Associations between the inflammatory potential of diets with adherence to plant-based dietary patterns and the risk of new-onset cardiometabolic diseases in Chinese adults: findings from a nation-wide prospective cohort study

Wu, Man; Li, Shun; Lv, Yiqian; Liu, Ke; Wang, Yin; Cui, Zhixin; Wang, Xiaoling; Meng, Huicui

doi:10.1039/d3fo02579a

Cited by 3 publications

(2 citation statements)

References 83 publications

(161 reference statements)

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“…Quantitative indices demonstrated greater validity by correlating closely and more strongly with dietary quality indicators, such as the GDQS and cDQI (ρ < 0.69). These associations were expected, given that the indices promote the intake of healthy animal and plant foods, sources of antioxidant and anti-inflammatory compounds [61–63]. Overall, the results of these analyses support the association of the indices with a healthy diet, promoting nutritional adequacy and the consumption of antioxidant and anti-inflammatory compounds, with potential health benefits.…”

Section: Discussionsupporting

confidence: 56%

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How do the indices based on the EAT-Lancet recommendations measure adherence to healthy and sustainable diets? A comparison of measurement performance in adults from a French national survey

Miranda,

Vieux,

Maillot

et al. 2024

Preprint

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Measuring adherence to EAT-Lancet recommendations for healthy and sustainable diets is challenging, leading to diverse methods and a lack of consensus on standardized metrics. Available indices vary mainly in scoring systems, food components, units, energy adjustments, and cut-off points. We aimed to evaluate and compare the measurement performance of six dietary indices for assessing adherence to EAT-Lancet reference diet. Food consumption data of 1,723 adults were obtained from the French Third Individual and National Study on Food Consumption Survey (INCA3, 2014-2015). Sociodemographic, nutritional, and environmental data were used to assess the validity and reliability of dietary indices. Results showed that the four indices assessing their food components with quantitative scoring captured dietary variability, were less dependent on energy intake and converged to a large extent with nutritional indicators. While the two binary indices showed a stronger correlation with environmental indicators, one quantitative index converged with both domains. Indices had valid unidimensional structures, meaning that the combination of food components within each index accurately reflects the same construct and supporting the use of total scores. Furthermore, the indices differed between sociodemographic groups, demonstrating concurrent criterion validity. Higher scores were associated with higher nutritional quality and lower environmental impact, but with unfavourable results for zinc intake, vitamin B12 and water use. A low concordance rate (from 32% to 43%) indicated that indices categorized individuals differently. Researchers must align study objectives with the applicability, assumptions, and functional significance of chosen indices. Indices using quantitative scoring allow a global understanding of dietary health and sustainability, being advantageous in precision-focused research, such as clinical trials or epidemiological research. Conversely, indices based on binary scoring offer a simplified perspective, being valuable tools for surveys, observational studies, and public health. Recognizing their strengths and limitations is crucial for a comprehensive assessment of diets and understanding their implications.

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Section: Discussionsupporting

confidence: 56%

Section: Discussionmentioning

confidence: 99%

How do the indices based on the EAT-Lancet recommendations measure adherence to healthy and sustainable diets? A comparison of measurement performance in adults from a French national survey

Miranda,

Vieux,

Maillot

et al. 2024

Preprint

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Inverse Association between the Global Diet Quality Score and New-Onset Hypertension in Adults: A Nationwide Cohort Study

Liu,

Zhao,

Dai

et al. 2024

The Journal of Nutrition

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The Association Between Overall, Healthy, and Unhealthy Plant-Based Diet Index and Risk of Prediabetes and Type 2 Diabetes Mellitus: A Systematic Review and Dose-Response Meta-Analysis of Prospective Studies

Nikparast,

Mirzaei,

Tadayoni

et al. 2024

Nutrition Reviews

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Context The global incidence of prediabetes and type 2 diabetes mellitus (T2DM) has increased substantially in recent years. Among the established, modifiable lifestyle factors associated with favorable prediabetes and T2DM risk, healthy dietary patterns have attracted considerable attention. Objective The association between adherence to plant-based dietary pattern indices (PDIs), including the overall PDI (O-PDI), healthy PDI (H-PDI), and unhealthy PDI (U-PDI), and the risk of prediabetes and T2DM was investigated in this study. Data Sources A literature search was conducted of the PubMed/Medline, Scopus, and Web of Sciences databases from their inception to February 2024. A systematic review and meta-analysis were conducted using random effects models and dose–response analyses. The Cochran Q test and the I2 statistic were used to evaluate heterogeneity between studies. Data Extraction A total of 16 publications, with data on a total of 721 012 participants, were identified for the meta-analysis. Data Analysis According to a pooled analysis, compared with the lowest category of O-PDI and H-PDI adherence, the highest category was associated with a 14% and 19% reduction in T2DM risk, respectively, for O-PDI (effect size [ES] = 0.86; 95%CI, 0.82-0.90; I2 = 57.7) and H-PDI (ES = 0.81; 95%CI, 0.75-0.88; I2 = 82.6). Greater adherence to U-PDI was significantly associated with an 10% increase in the risk of T2DM (ES = 1.10; 95%CI, 1.04-1.16). Consistent associations were found within the predetermined subgroups. As well, there was a nonlinear inverse association between O-PDI, H-PDI, and T2DM risk. No significant association was found between adherence to O-PDI (ES = 0.87; 95%CI, 0.75-1.01; I2 = 68%), H-PDI (ES = 0.99; 95%CI, 0.87-1.13; I2 = 0.0%), and U-PDI (ES = 1.09; 95%CI, 0.94-1.21; I2 = 22.9%) and risk of prediabetes. Conclusion These findings underscore the importance of dietary selections within the framework of a plant-based dietary pattern, particularly when incorporating healthful, plant-based foods, which may have potential benefits in reducing the T2DM risk. Systematic Review Registration PROSPERO registration no. CRD42023459851.

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Associations between the inflammatory potential of diets with adherence to plant-based dietary patterns and the risk of new-onset cardiometabolic diseases in Chinese adults: findings from a nation-wide prospective cohort study

Abstract: There were long-term positive associations between a pro-inflammatory diet, as reflected by higher dietary inflammatory index (DII) scores, and an increased risk of new-onset stroke, type 2 diabetes mellitus and myocardial infarction in Chinese adults.

Cited by 3 publications

References 83 publications

How do the indices based on the EAT-Lancet recommendations measure adherence to healthy and sustainable diets? A comparison of measurement performance in adults from a French national survey

How do the indices based on the EAT-Lancet recommendations measure adherence to healthy and sustainable diets? A comparison of measurement performance in adults from a French national survey

Inverse Association between the Global Diet Quality Score and New-Onset Hypertension in Adults: A Nationwide Cohort Study

The Association Between Overall, Healthy, and Unhealthy Plant-Based Diet Index and Risk of Prediabetes and Type 2 Diabetes Mellitus: A Systematic Review and Dose-Response Meta-Analysis of Prospective Studies

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