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与血糖正常和糖尿病前期参与者相比,促炎饮食在糖尿病参与者中导致视网膜病变的患病率更高:2005 - 2008年美国国家健康与营养检查调查(NHANES)的结果

Pro-Inflammatory diet accounts for higher prevalence of retinopathy in diabetes participants rather than normal glucose and prediabetes: Results from NHANES, 2005-2008.

作者信息

Pan Wenjun, Zhang Zhuqi, Zhang Yuzhuo, Lu Haining, Wang Baohua, Zhao Shaoyang, Li Saimei

机构信息

Postdoctoral Research Station, Guangzhou University of Chinese Medicine, Guangzhou, China.

The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.

出版信息

Front Nutr. 2023 Jan 11;9:981302. doi: 10.3389/fnut.2022.981302. eCollection 2022.

DOI:10.3389/fnut.2022.981302
PMID:36712506
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9875592/
Abstract

Retinopathy is a chronic inflammatory disease whose prognosis could be improved with dietary interventions. However, the association between a pro-inflammatory diet and the prevalence of retinopathy has not been fully elucidated. We assess the association between the dietary inflammatory index (DII), which is a comprehensive index determining inflammatory potential derived from food parameters according to literature, and the prevalence of retinopathy based on the data from the National Health and Nutritional Examination Survey (NHANES) 2005-2008 involving 2,403 participants. Energy-adjusted DII (E-DII) was not related to the occurrence of retinopathy in the general, non-diabetic, or middle-aged participants. In the diabetic and aged participants, one unit increment of E-DII accounted for 14 and 15% higher the prevalence of retinopathy respectively. The highest E-DII group had a 78 and 79% higher prevalence of retinopathy than the lowest group respectively. After adjusting for several covariables, the highest E-DII group was still associated with a 68% increase in retinopathy in diabetic patients. These results suggest that E-DII is positively associated with the prevalence of diabetic retinopathy among diabetic patients.

摘要

视网膜病变是一种慢性炎症性疾病,饮食干预可改善其预后。然而,促炎性饮食与视网膜病变患病率之间的关联尚未完全阐明。我们根据2005 - 2008年美国国家健康与营养检查调查(NHANES)中2403名参与者的数据,评估饮食炎症指数(DII)(这是一个根据文献从食物参数确定炎症潜力的综合指数)与视网膜病变患病率之间的关联。能量调整后的DII(E - DII)与一般人群、非糖尿病患者或中年参与者的视网膜病变发生无关。在糖尿病患者和老年参与者中,E - DII每增加一个单位,视网膜病变患病率分别高出14%和15%。E - DII最高组的视网膜病变患病率分别比最低组高出78%和79%。在调整了几个协变量后,E - DII最高组仍与糖尿病患者视网膜病变增加68%相关。这些结果表明,E - DII与糖尿病患者中糖尿病视网膜病变的患病率呈正相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a5b/9875592/ef26bedaf07d/fnut-09-981302-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a5b/9875592/31ff0b3996f6/fnut-09-981302-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a5b/9875592/ef26bedaf07d/fnut-09-981302-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a5b/9875592/31ff0b3996f6/fnut-09-981302-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a5b/9875592/ef26bedaf07d/fnut-09-981302-g0002.jpg

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本文引用的文献

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The Effect of Diet and Lifestyle on the Course of Diabetic Retinopathy-A Review of the Literature.饮食和生活方式对糖尿病视网膜病变病程的影响——文献综述。
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