Association between the dietary inflammatory index and obesity in otherwise healthy adults: Role of age and sex
Aim The dietary inflammatory index (DII®) can estimate the overall inflammatory potential of diet. This study aimed to assess the association between DII score and other diet quality parameters with weight status among normal weight, overweight and obese otherwise healthy adults. Methods This retros...
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| Veröffentlicht in: | International journal of clinical practice (Esher) 2021-10, Vol.75 (10), p.e14567-n/a |
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| creator | Karimbeiki, Razieh Alipoor, Elham Yaseri, Mehdi Shivappa, Nitin Hebert, James R. Hosseinzadeh‐Attar, Mohammad Javad |
| description | Aim
The dietary inflammatory index (DII®) can estimate the overall inflammatory potential of diet. This study aimed to assess the association between DII score and other diet quality parameters with weight status among normal weight, overweight and obese otherwise healthy adults.
Methods
This retrospective observational study investigated DII, energy‐adjusted DII (E‐DIITM), dietary energy density (DED) and mean adequacy ratio (MAR) scores, based on a valid 168‐item food frequency questionnaire, in 100 normal weight, 100 overweight and 100 obese healthy adults (age > 18yr).
Results
Normal‐weight participants had higher DII scores than obese participants (mean difference (MD): 0.67, 95% confidence interval (CI): 0.004 − 1.33, P = .048). Body mass index (BMI) had an effect on DII score after adjusting for age (P = .03). A statistically significant interaction was observed between BMI and age on E‐DII (P = .03) and MAR (P = .004). E‐DII scores were lower (more anti‐inflammatory) and MAR was higher with increasing age in the obese compared with normal‐weight participants. Additionally, male participants had higher DII (MD: −0.53, 95% CI: −0.97 − −0.09, P = .02), E‐DII (MD: −0.76, 95% CI: −1.12 − −0.35, P |
| doi_str_mv | 10.1111/ijcp.14567 |
| format | Article |
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The dietary inflammatory index (DII®) can estimate the overall inflammatory potential of diet. This study aimed to assess the association between DII score and other diet quality parameters with weight status among normal weight, overweight and obese otherwise healthy adults.
Methods
This retrospective observational study investigated DII, energy‐adjusted DII (E‐DIITM), dietary energy density (DED) and mean adequacy ratio (MAR) scores, based on a valid 168‐item food frequency questionnaire, in 100 normal weight, 100 overweight and 100 obese healthy adults (age > 18yr).
Results
Normal‐weight participants had higher DII scores than obese participants (mean difference (MD): 0.67, 95% confidence interval (CI): 0.004 − 1.33, P = .048). Body mass index (BMI) had an effect on DII score after adjusting for age (P = .03). A statistically significant interaction was observed between BMI and age on E‐DII (P = .03) and MAR (P = .004). E‐DII scores were lower (more anti‐inflammatory) and MAR was higher with increasing age in the obese compared with normal‐weight participants. Additionally, male participants had higher DII (MD: −0.53, 95% CI: −0.97 − −0.09, P = .02), E‐DII (MD: −0.76, 95% CI: −1.12 − −0.35, P < .001), DED (MD: −0.09, 95% CI: −0.15 − −0.03, P = .004) and lower MAR (MD: 0.04, 95% CI: 0.02 − 0.06, P = .001), after adjusting for BMI. Obesity (Adjusted odds ratio (AOR) = 0.48, 95% CI: 0.26 − 0.91, P = .02) and DED (AOR =5.81, 95% CI: 2.28 − 14.81, P < .001) were the most important factors associated with high DII.
