (Supplement_1) ◽  
Author(s):  
Charles Thurston ◽  
Jemma Kerns ◽  
Frank Dondelinger ◽  
Alison Hale ◽  
Marwan Bukhari
Keyword(s):  
Risk Factors ◽  
Bone Mineral Density ◽  
Body Composition ◽  
Positive Association ◽  
Mixed Effects ◽  
Negative Association ◽  
Mineral Density ◽  
Significant Positive Association ◽  
Composite Measures ◽  
Left And Right

Abstract Background/Aims  Body composition changes are associated with changes in bone mineral density (BMD). Composite measures of body compartments, such as weight and body mass index (BMI) have a positive association with BMD. The aim was to study average percent fat from dual energy X-ray absorptiometry (DEXA) as a potentially useful clinical measurement. Methods  BMD data in grams/cenitmetre2 was collected from DEXA scans after referral from secondary care to the Royal Lancaster Infirmary from 2004-2010. BMD data related to the left and right hip (the neck, Ward’s area, trochanter, and total hip), and the spine (L1-L4) was measured. Data was collected longitudinally, and BMD in g/cm2 was modelled at the regions of the hip and spine using mixed effects linear models. Average percent fat and weight (kg) were used as explanatory variables, whilst adjusting for age at scan, gender, and other risk factors such as FRAX risk factors. Results  7910 patients (88% female) were included, all with average percent fat and weight measurements. The results of the models (Table 1) all have a P value<0.05. Average percent fat had a significant negative association at all regions of the left and right hip, but a significant positive association at the spine. Weight showed a significant positive association with BMD at the hip and spine. P119 Table 1:Effect size estimates from mixed effects models of BMD at regions of the hip, and the spine.Anatomical locationEffect size estimate for average percent fat (95% confidence intervals)Effect size estimate for weight (95% confidence intervals)Left neck-6.63x10-4 (-9.69x10-4, -3.56x10-4)2.07x10-3 (1.91x10-3, 2.23x10-3)Left total-1.03x10-3 (-1.32x10-3, -7.41x10-4)3.45x10-3 (3.29x10-3, 3.61x10-3)Left Ward’s-1.07x10-3 (-1.38x10-3, -7.65x10-4)1.85x10-3 (1.69x10-3, 2.02x10-3)Left trochanter-1.15x10-3 (-1.46x10-3, -8.47x10-4)3.65x10-3 (3.48x10-3, 3.81x10-3)Right neck-6.91x10-4 (-9.94x10-4, -3.88x10-4)1.97x10-3 (1.81x10-3, 2.14x10-3)Right total-1.19x10-3 (-1.48x10-3, -8.96x10-4)3.39x10-3 (3.23x10-3, 3.55x10-3)Right Ward’s-1.07x10-3 (-1.38x10-3, -7.65x10-4)1.85x10-3 (1.69x10-3, 2.02x10-3)Right trochanter-1.19x10-3 (-1.52x10-3, -8.72x10-4)3.65x10-3 (3.39x10-3, 3.73x10-3)Spine (averaged L1-L4)1.76x10-3 (1.46x10-3, 2.05x10-3)1.42x10-3 (1.16x10-3, 1.68x10-3) Conclusion  The negative association seen with average percent fat at the hip could reflect the potential negative endocrine effects of fat, and the effect of localized inflammation at the hip. Increased adiposity is also linked to sarcopenia, and further body compositional changes. However, the potential negative effects of increased adiposity at the abdomen and spine are potentially overridden by the increased biomechanical loading generated by the increased adiposity, highlighted by weight’s positive association with BMD at the spine. The average percent fat results are not mirrored with weight at the hip. This highlights that composite measures are not specific enough to measure changes in body composition compartments, and their resulting change in risk related to BMD. Disclosure  C. Thurston: None. J. Kerns: None. F. Dondelinger: None. A. Hale: None. M. Bukhari: None.

scholarly journals Risk Factors for Cardiovascular Diseases Among Urban Schoolchildren from Affluent Families

2018 ◽  
Vol 43 (1) ◽  
pp. 26-30
Author(s):  
Dilruba Ahmed
Keyword(s):  
Risk Factors ◽  
Cardiovascular Diseases ◽  
Physical Inactivity ◽  
Fruits And Vegetables ◽  
Postgraduate Education ◽  
Cross Sectional Study ◽  
Moderate Physical Activity ◽  
Cross Sectional ◽  
And Gender ◽  
Vegetables And Fruits

