Association between Dietary Inflammatory Index, Dietary Patterns, Plant-Based Dietary Index and the Risk of Obesity

Evidence on the association between various dietary constructs and obesity risk is limited. This study aims to investigate the longitudinal relationship between different diet indices and dietary patterns with the risk of obesity. Non-obese participants (n = 787) in the North West Adelaide Health Study were followed from 2010 to 2015. The dietary inflammatory index (DII®), plant-based dietary index (PDI) and factor-derived dietary pattern scores were computed based on food frequency questionnaire data. We found the incidence of obesity was 7.62% at the 5-year follow up. In the adjusted model, results from multivariable log-binomial logistic regression showed that a prudent dietary pattern (RRQ5 vs. Q1 = 0.38; 95% CI: 0.15–0.96), healthy PDI (RR = 0.31; 95% CI: 0.12–0.77) and overall PDI (RR = 0.56; 95% CI: 0.23–1.33) were inversely associated with obesity risk. Conversely, the DII (RR = 1.59; 95% CI: 0.72–3.50), a Western dietary pattern (RR = 2.16; 95% CI: 0.76–6.08) and unhealthy PDI (RR = 1.94; 95% CI: 0.81–4.66) were associated with increased risk of obesity. Based on the cubic spline analysis, the association between an unhealthy PDI or diet quality with the risk of obesity was non-linear. In conclusion, an anti-inflammatory diet, healthy diet or consumption of healthy plant-based foods were all associated with a lower risk of developing obesity.

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Dietary patterns and risk of systemic lupus erythematosus in women

Lupus ◽

10.1177/0961203319888791 ◽

2019 ◽

Vol 29 (1) ◽

pp. 67-73

Author(s):

S K Tedeschi ◽

M Barbhaiya ◽

J A Sparks ◽

E W Karlson ◽

L D Kubzansky ◽

...

Keyword(s):

Systemic Lupus Erythematosus ◽

Dietary Patterns ◽

Lupus Erythematosus ◽

Dietary Pattern ◽

Intestinal Microbiome ◽

Health Study ◽

Systemic Lupus ◽

Western Dietary Pattern ◽

Increased Risk ◽

Time Varying Covariates

Objective Dietary intake is a complex exposure and a potential risk factor for systemic lupus erythematosus (SLE) due to its impact on lipid and glucose metabolism, oxidative stress, and the intestinal microbiome. We aimed to test whether a prudent dietary pattern is associated with a lower risk of SLE, and whether a Western dietary pattern is associated with a higher risk of SLE. Methods We prospectively investigated two dietary patterns and SLE risk among women in the Nurses' Health Study (NHS, 1984–2014) and Nurses' Health Study II (NHSII, 1991–2015). Food frequency questionnaires were completed every four years. Congruent with prior work in NHS and NHSII, we derived two separate dietary patterns (prudent and Western) using principal component analysis within each cohort. Incident SLE was confirmed by the American College of Rheumatology's 1997 criteria. We estimated hazard ratios (HR) and 95% confidence intervals ( CI) for SLE by dietary pattern quartiles using Cox models adjusted for time-varying covariates. Models were performed separately in each cohort and results were meta-analyzed. Stratified analyses tested the association of dietary patterns with anti-dsDNA positive SLE and anti-dsDNA negative SLE. Results We confirmed 82 NHS incident SLE cases and 98 NHSII SLE cases during 3,833,054 person-years of follow-up. A higher (healthier) prudent dietary pattern score was not associated with SLE risk (meta-analyzed HRQ4 versus Q1 0.84 [95% CI 0.51, 1.38]). Women with higher (less healthy) Western dietary pattern scores did not have a significantly increased risk for SLE (meta-analyzed HRQ4 versus Q1 1.35 [95% CI 0.77, 2.35]). Results were similar after further adjustment for body mass index. Incident anti-dsDNA positive SLE and anti-dsDNA negative SLE were not associated with either dietary pattern. Conclusion We did not observe a relationship between prudent or Western dietary pattern score and risk of SLE.

