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伊朗成年人饮食炎症指数与代谢综合征各组分之间的关联。

The association between dietary inflammatory index and metabolic syndrome components in Iranian adults.

作者信息

Nikniaz Leila, Nikniaz Zeinab, Shivappa Nitin, Hébert James R

机构信息

Tabriz Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.

Liver and Gastrointestinal Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

Prim Care Diabetes. 2018 Oct;12(5):467-472. doi: 10.1016/j.pcd.2018.07.008. Epub 2018 Aug 1.

Abstract

AIMS

Investigating the association between the dietary inflammatory index (DII) and metabolic syndrome (MetS) components and liver enzymes in Iranian population.

METHODS

The present cross-sectional study consist of 606 participants from East-Azarbaijan-Iran. The MetS status was determined using ATPIII NCEP criteria. Moreover, liver enzymes including alanine aminotransferase and aspartate aminotransferase were measured. The DII was calculated according to Shivappa et al. method using a validated quantitative FFQ. Logistic regression was used to determine the association between DII and MetS.

RESULTS

About 34.3% of the participants had metabolic syndrome. Higher DII score was significantly associated with MetS [OR: 2.26 (95% CI: 1.03, 4.92)] after adjusting for covariates. After adjustment, participants in the highest quartile of DII score had significantly higher FBG [OR: 2.56 (95% CI: 1.00, 7.05)] compared with the participants in the lowest quartile of DII score. No other significant association was observed between DII and liver enzymes level and other MetS components (P>0.05).

CONCLUSIONS

The results showed that the DII score was associated with overall MetS and FBG, after adjusting for all covariates. For precise conclusion there is a need for longitudinal studies with larger sample size and considering more food parameters.

摘要

目的

研究伊朗人群饮食炎症指数(DII)与代谢综合征(MetS)各组分及肝酶之间的关联。

方法

本横断面研究纳入了来自伊朗东阿塞拜疆省的606名参与者。采用ATPIII NCEP标准确定MetS状态。此外,测量了包括丙氨酸氨基转移酶和天冬氨酸氨基转移酶在内的肝酶。根据Shivappa等人的方法,使用经过验证的定量食物频率问卷计算DII。采用逻辑回归确定DII与MetS之间的关联。

结果

约34.3%的参与者患有代谢综合征。在调整协变量后,较高的DII评分与MetS显著相关[比值比(OR):2.26(95%置信区间:1.03,4.92)]。调整后,DII评分最高四分位数的参与者空腹血糖(FBG)显著高于DII评分最低四分位数的参与者[OR:2.56(95%置信区间:1.00,7.05)]。未观察到DII与肝酶水平及其他MetS组分之间存在其他显著关联(P>0.05)。

结论

结果表明,在调整所有协变量后,DII评分与总体MetS和FBG相关。为得出精确结论,需要进行更大样本量并考虑更多食物参数的纵向研究。

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