Alam Iftikhar, Shivappa Nitin, Hebert James R, Pawelec Graham, Larbi Anis
Department of Community Health Sciences, Clinical Nutrition Program, College of Applied Medical Sciences, King Saud University, King Abdullah Street, Kingdom of Saudi Arabia.
Department of Human Nutrition and Dietetics, Bacha Khan University Charsadda, KPK, Pakistan.
Nutr Healthy Aging. 2018 Jun 15;4(4):335-343. doi: 10.3233/NHA-180042.
Little is known about associations between dietary inflammation, age and anthropometric measurements.
In this regard, we examine how DII is related to age, anthropometrics [weight, Body mass index (BMI), waist to hip ratio (WHR)] and other parameters of nutrition (energy, protein, fats and cholesterol intake, Net Endogenous Acid Production (NEAP) and Phytochemical Index (PI)) in a cross-sectional study in Pakistan.
Only men ( = 651, age 54-95 years) participated in the study. Anthropometric data were collected using standard methods. DII was calculated from nutrients derived from 24-hr Dietary Recall questionnaires. NEAP and PI were calculated by established algorithms using information on nutrient intake.
The results show that with increasing age, there was a significant increase in the DII score ( < 0.05). Similarly significant positive correlations were found between DII score and weight, BMI, WHR and % BF (, for all trends < 0.05). DII score significantly positively correlated with the dietary factors studied i.e. energy, protein, and fats (, for all trends < 0.0001) but non-significantly with cholesterol ( > 0.05). Similarly, a significant positive correlation with NEAP ( < 0.0001) was found, but negative with PI ( < 0.0001).
In conclusion, the present study shows direct positive correlations between the DII, age and indices of obesity, and thus supports the hypothesis that diet may have a role in the development of obesity through inflammatory modulation mechanisms in elderly.
关于饮食炎症、年龄与人体测量指标之间的关联,我们所知甚少。
在这方面,我们在巴基斯坦的一项横断面研究中,探究饮食炎症指数(DII)如何与年龄、人体测量指标[体重、体重指数(BMI)、腰臀比(WHR)]以及其他营养参数(能量、蛋白质、脂肪和胆固醇摄入量、内源性酸净生成量(NEAP)和植物化学物质指数(PI))相关。
仅有男性(n = 651,年龄54 - 95岁)参与了该研究。使用标准方法收集人体测量数据。DII由24小时饮食回顾问卷中的营养素计算得出。NEAP和PI通过既定算法利用营养摄入信息进行计算。
结果显示,随着年龄增长,DII评分显著增加(P < 0.05)。同样,在DII评分与体重、BMI、WHR和体脂百分比之间发现了显著的正相关(所有趋势的P < 0.05)。DII评分与所研究的饮食因素即能量、蛋白质和脂肪显著正相关(所有趋势的P < 0.0001),但与胆固醇无显著相关性(P > 0.05)。同样,发现与NEAP显著正相关(P < 0.0001),但与PI负相关(P < 0.0001)。
总之,本研究表明DII、年龄与肥胖指数之间存在直接正相关,因此支持了饮食可能通过炎症调节机制在老年人肥胖发展中起作用这一假说。