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Abstract 10: Serum Metabolomic Signatures of Multiple Healthful Dietary Patterns and Incident Cardiometabolic Diseases in US Hispanics/Latinos

Circulation ◽

10.1161/circ.141.suppl_1.10 ◽

2020 ◽

Vol 141 (Suppl_1) ◽

Cited By ~ 1

Author(s):

Guochong Chen ◽

Jin Choul Chai ◽

Zhilei Shan ◽

Bing Yu ◽

Yasmin Mossavar-Rahmani ◽

...

Keyword(s):

Dietary Patterns ◽

Dietary Pattern ◽

Healthy Eating Index ◽

Health Study ◽

Cardiometabolic Diseases ◽

Dietary Index ◽

Hispanic Community ◽

Adult Participants ◽

Underlying Mechanisms ◽

Dietary Score

Introduction: Healthful dietary patterns are associated with lower cardiometabolic risk, but the underlying mechanisms are not fully understood. Hypothesis: Healthful dietary patterns share widespread metabolomic signatures that are associated with altered risk of cardiometabolic diseases. Methods: We analyzed data from 2976 adult participants free of diabetes and CVD in the Hispanic Community Health Study/Study of Latinos. Scores of three USDA recommended dietary patterns, Healthy Eating Index (HEI)-2015, alternative Mediterranean diet (aMED), and healthful plant-based dietary index (hPDI) were calculated by averaging two 24-hour dietary recalls. Fasting serum metabolomics was performed using an untargeted approach. Dietary pattern associated metabolite modules were clustered using a weighted correlation network analysis, and their associations with 6-year incidence of diabetes and hypertension were further examined. Results: Of 624 known metabolites identified, some were uniquely associated with a single dietary score, while 51 metabolites were significantly associated with all dietary scores ( Figure A ). Eight metabolite modules were clustered based on 184 dietary pattern-related metabolites. Each dietary score was associated with one unique metabolite module, and two modules composed of antioxidants or polyunsaturated fatty acids (PUFA) were associated with all dietary scores ( Figure B ). After multivariable adjustment for demographics, socioeconomics, lifestyles, and BMI, the antioxidant module was significantly associated with lower risk of diabetes (per SD, relative risk (RR) = 0.80 [95% CI 0.69-0.96]) and risk of hypertension (per SD, RR= 0.85 [0.73-0.99]), whereas the PUFA module was not associated with either outcome. Conclusions: Metabolomic signatures positively relating to three common healthful dietary patterns are found to be associated with lower incident cardiometabolic diseases, providing some mechanistic insights into the cardioprotection of high-quality diets.

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The association of dietary patterns with dietary inflammatory index, systemic inflammation, and insulin resistance, in apparently healthy individuals with obesity

Scientific Reports ◽

10.1038/s41598-021-86993-7 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Maryam Saghafi-Asl ◽

Susan Mirmajidi ◽

Mohammad Asghari Jafarabadi ◽

Farhad Vahid ◽

Nitin Shivappa ◽

...

Keyword(s):

