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膳食炎症指数与胶质瘤的关联:病例对照研究。

The association between the dietary inflammatory index and glioma: A case-control study.

机构信息

Students' Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran; Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran.

Department of Nutritional Sciences, School of Health, Arak University of Medical Sciences, Arak, Iran.

出版信息

Clin Nutr. 2020 Feb;39(2):433-439. doi: 10.1016/j.clnu.2019.02.013. Epub 2019 Feb 14.

Abstract

BACKGROUND & AIMS: Dietary inflammatory potential has been associated with several cancers. However, the relationship between the dietary inflammatory index (DII®) and glioma is not clear. The aim of this study was to examine DII in relation to glioma.

METHODS

In a hospital-based case-control study, we selected 128 newly-diagnosed cases of glioma and 256 controls. Cases were medically confirmed glioma patients, with no history of other cancers. A validated food frequency questionnaire was used to assess diet. DII scores were calculated based on the quantity of dietary components with inflammatory or anti-inflammatory potential. We used conditional logistic regression models to examine the association between the DII and glioma.

RESULT

Study participants were on average 43 years old and predominantly male (58%). After controlling for age, sex and energy intake, individuals in the highest quartile of DII had 87% (95% CI: 1.00-3.47) increased risk of glioma compared to those in the lowest quartile. Additional adjustment for environmental confounders strengthened the relationship; participants with the greatest DII scores had approximately 2.1 times (95% CI: 1.06, 3.83) increased odds of glioma than those with the lowest intake scores. The association was not substantially altered by further adjustment for BMI (2.76; 1.15-6.60).

CONCLUSION

In conclusion, diets with high anti-inflammatory and low inflammatory nutrient contents are recommended to prevent glioma.

摘要

背景与目的

饮食炎症潜能与多种癌症有关。然而,饮食炎症指数(DII®)与神经胶质瘤之间的关系尚不清楚。本研究旨在研究 DII 与神经胶质瘤之间的关系。

方法

在一项基于医院的病例对照研究中,我们选择了 128 名新诊断的神经胶质瘤病例和 256 名对照。病例为经医学确诊的神经胶质瘤患者,无其他癌症病史。使用经过验证的食物频率问卷评估饮食。根据具有炎症或抗炎潜力的饮食成分的数量计算 DII 评分。我们使用条件逻辑回归模型来检验 DII 与神经胶质瘤之间的关联。

结果

研究参与者的平均年龄为 43 岁,主要为男性(58%)。在控制年龄、性别和能量摄入后,DII 最高四分位数的个体患神经胶质瘤的风险比最低四分位数的个体增加 87%(95%CI:1.00-3.47)。进一步调整环境混杂因素加强了这种关系;DII 得分最高的参与者患神经胶质瘤的几率约为得分最低的参与者的 2.1 倍(95%CI:1.06,3.83)。进一步调整 BMI(2.76;1.15-6.60)后,这种关联没有明显改变。

结论

总之,建议摄入具有高抗炎和低炎症营养素含量的饮食,以预防神经胶质瘤。

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