Dietary Inflammatory Index is associated with Healthy Eating Index, Alternative Healthy Eating Index, and dietary patterns among Iranian adults

Asadi, Zahra; Zirak, Roshanak Ghaffarian; Yaghooti‐Khorasani, Mahdiyeh; Saedi, Mostafa; Parizadeh, Seyed Mostafa; Khorramruz, Fateme; Jandari, Sajedeh; Mohammadi‐Bajgiran, Maryam; Zare‐Feyzabadi, Reza; Esmaily, Habibollah; Rahimi, Hamid Reza; Tayefi, Maryam; Ferns, Gordon A.; Shivappa, Nitin; Hébert, James R.; Ghazizadeh, Hamideh; Ghayour‐Mobarhan, Majid

doi:10.1002/jcla.23523

Cited by 19 publications

(13 citation statements)

References 31 publications

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“…Recently, diet quality scores reflecting the diet-related inflammation status have been developed internationally, which showed a decent agreement with previously established measurement schemes (20,(61)(62)(63). We found a statistically significant association between proinflammatory DDII scores and increased prevalence of dyslipidemia and insulin resistance in our study.…”

Section: Discussionsupporting

confidence: 87%

Association Between Diet Quality and Prevalence of Obesity, Dyslipidemia, and Insulin Resistance Among Filipino Immigrant Women in Korea: The Filipino Women's Diet and Health Study

Kim

Lee

Provido

et al. 2021

Front. Public Health

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Objectives: Diet quality may be a key modifiable factor for the prevention of non-communicable disease. We aimed to investigate the association between diet quality and prevalence of obesity, dyslipidemia, and insulin resistance among Filipino immigrant women in Korea.Methods: A total of 413 participants from the 2014–2016 baseline population of the Filipino Women's Diet and Health Study (FiLWHEL) were examined. Individual dietary intakes were evaluated through 24-h recalls and then converted into two dietary quality assessments: Minimum Dietary Diversity for Women (MDD-W) developed by the Food and Agriculture Organization (FAO) and the Data Derived Inflammation Index (DDII) originally developed by our group. Fasting blood levels of triglycerides, high-density lipoprotein cholesterols, glucose, and insulin were measured. We used logistic regression models for odds ratios (ORs) with 95% confidence intervals (CIs).Results: We found a statistically significant association between MDD-W scores and decreased prevalence of abdominal obesity; ORs (95% CIs) of the 3rd vs. 1st tertiles were 0.58 (0.36–0.94; p for trend = 0.029). Increased DDII was associated with elevated prevalence of dyslipidemia and insulin resistance; ORs (95% CIs) of the 5th vs. 1–3rd quintiles were 6.44 (2.56–16.20) for triglycerides (TG), 3.90 (1.92–7.90) for low-density lipoprotein (LDL) cholesterol, 3.36 (1.81–6.24) for total cholesterol (TC), 6.25 (2.53–15.41) for abnormal TG/HDL ratios, 3.59 (1.96–6.59) for HbA1c, 2.61 (1.11–6.17) for fasting blood glucose levels, 9.67 (4.16–22.48) for insulin levels, and 9.73 (4.46–21.25) for homeostasis model assessment of insulin resistance (HOMA-IR) (p for trend <0.001 for all, except 0.033 for fasting blood glucose).Conclusions: Greater dietary diversity was inversely associated with the prevalence of abdominal obesity in Filipino immigrant women. Proinflammatory scores based on diet and lifestyle factors were associated with an increased prevalence of dyslipidemia and insulin resistance. Further, epidemiological studies on the relationship between dietary acculturation and chronic disease are warranted.

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Section: Discussionsupporting

confidence: 87%

Association Between Diet Quality and Prevalence of Obesity, Dyslipidemia, and Insulin Resistance Among Filipino Immigrant Women in Korea: The Filipino Women's Diet and Health Study

Kim

Lee

Provido

et al. 2021

Front. Public Health

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“…Studies were published during 2013 to 2020, and the sample size of the included publications varied between 22 and 533256 subjects. Among the included studies, there were 8 high quality studies reporting the adjusted risk estimate for T2D associated with DII as the primary outcome [ 32 , 33 , 39 , 50 – 52 , 59 , 63 ], while for other studies [ 23 – 31 , 34 – 38 , 40 – 49 , 53 – 58 , 60 – 62 , 64 – 70 ], T2D was a secondary outcome and the crude odds ratio for T2D was calculated based on the frequency of subjects with T2D in the highest category of DII, compared with subjects in the lowest category. DII was calculated with the use of 7-day dietary record in 3 studies [ 31 , 44 , 50 ], 24-hour dietary recall in 11 studies [ 35 , 37 , 46 , 51 , 54 , 55 , 62 – 64 , 68 , 70 ], dietary history questionnaire in 2 studies [ 45 , 52 ], and food frequency questionnaire (FFQ) in the remaining studies.…”