Insulin Resistance ◽

Systemic Inflammation ◽

Fat Mass ◽

Dietary Patterns ◽

Dietary Pattern ◽

Dietary Inflammatory Index ◽

Inflammatory Index ◽

Western Dietary Pattern ◽

Traditional Pattern ◽

Apparently Healthy

AbstractInflammation is considered a key mechanism leading to obesity. Dietary patterns and certain food items influence inflammation. Few studies have investigated the contribution of major dietary patterns to biological measures of inflammation. Therefore, the present study aimed to examine the associations of different dietary patterns with dietary inflammatory index (DII), systemic inflammation, and insulin resistance (IR) in the apparently healthy obese. In this cross-sectional study, 151 abdominally obese subjects were recruited from the Northwest of Iran. Dietary intake, demographic data, anthropometric indices, and physical activity (PA) was assessed. DII scores were calculated based on a validated 168-item food frequency questionnaire (FFQ). Three dietary patterns were identified, using principal component analysis. Basal blood samples were collected to determine biochemical parameters. Linear regression test with adjusted beta estimates was applied for data analysis. Three dietary patterns were extracted as Healthy, Western, and Traditional. Body mass index (BMI) (p < 0.01) and fat mass (p < 0.001) were directly associated with the Western dietary pattern. Conversely, serum lipopolysaccharide-binding protein (LBP) (b = − 0.1, p < 0.04) was negatively associated with Healthy dietary pattern, after controlling for confounders. The Traditional pattern was found to be inversely related to DII (b = − 0.3, p < 0.001). The association was also reveresed between Traditional pattern and IR (Odds Ratio: 0.3 (95% Confidence Interval 0.1–0.9)). The results suggested that the Western dietary pattern was related to higher BMI and fat mass. In addition, the Healthy pattern was associated with decreased levels of LBP. Adherence to the Traditional dietary pattern was inversely related to DII as well as IR.

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

Public Health Nutrition ◽

10.1017/s1368980021000793 ◽

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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Associations between dietary patterns and the incidence of total and fatal cardiovascular disease and all-cause mortality in 116,806 individuals from the UK Biobank: a prospective cohort study

BMC Medicine ◽

10.1186/s12916-021-01958-x ◽

2021 ◽

Vol 19 (1) ◽

Author(s):

Min Gao ◽

Susan A. Jebb ◽

Paul Aveyard ◽

Gina L. Ambrosini ◽

Aurora Perez-Cornago ◽

...

Keyword(s):

Cardiovascular Disease ◽

Energy Density ◽

Dietary Patterns ◽

Dietary Pattern ◽

Saturated Fat ◽

Dietary Advice ◽

Free Sugars ◽

Linear Association ◽

Increased Risk ◽

All Cause Mortality

Abstract Background Traditionally, studies investigating diet and health associations have focused on single nutrients. However, key nutrients co-exist in many common foods, and studies focusing solely on individual nutrients may obscure their combined effects on cardiovascular disease (CVD) and all-cause mortality. We aimed to identify food-based dietary patterns which operate through excess energy intake and explain high variability in energy density, free sugars, saturated fat, and fiber intakes and to investigate their association with total and fatal CVD and all-cause mortality. Methods Detailed dietary data was collected using a 24-h online dietary assessment on two or more occasions (n = 116,806). We used reduced rank regression to derive dietary patterns explaining the maximum variance. Multivariable Cox-proportional hazards models were used to investigate prospective associations with all-cause mortality and fatal and non-fatal CVD. Results Over an average of 4.9 years of follow-up, 4245 cases of total CVD, 838 cases of fatal CVD, and 3629 cases of all-cause mortality occurred. Two dietary patterns were retained that jointly explained 63% of variation in energy density, free sugars, saturated fat, and fiber intakes in total. The main dietary pattern was characterized by high intakes of chocolate and confectionery, butter and low-fiber bread, and low intakes of fresh fruit and vegetables. There was a positive linear association between the dietary pattern and total CVD [hazard ratio (HR) per z-score 1.07, 95% confidence interval (CI) 1.04–1.09; HRtotal CVD 1.40, 95% CI 1.31–1.50, and HRall-cause mortality 1.37, 95% CI 1.27–1.47 in highest quintile]. A second dietary pattern was characterized by a higher intakes of sugar-sweetened beverages, fruit juice, and table sugar/preserves. There was a non-linear association with total CVD risk and all-cause mortality, with increased risk in the highest quintile [HRtotal CVD 1.14, 95% CI 1.07–1.22; HRall-cause mortality 1.11, 95% CI 1.03–1.19]. Conclusions We identified dietary patterns which are associated with increased risk of CVD and all-cause mortality. These results help identify specific foods and beverages which are major contributors to unhealthy dietary patterns and provide evidence to underpin food-based dietary advice to reduce health risks.