Smoking, physical inactivity, obesity, raised blood pressure, low dietary intake of vegetables and fruits have been identified as risk factors for cardiovascular diseases. The study was aimed to find out the extent of risk factors for cardiovascular diseases among adolescent schoolchildren from affluent families of Dhaka city. This cross sectional study was done among 386 students of two English medium high schools during July 2006 to June 2007. Sixty one percent of the sample was boys. The children were of 10-18 years age group (mean=13.5 years). Half of the parents had postgraduate education, fathers mostly businessmen and service holders and mothers were housewives. Moderate physical inactivity at leisure was found among 51% of the study population. Association between moderate physical activity (MPA) at leisure and gender was statistically significant (p <0.001). Furthermore, 34% of the children spent 3 hours or more watching TV and /or using computer in a day. A little over 16% of the children were overweight and 8.5% obese. ‘Ever smoked’ were 16.5% males and 4.0% females. Association between ever smoked and gender was statistically significant (p <0.001). Moreover, 51% children took fruits and 69% took vegetables daily in their diet. Association between intake of fruits and vegetables and gender was not significant. Considering the high level of cardiovascular risk factors among adolescents, in terms of inactivity, overweight, obesity and smoking, population-wide life-style interventions specially focused on adolescents are thus recommended.

scholarly journals Can Anhedonia Be Considered a Suicide Risk Factor? A Review of the Literature

Medicina ◽  
2019 ◽  
Vol 55 (8) ◽  
pp. 458 ◽  
Author(s):  
Bonanni ◽  
Gualtieri ◽  
Lester ◽  
Falcone ◽  
Nardella ◽  
...  
Keyword(s):  
Suicidal Behavior ◽  
Affective Disorders ◽  
Suicide Attempts ◽  
Positive Association ◽  
Negative Association ◽  
Schizophrenia Spectrum Disorders ◽  
Post Traumatic Stress ◽  
Significant Positive Association ◽  
Search Terms ◽  
Schizophrenia Spectrum

Background and Objectives: At present, data collected from the literature about suicide and anhedonia are controversial. Some studies have shown that low levels of anhedonia are associated with serious suicide attempts and death by suicide, while other studies have shown that high levels of anhedonia are associated with suicide. Materials and Methods: For this review, we searched PubMed, Medline, and ScienceDirect for clinical studies published from 1 January 1990 to 31 December 2018 with the following search terms used in the title or in the abstract: “anhedonia AND suicid*.” We obtained a total of 155 articles; 133 items were excluded using specific exclusion criteria, the remaining 22 articles included were divided into six groups based on the psychiatric diagnosis: mood disorders, schizophrenia spectrum disorders, post-traumatic stress disorder (PTSD), other diagnoses, attempted suicides, and others (healthy subjects). Results: The results of this review reveal inconsistencies. Some studies reported that high anhedonia scores were associated with suicidal behavior (regardless of the diagnosis), while other studies found that low anhedonia scores were associated with suicidal behavior, and a few studies reported no association. The most consistent association between anhedonia and suicidal behavior was found for affective disorders (7 of 7 studies reported a significant positive association) and for PTSD (3 of 3 studies reported a positive association). In the two studies of patients with schizophrenia, one found no association, and one found a negative association. For patients who attempted suicide (undiagnosed), one study found a positive association, one a positive association only for depressed attempters, and one a negative association. Conclusions: We found the most consistent positive association for patients with affective disorders and PTSD, indicating that the assessment of anhedonia may be useful in the evaluation of suicidal risk.

scholarly journals The prevalence of risk factors associated with non-communicable diseases in Afghan refugees in southern Iran: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Erfan Taherifard ◽  
Mohammad Javad Moradian ◽  
Ehsan Taherifard ◽  
Abdolrasool Hemmati ◽  
Behnaz Rastegarfar ◽  
...  
Keyword(s):  
Risk Factors ◽  
Tobacco Smoking ◽  
Physical Inactivity ◽  
Vegetable Intake ◽  
Vegetable Consumption ◽  
Communicable Diseases ◽  
Cross Sectional ◽  
Non Communicable Diseases ◽  
Afghan Refugees ◽  
Southern Iran

Abstract Background Refugees are highly vulnerable to many health-related risks. Monitoring non-communicable diseases (NCDs) is of overriding importance in these populations. This study aimed to investigate the prevalence of risk factors for NCDs amongst Afghan refugees in a refugee camp located in southern Iran. Methods This cross-sectional sturdy was conducted in 2018. Risk factors such as inadequate nutrition, physical inactivity, tobacco smoking, obesity and overweight, hypertension (HTN), elevated fasting plasma glucose (FPG), and dyslipidaemia were assessed. Data were gathered with a modified WHO STEPS procedure. Prevalence and age-standardized prevalence and their 95% confidence intervals (CI) were estimated. Results The estimated prevalence were 94% for inadequate fruit/vegetable consumption, 18% for physical inactivity, 9% for tobacco smoking, 3% for FPG, 20% for HTN, 51% for central obesity, 24% for overweight, 19% for obesity, and 69% for dyslipidaemia. Conclusions Except for inadequate fruit and vegetable intake and dyslipidaemia, the prevalence of other NCD risk factors was low among Afghan refugees in Iran. Raising awareness about healthy diet and its importance and the provision of more affordable fruit and vegetables are two effective measures toward improving the health of refugees in Iran.

