Correa-Rodríguez María, González-Jiménez Emilio, Rueda-Medina Blanca, Tovar-Gálvez María I, Ramírez-Vélez Robinson, Correa-Bautista Jorge E, Schmidt-RioValle Jacqueline
Departamento de Enfermería, Universidad de Granada, Granada, Spain.
Centro de Estudios para la Medición de la Actividad Física «CEMA», Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Bogota, DC 111221, Colombia.
Res Nurs Health. 2018 Oct;41(5):448-458. doi: 10.1002/nur.21904. Epub 2018 Aug 31.
Dietary inflammatory potential is an established risk factor for adverse cardiovascular events. In this study we analyzed the relation between the Dietary Inflammatory Index (DII) and cardiovascular risk factors, based on anthropometric, body composition, blood pressure, and heart rate parameters in children and adolescents. We conducted a cross-sectional study of 428 Spanish schoolchildren (mean age 12.32 ± 1.84), whose DII was calculated, based on a 24-hr diet recall over 3 days. Anthropometric measurements were taken, and body composition analyzed by bioelectrical impedance analysis. Blood pressure and heart rate parameters were assessed with an automatic monitor. Pubertal stage was assessed based on Tanner criteria. We analyzed the DII both as a continuous variable and as a category variable based on quartiles. Linear regression analysis revealed that the DII was significantly associated with waist to height ratio (WHtR) (p = .026; B = 0.128, 95% CI [.001-.016]) after adjusting for age, sex, total energy intake, and Tanner stage. All macro- and micronutrient intakes were found to be higher in the DII Q1 (anti-inflammatory diet) except for caffeine. This study provides preliminary evidence of a significant association between the DII and WHtR, an index of cardiovascular risk. The results obtained indicate that the inflammatory potential of the diet may play a role in children and adolescents becoming overweight or developing obesity. Future studies in young people should be conducted to validate and further explore these relationships.
饮食炎症潜能是不良心血管事件的既定风险因素。在本研究中，我们基于儿童和青少年的人体测量、身体成分、血压和心率参数，分析了饮食炎症指数（DII）与心血管危险因素之间的关系。我们对428名西班牙学童（平均年龄12.32±1.84岁）进行了一项横断面研究，根据3天的24小时饮食回忆计算他们的DII。进行了人体测量，并通过生物电阻抗分析来分析身体成分。使用自动监测仪评估血压和心率参数。根据坦纳标准评估青春期阶段。我们将DII作为连续变量和基于四分位数的分类变量进行分析。线性回归分析显示，在调整年龄、性别、总能量摄入和坦纳阶段后，DII与腰高比（WHtR）显著相关（p = 0.026；B = 0.128，95% CI [0.001 - 0.016]）。除咖啡因外，在DII Q1（抗炎饮食）中发现所有宏量和微量营养素的摄入量都更高。本研究提供了DII与心血管风险指标WHtR之间显著关联的初步证据。所得结果表明，饮食的炎症潜能可能在儿童和青少年超重或肥胖的发生中起作用。未来应在年轻人中开展研究以验证并进一步探索这些关系。