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The Dietary Inflammatory Index and Human Health: An Umbrella Review of Meta-Analyses of Observational Studies

Advances in Nutrition ◽

10.1093/advances/nmab037 ◽

2021 ◽

Author(s):

Wolfgang Marx ◽

Nicola Veronese ◽

Jaimon T Kelly ◽

Lee Smith ◽

Meghan Hockey ◽

...

Keyword(s):

Chronic Disease ◽

Health Outcomes ◽

Observational Studies ◽

Dietary Inflammatory Index ◽

Credibility Assessment ◽

Umbrella Review ◽

Inflammatory Index ◽

Increased Risk ◽

Meta Analyses ◽

Study Designs

ABSTRACT Numerous observational studies have investigated the role of the Dietary Inflammatory Index (DII®) in chronic disease risk. The aims of this umbrella review and integrated meta-analyses were to systematically synthesize the observational evidence reporting on the associations between the DII and health outcomes based on meta-analyses, and to assess the quality and strength of the evidence for each associated outcome. This umbrella review with integrated meta-analyses investigated the association between the DII and a range of health outcomes based on meta-analyses of observational data. A credibility assessment was conducted for each outcome using the following criteria: statistical heterogeneity, 95% prediction intervals, evidence for small-study effect and/or excess significance bias, as well as effect sizes and P values using calculated random effects meta-analyses. In total, 15 meta-analyses reporting on 38 chronic disease-related outcomes were included, incorporating a total population of 4,360,111 subjects. Outcomes (n = 38) were examined through various study designs including case-control (n = 8), cross-sectional (n = 5), prospective (n = 5), and combination (n = 20) study designs. Adherence to a pro-inflammatory dietary pattern had a significant positive association with 27 (71%) of the included health outcomes (P value < 0.05). Using the credibility assessment, Class I (Convincing) evidence was identified for myocardial infarction only, Class II (Highly suggestive) evidence was identified for increased risk of all-cause mortality, overall risk of incident cancer, and risk of incident site-specific cancers (colorectal, pancreatic, respiratory, and oral cancers) with increasing (more pro-inflammatory) DII score. Most outcomes (n = 31) presented Class III (Suggestive) or lower evidence (Weak or No association). Pro-inflammatory dietary patterns were nominally associated with an increased risk of many chronic disease outcomes. However, the strength of evidence for most outcomes was limited. Further prospective studies are required to improve the precision of the effect size.

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Dietary Inflammatory Index Is Associated with Risk of All-Cause and Cardiovascular Disease Mortality but Not with Cancer Mortality in Middle-Aged and Older Japanese Adults

Journal of Nutrition ◽

10.1093/jn/nxz085 ◽

2019 ◽

Vol 149 (8) ◽

pp. 1451-1459 ◽

Cited By ~ 7

Author(s):

Emiko Okada ◽

Toru Shirakawa ◽

Nitin Shivappa ◽

Kenji Wakai ◽

Koji Suzuki ◽

...

Keyword(s):