scholarly journals Removable denture is a risk indicator for peri-implantitis and facilitates expansion of specific periodontopathogens: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jasmin Grischke ◽  
Szymon P. Szafrański ◽  
Uthayakumar Muthukumarasamy ◽  
Susanne Haeussler ◽  
Meike Stiesch
Keyword(s):  
Bacterial Species ◽  
Positive Association ◽  
Cross Sectional Study ◽  
Risk Indicators ◽  
Risk Indicator ◽  
Sectional Study ◽  
Significant Positive Association ◽  
Cross Sectional ◽  
Linear Discriminant ◽  
Removable Denture

Abstract Background The prevalence of peri-implantitis ranges between 7 and 38.4% depending on risk indicators such as smoking, diabetes mellitus, lack of periodontal maintenance program, and history or presence of periodontitis. Currently, the possible effect of the type of superstructure on peri-implant health is unclear. This cross-sectional study aims to investigate the influence of the superstructure on the prevalence of peri-implant mucositis, peri-implantitis and peri-implant dysbiosis. Methods During a 32-month recruitment period dental implants were assessed to diagnose healthy peri-implant tissues, mucositis or peri-implantitis. The study included 1097 implants in 196 patients. Out of all peri-implantitis cases 20 randomly chosen submucosal biofilms from implants with fixed denture (FD) originating from 13 patients and 11 biofilms from implants with removable dentures (RD) originating from 3 patients were studied for microbiome analysis. Composition of transcriptionally active biofilms was revealed by RNAseq. Metatranscriptomic profiles were created for thirty-one peri-implant biofilms suffering from peri-implantitis and microbiome changes associated with superstructure types were identified. Results 16.41% of the implants were diagnosed with peri-implantitis, 25.00% of implants with RD and 12.68% of implants with FD, respectively. Multivariate analysis showed a significant positive association on patient (p =  < 0.001) and implant level (p = 0.03) between the prevalence of peri-implantitis and RD. Eight bacterial species were associated either with FD or RD by linear discriminant analysis effect size method. However, significant intergroup confounders (e.g. smoking) were present. Conclusions Within the limitations of the present work, RDs appear to be a risk indicator for peri-implantitis and seem to facilitate expansion of specific periodontopathogens. Potential ecological and pathological consequences of shift in microbiome from RDs towards higher activity of Fusobacterium nucleatum subspecies animalis and Prevotella intermedia require further investigation.

scholarly journals Behavioural risk factors in university students in Bucaramanga, Colombia

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
R Martinez-Rueda ◽  
M A Camacho ◽  
I J Díaz
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Fruits And Vegetables ◽  
Protective Factor ◽  
Sedentary Time ◽  
Communicable Diseases ◽  
Activity Levels ◽  
Cross Sectional ◽  
Non Communicable Diseases ◽  
Behavioural Risk Factors

Abstract Background The changes generated in the studentś lifestyle due to the academic demands, may favour the prevalence of risk factors for non-communicable diseases as well as compromise other domains of their life. The purpose of this study was to establish the prevalence of behavioural risk factors in students of the Professional in Physical Activity and Sports program of a University in Bucaramanga, Colombia. Methods A cross-sectional study with a sample of 189 students was conducted. The students were surveyed with the first step of the STEPs questionnaire, which evaluates the behavioural risk factors for non-communicable diseases. A descriptive data analysis was performed, and Pearson tests were applied to determine the correlation between the analysed variables with a level of significance α = 0.05 using STATA 13.0. Results 80% of the participants were men. The age average was 22.7 ± 3.85 years. Regarding tobacco use, 10.1% of the participants were current smokers, while 30% smoked before. The majority of the participants (92.2%) have consumed alcohol within the past 12 months, while 69.8% consumed alcohol within the last month, with 8.7% of hazardous drinking. Concerning the diet, only 24.9% met the recommended consumption of fruits and vegetables per day. When assessing physical activity levels, only 6.3% were classified as physically inactive. Additionally, an average of 6 hours of sedentary behaviour was found, with 31.2% of excessive sedentary time. A weak correlation was found between age and academic cycle with the amount of physical activity at work (r = 0.24), (r = 0.18) and with sedentary time (r = -0.28), (-0, 32). Conclusions Although the prevalence of tobacco consumption was slightly higher than the national average, the students showed a lower prevalence of behavioural risk factors than the general population. However, it is necessary to promote strategies aimed at the control and prevention of these risk factors. Key messages Being a student of a program focused on physical activity and sport, can behave as a protective factor against the most prevalent risk factors in university life. It is necessary to implement more strategies centred on making students aware of the importance of the maintenance and improvement of their lifestyles in accordance with their professional profile.