Conclusions
This study showed that having a normal body weight is not necessarily indicative of less inflammatory potential of diet and better diet quality. Male sex and increasing age were important determinants of diet quality across BMI subgroups.</description><identifier>ISSN: 1368-5031</identifier><identifier>EISSN: 1742-1241</identifier><identifier>DOI: 10.1111/ijcp.14567</identifier><language>eng</language><publisher>London: Hindawi Limited</publisher><subject>Age ; Body mass index ; Body weight ; Diet ; Inflammation ; Obesity ; Overweight ; Statistical analysis</subject><ispartof>International journal of clinical practice (Esher), 2021-10, Vol.75 (10), p.e14567-n/a</ispartof><rights>2021 John Wiley & Sons Ltd</rights><rights>Copyright © 2021 John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3707-e1d1304029696ea083e36c3fe4b0ae8d65610721ffac47152329b94a83459b1f3</citedby><cites>FETCH-LOGICAL-c3707-e1d1304029696ea083e36c3fe4b0ae8d65610721ffac47152329b94a83459b1f3</cites><orcidid>0000-0002-9463-6354 ; 0000-0002-0677-2672 ; 0000-0002-5787-4089</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fijcp.14567$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fijcp.14567$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids></links><search><creatorcontrib>Karimbeiki, Razieh</creatorcontrib><creatorcontrib>Alipoor, Elham</creatorcontrib><creatorcontrib>Yaseri, Mehdi</creatorcontrib><creatorcontrib>Shivappa, Nitin</creatorcontrib><creatorcontrib>Hebert, James R.</creatorcontrib><creatorcontrib>Hosseinzadeh‐Attar, Mohammad Javad</creatorcontrib><title>Association between the dietary inflammatory index and obesity in otherwise healthy adults: Role of age and sex</title><title>International journal of clinical practice (Esher)</title><description>Aim
The dietary inflammatory index (DII®) can estimate the overall inflammatory potential of diet. This study aimed to assess the association between DII score and other diet quality parameters with weight status among normal weight, overweight and obese otherwise healthy adults.
Methods
This retrospective observational study investigated DII, energy‐adjusted DII (E‐DIITM), dietary energy density (DED) and mean adequacy ratio (MAR) scores, based on a valid 168‐item food frequency questionnaire, in 100 normal weight, 100 overweight and 100 obese healthy adults (age > 18yr).
Results
Normal‐weight participants had higher DII scores than obese participants (mean difference (MD): 0.67, 95% confidence interval (CI): 0.004 − 1.33, P = .048). Body mass index (BMI) had an effect on DII score after adjusting for age (P = .03). A statistically significant interaction was observed between BMI and age on E‐DII (P = .03) and MAR (P = .004). E‐DII scores were lower (more anti‐inflammatory) and MAR was higher with increasing age in the obese compared with normal‐weight participants. Additionally, male participants had higher DII (MD: −0.53, 95% CI: −0.97 − −0.09, P = .02), E‐DII (MD: −0.76, 95% CI: −1.12 − −0.35, P < .001), DED (MD: −0.09, 95% CI: −0.15 − −0.03, P = .004) and lower MAR (MD: 0.04, 95% CI: 0.02 − 0.06, P = .001), after adjusting for BMI. Obesity (Adjusted odds ratio (AOR) = 0.48, 95% CI: 0.26 − 0.91, P = .02) and DED (AOR =5.81, 95% CI: 2.28 − 14.81, P < .001) were the most important factors associated with high DII.
Conclusions
This study showed that having a normal body weight is not necessarily indicative of less inflammatory potential of diet and better diet quality. Male sex and increasing age were important determinants of diet quality across BMI subgroups.</description><subject>Age</subject><subject>Body mass index</subject><subject>Body weight</subject><subject>Diet</subject><subject>Inflammation</subject><subject>Obesity</subject><subject>Overweight</subject><subject>Statistical analysis</subject><issn>1368-5031</issn><issn>1742-1241</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kEtLw0AQgBdRsFYv_oIFLyKk7uxusok3KT4qBUX0HDbJxG5JszW7oe2_d9t48uBc5sE3w_ARcglsAiFuzbJcT0DGiToiI1CSR8AlHIdaJGkUMwGn5My5JWM8jlM2IvbeOVsa7Y1taYF-g9hSv0BaGfS621HT1o1erbS3h6bCLdVtRW2Bzvj9hNqAdxvjkC5QN36xo7rqG-_u6LttkNqa6i88LDncnpOTWjcOL37zmHw-PnxMn6P569Nsej-PSqGYihAqEEwyniVZgpqlAkVSihplwTSmVRInwBSHutalVBBzwbMikzoVMs4KqMWYXA9315397tH5fGVciU2jW7S9y3ksZZoCBCVjcvUHXdq-a8N3gVKCK6GyLFA3A1V21rkO63zdmVUwlAPL9-7zvfv84D7AMMAb0-DuHzKfvUzfhp0fJGyGaA</recordid><startdate>202110</startdate><enddate>202110</enddate><creator>Karimbeiki, Razieh</creator><creator>Alipoor, Elham</creator><creator>Yaseri, Mehdi</creator><creator>Shivappa, Nitin</creator><creator>Hebert, James R.