Cardiovascular Disease ◽

Proportional Hazards ◽

Cox Proportional Hazards ◽

Dietary Inflammatory Index ◽

Digestive Cancer ◽

Inflammatory Index ◽

Japanese Adults ◽

Increased Risk ◽

Total Cancer ◽

Cvd Mortality

ABSTRACT Background The Dietary Inflammatory Index (DII) is a comprehensive, literature-derived index for assessing the effect of dietary constituents on inflammatory biomarkers. Several studies have shown an association between DII score and mortality, but there are limited prospective studies in Asian populations. Objectives The aim of this study was to investigate the association between DII score and risk of all-cause, total cardiovascular disease (CVD), stroke, coronary heart disease (CHD), total cancer, digestive cancer, and noncancer/non-CVD mortality in the Japanese population. Methods A total of 58,782 Japanese participants aged 40–79 y who were enrolled in the Japan Collaborative Cohort Study during 1988–1990 were included in the analysis. DII scores were calculated based on a food-frequency questionnaire. HRs and 95% CIs for mortality according to DII quintiles were estimated using Cox proportional hazards models. Results During the median follow-up period of 19.3 y, a total of 11,693 participants died. The multivariable HR for all-cause mortality for the highest compared with the lowest DII quintiles was 1.13 (95% CI: 1.05, 1.21). For CVD mortality, the highest multivariable HRs were 1.30 (95% CI: 1.13, 1.49), 1.29 (95% CI: 1.05, 1.59), and 1.30 (95% CI: 0.96, 1.76) for total CVD, stroke, and CHD, respectively. No significant associations were observed between DII and risk of total cancer, digestive cancer, and noncancer/non-CVD mortality. Conclusion Our findings suggest that a higher DII was associated with an increased risk of all-cause and CVD mortality among Japanese adults.

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Diet quality is associated with reduced risk of hypertension among Inner Mongolia adults in northern China

Public Health Nutrition ◽

10.1017/s136898001900301x ◽

2019 ◽

Vol 23 (9) ◽

pp. 1543-1554 ◽

Cited By ~ 2

Author(s):

Xuemei Wang ◽

Aiping Liu ◽

Maolin Du ◽

Jing Wu ◽

Wenrui Wang ◽

...

Keyword(s):

Generalized Linear Models ◽

Dietary Patterns ◽

Dietary Pattern ◽

Inner Mongolia ◽

Linear Models ◽

Protein Pattern ◽

Northern China ◽

High Protein ◽

Cross Sectional ◽

Increased Risk

AbstractObjective:The present study investigated the association between dietary patterns and hypertension applying the Chinese Dietary Balance Index-07 (DBI-07).Design:A cross-sectional study on adult nutrition and chronic disease in Inner Mongolia. Dietary data were collected using 24 h recall over three consecutive days and weighing method. Dietary patterns were identified using principal components analysis. Generalized linear models and multivariate logistic regression models were used to examine the associations between DBI-07 and dietary patterns, and between dietary patterns and hypertension.Setting:Inner Mongolia (n 1861).Participants:A representative sample of adults aged ≥18 years in Inner Mongolia.Results:Four major dietary patterns were identified: ‘high protein’, ‘traditional northern’, ‘modern’ and ‘condiments’. Generalized linear models showed higher factor scores in the ‘high protein’ pattern were associated with lower DBI-07 (βLBS = −1·993, βHBS = −0·206, βDQD = −2·199; all P < 0·001); the opposite in the ‘condiments’ pattern (βLBS = 0·967, βHBS = 0·751, βDQD = 1·718; all P < 0·001). OR for hypertension in the highest quartile of the ‘high protein’ pattern compared with the lowest was 0·374 (95 % CI 0·244, 0·573; Ptrend < 0·001) in males. OR for hypertension in the ‘condiments’ pattern was 1·663 (95 % CI 1·113, 2·483; Ptrend < 0·001) in males, 1·788 (95 % CI 1·155, 2·766; Ptrend < 0·001) in females.Conclusions:Our findings suggested a higher-quality dietary pattern evaluated by DBI-07 was related to decreased risk for hypertension, whereas a lower-quality dietary pattern was related to increased risk for hypertension in Inner Mongolia.