Section: Resultsmentioning

confidence: 99%

“…Moreover, data for men was reported in 7 studies [ 28 , 36 , 44 , 50 , 53 , 54 , 64 ] and for women was reported in 10 studies [ 24 , 28 , 34 , 36 , 38 , 49 , 52 , 54 , 64 , 67 ], and other studies reported results for a combination of both sexes. The quality of the included publications was considered as high in 8 studies [ 32 , 33 , 39 , 50 – 52 , 59 , 63 ] and low in 40 studies [ 23 – 31 , 34 – 38 , 40 – 49 , 53 – 58 , 60 – 62 , 64 – 70 ]. Table 1 represents other characteristics of the analyzed studies.…”

Section: Resultsmentioning

confidence: 99%

Dietary Inflammatory Index in relation to Type 2 Diabetes: A Meta-Analysis

Motamedi

Askari

Mozaffari

et al. 2022

International Journal of Clinical Practice

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Background and Aims. Epidemiologic studies show a strong association between chronic inflammation and type 2 diabetes (T2D). Diet may also affect the risk of T2D by modulating inflammation. This meta-analysis aimed to assess the relation of dietary inflammatory index (DII) and risk of T2D. Methods. PubMed and Scopus were systematically searched from their inception to September 2020 to identify relevant studies. Relative risks, hazard ratios, or odds ratios (OR), with their corresponding 95% confidence intervals (95% CI), were calculated and pooled using a random-effects model. Results. A total of 48 different studies, with a total sample size of 1,687,424 participants, were eligible to be included in this meta-analysis. In the overall analysis, no significant association was observed between DII and risk of T2D (OR = 1.03, 95% CI: 0.91 to 1.15), with significant evidence for heterogeneity (I2 = 96.5%, P < 0.001); however, higher DII was identified as being significantly related to increased risk of T2D in high quality studies (OR = 1.58, 95% CI: 1.15 to 2.17). In the stratified analysis by the dietary assessment tool, background disease, and sex of participants, DII showed no significant association with T2D. Conclusions. Higher DII might be associated with an increased risk of T2D. Additional well-designed studies are required to confirm this finding.

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“…), but their use is also recommended for studies on the DQ of the general population as well as more targeted groups [ 8 ]. Internationally, these indices have been used to study the DQ of a range of groups [ 9 , 10 , 11 , 12 ], including university students [ 13 , 14 ]. Students, in particular, are an important target audience for public health actions, seeing that entering university constitutes a drastic change in lifestyle that can bring about new challenges and meaningfully affect the students’ habits and health.…”

Section: Introductionmentioning

confidence: 99%

Factors Related to Diet Quality: A Cross-Sectional Study of 1055 University Students

et al. 2021

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Given that there is only a limited body of evidence available concerning the dietary habits of Spanish university students, the present study assesses the quality of this group’s diet, their adherence to the National Food-Based Dietary Guidelines, and the predictive factors of their diet quality. To do so, a cross-sectional study was performed on a sample of 1055 students. The quality of the participants’ diets was then analysed by using the Spanish Healthy Eating Index, and then their level of compliance was assessed in light of the dietary recommendations put forth by the Spanish Society for Community Nutrition. According to these standards, only 17.4% of the participants had a healthy diet. The level of compliance with the recommendations was poor, highlighting especially the low levels of “fruit” and “vegetables” that they consumed as well as high levels of “cold meats and cuts” and “sweets.” The factors that predicted a worse diet are being male, living alone, low levels of physical activity, smoking, high alcohol intake, leading a sedentary lifestyle, psychological distress, and insomnia (p < 0.005). Furthermore, participants with low or high body weights showed signs of a higher quality diet (p < 0.001). The present findings suggest that a significant proportion of university students ought to change their dietary habits; these also attest to the importance of developing strategies that are directly targeted at university students in order to promote a healthy diet.

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Dietary Inflammatory Index is associated with Healthy Eating Index, Alternative Healthy Eating Index, and dietary patterns among Iranian adults

Abstract: This is an open access article under the terms of the Creative Commons Attribution NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

Cited by 19 publications

References 31 publications

Association Between Diet Quality and Prevalence of Obesity, Dyslipidemia, and Insulin Resistance Among Filipino Immigrant Women in Korea: The Filipino Women's Diet and Health Study

Association Between Diet Quality and Prevalence of Obesity, Dyslipidemia, and Insulin Resistance Among Filipino Immigrant Women in Korea: The Filipino Women's Diet and Health Study

Dietary Inflammatory Index in relation to Type 2 Diabetes: A Meta-Analysis

Factors Related to Diet Quality: A Cross-Sectional Study of 1055 University Students

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