</creator><creator>Hosseinzadeh‐Attar, Mohammad Javad</creator><general>Hindawi Limited</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T5</scope><scope>7TK</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9463-6354</orcidid><orcidid>https://orcid.org/0000-0002-0677-2672</orcidid><orcidid>https://orcid.org/0000-0002-5787-4089</orcidid></search><sort><creationdate>202110</creationdate><title>Association between the dietary inflammatory index and obesity in otherwise healthy adults: Role of age and sex</title><author>Karimbeiki, Razieh ; Alipoor, Elham ; Yaseri, Mehdi ; Shivappa, Nitin ; Hebert, James R. ; Hosseinzadeh‐Attar, Mohammad Javad</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3707-e1d1304029696ea083e36c3fe4b0ae8d65610721ffac47152329b94a83459b1f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Age</topic><topic>Body mass index</topic><topic>Body weight</topic><topic>Diet</topic><topic>Inflammation</topic><topic>Obesity</topic><topic>Overweight</topic><topic>Statistical analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Karimbeiki, Razieh</creatorcontrib><creatorcontrib>Alipoor, Elham</creatorcontrib><creatorcontrib>Yaseri, Mehdi</creatorcontrib><creatorcontrib>Shivappa, Nitin</creatorcontrib><creatorcontrib>Hebert, James R.</creatorcontrib><creatorcontrib>Hosseinzadeh‐Attar, Mohammad Javad</creatorcontrib><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of clinical practice (Esher)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Karimbeiki, Razieh</au><au>Alipoor, Elham</au><au>Yaseri, Mehdi</au><au>Shivappa, Nitin</au><au>Hebert, James R.</au><au>Hosseinzadeh‐Attar, Mohammad Javad</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association between the dietary inflammatory index and obesity in otherwise healthy adults: Role of age and sex</atitle><jtitle>International journal of clinical practice (Esher)</jtitle><date>2021-10</date><risdate>2021</risdate><volume>75</volume><issue>10</issue><spage>e14567</spage><epage>n/a</epage><pages>e14567-n/a</pages><issn>1368-5031</issn><eissn>1742-1241</eissn><abstract>Aim
The dietary inflammatory index (DII®) can estimate the overall inflammatory potential of diet. This study aimed to assess the association between DII score and other diet quality parameters with weight status among normal weight, overweight and obese otherwise healthy adults.
Methods
This retrospective observational study investigated DII, energy‐adjusted DII (E‐DIITM), dietary energy density (DED) and mean adequacy ratio (MAR) scores, based on a valid 168‐item food frequency questionnaire, in 100 normal weight, 100 overweight and 100 obese healthy adults (age > 18yr).
Results
Normal‐weight participants had higher DII scores than obese participants (mean difference (MD): 0.67, 95% confidence interval (CI): 0.004 − 1.33, P = .048). Body mass index (BMI) had an effect on DII score after adjusting for age (P = .03). A statistically significant interaction was observed between BMI and age on E‐DII (P = .03) and MAR (P = .004). E‐DII scores were lower (more anti‐inflammatory) and MAR was higher with increasing age in the obese compared with normal‐weight participants. Additionally, male participants had higher DII (MD: −0.53, 95% CI: −0.97 − −0.09, P = .02), E‐DII (MD: −0.76, 95% CI: −1.12 − −0.35, P < .001), DED (MD: −0.09, 95% CI: −0.15 − −0.03, P = .004) and lower MAR (MD: 0.04, 95% CI: 0.02 − 0.06, P = .001), after adjusting for BMI. Obesity (Adjusted odds ratio (AOR) = 0.48, 95% CI: 0.26 − 0.91, P = .02) and DED (AOR =5.81, 95% CI: 2.28 − 14.81, P < .001) were the most important factors associated with high DII.
Conclusions
This study showed that having a normal body weight is not necessarily indicative of less inflammatory potential of diet and better diet quality. Male sex and increasing age were important determinants of diet quality across BMI subgroups.</abstract><cop>London</cop><pub>Hindawi Limited</pub><doi>10.1111/ijcp.14567</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-9463-6354</orcidid><orcidid>https://orcid.org/0000-0002-0677-2672</orcidid><orcidid>https://orcid.org/0000-0002-5787-4089</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Wiley Online Library Journals Frontfile Complete |
| subjects | Age Body mass index Body weight Diet Inflammation Obesity Overweight Statistical analysis |
| title | Association between the dietary inflammatory index and obesity in otherwise healthy adults: Role of age and sex |
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