Zhang Yangyi, Liu Xiangtao, Su Yinxia, Jiang Yan, Cai Junxiu, Yang Xiaoping, Zou Yuan, Chen Jing, Zhao Xingyang, Xiao Hui
The First Affiliated Hospital of Xinjiang Medical University, Urumqi, China.
Department of Public Health, Xinjiang Medical University, Urumqi, China.
Front Nutr. 2024 Feb 29;11:1334506. doi: 10.3389/fnut.2024.1334506. eCollection 2024.
This paper examines the association between the dietary inflammatory index (DII) and the risk of metabolic syndrome (MS) and its components among Uygur adults in Kashi, Xinjiang.
The study used the multi-stage random cluster sampling method to investigate the adult residents of Uighu aged over 18 years old in one county and one township/street of three cities in Kashi between May and June 2021. All dietary data collected were analyzed for energy and nutrient intake with a nutritional analysis software, followed by a calculation of DII. Logistic regression was used to estimate the association between DII and the risks of MS and its components.
The maximum DII value across our 1,193 respondents was 4.570 to 4.058, with an average value of 0.256. When we analyzed the DII as a continuous variable, we determined the anti-inflammatory diet has been identified as a mitigating factor for metabolic syndrome (OR = 0.586, 95% CI = 0.395-0.870), obesity (OR = 0.594, 95% CI = 0.395-0.870), elevated fasting glucose levels (OR = 0.422, 95% CI = 0.267-0.668), and hypertension (OR = 0.698, 95% CI = 0.488-0.996). When the model was adjusted by sex, age, and occupation, we found a significant correlation between high- and low-density lipoproteinemia and DII (OR = 1.55, 95% CI = 1.040-2.323). The present study identified four distinct dietary patterns among the population under investigation. There was a linear trend in the incidence of MS and hypertension across low, middle, and high levels of fruits and milk dietary pattern model ( = 0.027; = 0.033), within this dietary pattern may serve as protective factors against MS and hypertension, suggesting that fruits and milk within this dietary pattern may serve as protective factors against MS and hypertension. And the linear trend in the incidence of elevated fasting glucose and obesity across the low, medium, and high scores of meet and eggs dietary pattern ( = 0.006; < 0.001), suggest that a diet rich in meat may potentially contribute to an increased risk of developing elevated fasting glucose levels and obesity. An observed linear trend in the incidence rate of high fasting blood glucose across low, moderate, and high scores of dried fruits and nuts dietary pattern ( = 0.014), indicating that increased consumption of nuts acted as a protective factor against elevated fasting blood glucose levels and contributed to their reduction.
The dietary inflammation index was integrated with the findings from the study on the dietary patterns of the sampled population, revealing that an anti-inflammatory diet demonstrated a protective effect against metabolic syndrome, obesity, high fasting blood glucose, and hypertension in this specific population. laying the foundation for further research.
本文探讨了新疆喀什维吾尔族成年人的饮食炎症指数（DII）与代谢综合征（MS）及其各组分风险之间的关联。
本研究采用多阶段随机整群抽样方法，于2021年5月至6月对喀什市三个城区的一个县和一个乡/街道中18岁以上的成年维吾尔族居民进行调查。使用营养分析软件对收集到的所有饮食数据进行能量和营养摄入分析，随后计算DII。采用逻辑回归估计DII与MS及其组分风险之间的关联。
在我们的1193名受访者中，DII最大值为4.570至4.058，平均值为0.256。当将DII作为连续变量进行分析时，我们确定抗炎饮食是代谢综合征（OR = 0.586，95%CI = 0.395 - 0.870）、肥胖（OR = 0.594，95%CI = 0.395 - 0.870）、空腹血糖升高（OR = 0.422，95%CI = 0.267 - 0.668）和高血压（OR = 0.698，95%CI = 0.488 - 0.996）的缓解因素。当模型按性别、年龄和职业进行调整时，我们发现高低密度脂蛋白血症与DII之间存在显著相关性（OR = 1.55，95%CI = 1.040 - 2.323）。本研究在被调查人群中确定了四种不同的饮食模式。在水果和牛奶饮食模式模型的低、中、高水平中，MS和高血压的发病率呈线性趋势（P = 0.027；P = 0.033），在此饮食模式内可能是预防MS和高血压的保护因素，表明该饮食模式中的水果和牛奶可能是预防MS和高血压的保护因素。在肉类和蛋类饮食模式的低、中、高得分中，空腹血糖升高和肥胖的发病率呈线性趋势（P = 0.006；P < 0.001），表明富含肉类的饮食可能会增加空腹血糖升高和肥胖的发病风险。在干果和坚果饮食模式的低、中、高得分中，空腹血糖高的发病率呈线性趋势（P = 0.014），表明增加坚果摄入量是空腹血糖升高的保护因素并有助于降低空腹血糖水平。
饮食炎症指数与抽样人群饮食模式研究结果相结合，表明抗炎饮食对该特定人群的代谢综合征、肥胖、空腹血糖高和高血压具有保护作用。为进一步研究奠定了基础。
