Department of Nutrition and Health, Universidade Federal de Viçosa (UFV), Av. P.H. Rolfs s/n, Campus Universitário, CEP, Viçosa, MG36570-000, Brazil.
Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.
Public Health Nutr. 2021 Dec;24(18):6191-6200. doi: 10.1017/S1368980021001816. Epub 2021 Apr 27.
To investigate the association between the Children's Dietary Inflammatory Index (C-DIITM) scores and atherogenic risk in Brazilian schoolchildren.
A cross-sectional representative study. Three 24-h dietary recalls were performed to evaluate food consumption and to calculate C-DII scores. Blood samples were collected for the lipid profile analysis (serum total cholesterol (TC), HDL-cholesterol, LDL-cholesterol, VLDL-cholesterol and triglycerides (TAG)) and to determine atherogenic indexes (Castelli risk indexes I and II, lipoprotein combined index (LCI), and atherogenic index of plasma and atherogenic coefficient (AC)). A semi-structured questionnaire was used to obtain sociodemographic characteristics and screen time. Body fat was assessed by dual-energy X-ray absorptiometry. We compared the distributions of outcomes by C-DII categories using multivariable linear regression.
Viçosa, Minas Gerais, Brazil.
Three hundred seventy-eight children between the ages of 8 and 9 years.
The mean C-DII score was 0·60 ± 0·94, and the prevalence of dyslipidaemia was 70 %. Children with hypercholesterolaemia and hypertriglyceridaemia had higher C-DII scores. The C-DII was directly associated with atherogenic risk. Every 1 sd of C-DII was associated with a 0·07 (0·01, 0·13), 1·94 (0·20, 3·67), 0·06 (0·002, 0·12) and 0·12 (0·02, 0·22) units higher TC:HDL cholesterol ratio, LCI, AC and accumulation of altered dyslipidaemia markers (high TC + high LDL-cholesterol + high TAG + low HDL-cholesterol), respectively.
Dietary inflammatory potential, as estimated by the C-DII, is directly associated with atherogenic risk in Brazilian schoolchildren. This results reinforce the importance of effective nutritional policies to promote healthy eating habits and improve children's lipid profiles.
探讨儿童饮食炎症指数（C-DIITM）评分与巴西学龄儿童动脉粥样硬化风险之间的关系。
横断面代表性研究。进行了三次 24 小时膳食回忆，以评估食物消费情况并计算 C-DII 评分。采集血样进行血脂谱分析（血清总胆固醇（TC）、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇、极低密度脂蛋白胆固醇和甘油三酯（TAG）），并确定动脉粥样硬化指标（Castelli 风险指数 I 和 II、脂蛋白综合指数（LCI）、血浆致动脉粥样硬化指数和致动脉粥样硬化系数（AC））。使用半结构式问卷获取社会人口统计学特征和屏幕时间。使用双能 X 射线吸收法评估体脂肪。我们使用多变量线性回归比较了 C-DII 分类的结果分布。
巴西米纳斯吉拉斯州维索萨。
年龄在 8 至 9 岁之间的 378 名儿童。
平均 C-DII 评分为 0.60±0.94，血脂异常患病率为 70%。患有高胆固醇血症和高甘油三酯血症的儿童的 C-DII 评分较高。C-DII 与动脉粥样硬化风险直接相关。C-DII 每增加 1 个标准差，与 TC：HDL 胆固醇比值、LCI、AC 和改变的血脂异常标志物（高 TC+高 LDL-胆固醇+高 TAG+低 HDL-胆固醇）的累积增加分别相关 0.07（0.01，0.13）、1.94（0.20，3.67）、0.06（0.002，0.12）和 0.12（0.02，0.22）单位。
根据 C-DII 估计的饮食炎症潜能与巴西学龄儿童的动脉粥样硬化风险直接相关。这些结果强调了有效营养政策的重要性，以促进健康饮食习惯和改善儿童的血脂谱。