scholarly journals Urban index and lifestyle risk factors for cardiovascular diseases in China: A cross-sectional study

2021 ◽  
Vol 104 (1) ◽  
pp. 003685042110037
Author(s):  
Zhichong Chen ◽  
Menghui Liu ◽  
Shaozhao Zhang ◽  
Zhenyu Xiong ◽  
Xiangbin Zhong ◽  
...  
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Cardiovascular Risk ◽  
Cardiovascular Risk Factors ◽  
Fruits And Vegetables ◽  
Cross Sectional Study ◽  
Nutrition Survey ◽  
Cross Sectional ◽  
Rapid Urbanization ◽  
Lifestyle Risk Factors

China is at a stage of rapid urbanization over the past decades, and the association of urbanization with cardiovascular disease has been confirmed by previous studies. However, few studies assessed the association of urbanization with cardiovascular risk factors, especially in Chinese population. We conducted a cross-sectional, populational-based study, using data from China Health and Nutrition Survey (CHNS) in 2009. The logistic regression was used to assess the association of urbanization measured by urban index with cardiovascular risk factors (diabetes mellitus, hypertension, dyslipidemia, obesity, smoking, physical activity and fruits and vegetables consumption), varied with sex. The current study included 18,887 participants enrolled (mean age 39.8 ± 19.8 years; 52.2% female) who live in China. In regression model, the urban index was significantly associated with the variations of cardiovascular risk factors for male, including diabetes (OR 1.34, 95% CI: 1.22–1.48), hypercholesterolemia (OR 1.15, 95% CI: 1.09–1.22), never smoking (OR 0.92, 95% CI: 0.89–0.96), higher fruits and vegetables consumptions (OR 0.93, 95% CI: 0.87–0.99), higher body mass index (BMI) (OR 1.16, 95% CI: 1.10–1.22), and higher physical activity (OR 0.69, 95% CI: 0.66–0.73). Compared with the male, the associations of urban index with cardiovascular risk factors for female were similar, but not for BMI (OR 1.00, 95% CI: 0.96–1.05). The present finding emphasizes the changes of cardiovascular risk factors associated with urbanization in China, and indicated that close attention should be paid to the risk of hypercholesterolemia, diabetes and men’s obesity in the process of urbanization.

Association between dietary inflammatory index and cardiometabolic risk factors among Brazilian adolescents: results from a national cross-sectional study

2021 ◽  
pp. 1-24
Author(s):  
Pâmela Ferreira Todendi ◽  
Rafaela Salla ◽  
Nitin Shivappa ◽  
James R. Hebert ◽  
Julianna Ritter ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cardiometabolic Risk ◽  
Positive Association ◽  
Dietary Factors ◽  
Cardiometabolic Risk Factors ◽  
Model Assessment ◽  
Dietary Inflammatory Index ◽  
Cardiovascular Risks ◽  
Cross Sectional ◽  
Inflammatory Index

Abstract Dietary factors play a role in modulating chronic inflammation and in the development of cardiovascular disease. We aimed to investigate the association between the dietary inflammatory index (DII) and cardiometabolic risk factors among adolescents.A total of 31,684 Brazilian adolescents (12–17 years), from the Study of Cardiovascular Risks in Adolescents (ERICA) were included. Dietary intake was assessed using a 24-hour dietary recall. The E-DII (energy-adjusted)score was calculated based on data for 25available nutrients. The anthropometric profile, blood pressure, lipid profile, glucose, Homeostatic Model Assessment for Insulin Resistance (HOMA-IR), and glycated hemoglobin were measured. Poisson regression models were used to examine the associations between sex-specific quartiles of the E-DII and cardiometabolic risk factors. In the energy-adjusted models, when comparing a high pro-inflammatory diet (quartile 4) withananti-inflammatory diet (quartile 1), there was a positive association with high HOMA-IR among boys(prevalence ratios (PR)Q4=1.37, 95%CI: 1.04–1.79); and with high fasting glucose (PRQ4 = 1.96, 95%CI: 1.02–3.78), high triglycerides (PRQ4 = 1.92, 95%CI: 1.06–3.46),low HDL-c (PRQ4 = 1.16, 95%CI: 1.02–1.32) and high LDL-c (PRQ4 = 1.93, 95%CI: 1.12–3.33) among girls. Additionally, a moderately pro-inflammatory diet was positively associated with high HOMA-IR (PRQ2 = 1.14, 95%CI: 1.02–1.29) among girls, and high total cholesterol (PRQ3 = 1.56, 95%CI: 1.20–2.01) among boys.In conclusion, this study provides new evidence on the association between inflammatory diets with cardiometabolic risk factors among adolescents.

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