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Association between the Dietary Inflammatory Index and Risk of Frailty in Older Individuals with Poor Nutritional Status

Nutrients ◽

10.3390/nu10101363 ◽

2018 ◽

Vol 10 (10) ◽

pp. 1363 ◽

Cited By ~ 3

Author(s):

Doyeon Kim ◽

Yongsoon Park

Keyword(s):

Nutritional Status ◽

Multinomial Logistic Regression ◽

Mini Nutritional Assessment ◽

Community Dwelling ◽

Cardiovascular Health Study ◽

Dietary Inflammatory Index ◽

Older Individuals ◽

Inflammatory Index ◽

Increased Risk ◽

Poor Nutritional Status

Both inflammation and poor nutritional status are major risk factors of frailty, and the dietary inflammatory index (DII) has been suggested as being associated with the risk of frailty. The present study aimed to investigate whether DII scores were positively associated with the risk of frailty in older individuals, particularly those with poor nutritional status. In total, 321 community-dwelling older individuals aged 70–85 years were recruited and categorized as non-frail, pre-frail, and frail according to the Cardiovascular Health Study index. DII scores were calculated based on 24-h dietary recall, and nutritional status was assessed using the Mini Nutritional Assessment. Multinomial logistic regression analysis showed that DII scores were positively associated with the risk of frailty in older individuals (odds ratio, OR 1.64, 95% confidence interval, 95% CI 1.25–2.17), particularly those with poor nutritional status (OR 1.68, 95% CI 1.21–2.34). Among the frailty criteria, weight loss (OR 1.29, 95% CI 1.03–1.60), low walking speed (OR 1.33, 95% CI 1.10–1.61), and low grip strength (OR 1.34, 95% CI 1.13–1.60) were associated with DII scores. In addition, the optimal DII cut-off score for frailty was ≥0.93 (sensitivity 71%; specificity: 72%; area under the receiver operating characteristic curve, AUC = 0.792). The present study showed that a pro-inflammatory diet was associated with increased risk of frailty, particularly in older individuals with poor nutritional status. Future randomized controlled trials with a low DII diet for the prevention of frailty are needed to confirm our finding.

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A posteriori dietary patterns and metabolic syndrome in adults: a systematic review and meta-analysis of observational studies

Public Health Nutrition ◽

10.1017/s1368980018000216 ◽

2018 ◽

Vol 21 (9) ◽

pp. 1681-1692 ◽

Cited By ~ 11

Author(s):

Sakineh Shab-Bidar ◽

Mahdieh Golzarand ◽

Mina Hajimohammadi ◽

Sara Mansouri

Keyword(s):

Systematic Review ◽

Metabolic Syndrome ◽

Dietary Patterns ◽

Dietary Pattern ◽

Observational Studies ◽

Meta Analysis ◽

A Posteriori ◽

Significant Positive Association ◽

Western Dietary Pattern ◽

Increased Risk

AbstractObjectiveObservational studies reported potential associations between different dietary patterns and the risk of metabolic syndrome (MetS); however, a consistent perspective has not been established to date. The current systematic review and meta-analysis aimed to evaluate the relationship between a posteriori dietary patterns and MetS by pooling available data.DesignMEDLINE and EMBASE databases were searched for relevant articles published up to July 2015 with no time restriction and with English language restriction. Two independent reviewers completed study selection and data extraction. Random-effects models (DerSimonian–Laird method) were used to pool effect sizes of eligible studies. The potential sources of heterogeneity were assessed using the I2 statistic.ResultsNineteen papers that identified dietary patterns using an a posteriori method were selected and included in the meta-analysis. The ‘Healthy/Prudent’ dietary pattern was inversely associated with risk of MetS (OR=0·89; 95 % CI 0·84, 0·94, P=0·002). In contrast, the ‘Unhealthy/Western’ dietary pattern had a significant positive association with risk of MetS (OR=1·16; 95 % CI 1·11, 1·22, P<0·001).ConclusionsOur findings provide evidence that greater adherence to a healthy/prudent dietary pattern is associated with a lower risk of MetS, while an unhealthy/Western dietary pattern is associated with increased risk of MetS. These data suggest that a diet based on healthy food choices is also beneficial for prevention of MetS.

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