Dietary Inflammation Index and Its Association with Long-Term All-Cause and Cardiovascular Mortality in the General US Population by Baseline Glycemic Status

被引:23
作者
Yuan, Sheng [1 ,2 ]
Song, Chenxi [1 ,2 ]
Zhang, Rui [1 ,2 ]
He, Jining [1 ,2 ]
Dou, Kefei [1 ,2 ]
机构
[1] State Key Lab Cardiovasc Dis, Beijing 102308, Peoples R China
[2] Chinese Acad Med Sci & Peking Union Med Coll, Fuwai Hosp, Cardiometab Med Ctr, Natl Ctr Cardiovasc Dis,Dept Cardiol, Beijing 100037, Peoples R China
基金
中国国家自然科学基金;
关键词
diabetes mellitus; prediabetes; dietary inflammation index; nutrition; inflammatory diet; NHANES; DISEASE; RISK; NUTRITION; EPIDEMIOLOGY; PREVENTION; GUIDELINES; MANAGEMENT; ETIOLOGY; OBESITY; ADULTS;
D O I
10.3390/nu14132556
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Dietary inflammatory potential has been proven to be correlated with the incidence of diabetes and cardiovascular diseases. However, the evidence regarding the impact of dietary inflammatory patterns on long-term mortality is scarce. This cohort study aims to investigate the dietary inflammatory pattern of the general US individuals by baseline glycemic status and to estimate its association with long-term mortality. A total of 20,762 general American adults with different glycemic statuses from the National Health and Nutrition Examination Survey were included. We extracted 24-h dietary information, and the dietary inflammatory index (DII) was calculated. The outcomes were defined as 5-year all-cause and cardiovascular mortality. Compared with the normoglycemia group, individuals with prediabetes and type 2 diabetes had higher DII scores (overall weighted p < 0.001). Compared with low DII scores, participants with high DII scores were at a higher risk of long-term all-cause mortality (HR: 1.597, 95% CI: 1.370, 1.861; p < 0.001) and cardiovascular mortality (HR: 2.036, 95% CI: 1.458, 2.844; p < 0.001). The results were stable after adjusting for potential confounders. Moreover, the prognostic value of DII for long-term all-cause mortality existed only in diabetic individuals but not in the normoglycemia or prediabetes group (p for interaction = 0.006). In conclusion, compared to the normoglycemia or prediabetes groups, participants with diabetes had a higher DII score, which indicates a greater pro-inflammatory potential. Diabetic individuals with higher DII scores were at a higher risk of long-term all-cause and cardiovascular mortality.
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页数:13
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