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多发性硬化症患者饮食炎症指数评分及其与体重指数、体脂百分比、体脂质量和血脂谱的关系。

Dietary Inflammatory Index score and its association with body mass index, body fat percentage, body fat mass, and lipid profile in patients with multiple sclerosis.

机构信息

Department of Nutrition and Dietetics, Faculty of Health Sciences, Ankara University, Ankara, Turkiye.

Department of Nutrition and Dietetics, Faculty of Health Sciences, Ondokuz Mayıs University, Samsun, Turkiye.

出版信息

Turk J Med Sci. 2023 Jun 21;53(5):1155-1165. doi: 10.55730/1300-0144.5681. eCollection 2023.

Abstract

BACKGROUND/AIM: Multiple sclerosis (MS) may cause modifications in body composition, particularly for body fat associated with obesity and some biochemical parameters such as lipid profiles. We investigated whether there is a link between the inflammatory contents of diets and body composition and lipid profiles in patients with MS.

MATERIALS AND METHODS

This was a cross-sectional study that included 85 MS patients. The study data of the patients were collected in the Neurology Clinic of Ondokuz Mayıs University's Health Practice and Research Center. The data included demographic characteristics; anthropometric measurements such as body weight, height, body mass index, waist circumference, hip circumference, body fat mass, body fat-free mass, and waist-hip ratio; and biochemical parameters such as high-density lipoprotein cholesterol (HDL-c), low-density lipoprotein cholesterol, triglyceride, and total cholesterol.

RESULTS

The body fat percentages of the patients were higher among those with proinflammatory diets (p < 0.05). Body fat percentage had a positive and very weak correlation with the Dietary Inflammatory Index (DII) score (rho = 0.206 and rho = 0.217, respectively; p < 0.05). HDL-c levels were higher in the group with high DII scores and there was a positive and weak correlation between HDL-c and DII scores (rho = 0.307, p < 0.05). Crude and adjusted linear regression models showed that the effect of HDL-c on DII scores was significant (p < 0.05).

CONCLUSION

We showed that DII scores, associated with the inflammatory potential of the diet and proinflammatory diets, may be associated with adiposity in MS patients and can be used from a clinical point of view for assessment.

摘要

背景/目的:多发性硬化症 (MS) 可能会引起身体成分的改变,特别是与肥胖相关的体脂肪和一些生化参数,如血脂谱。我们研究了 MS 患者的饮食炎症成分与身体成分和血脂谱之间是否存在联系。

材料与方法

这是一项横断面研究,共纳入 85 名 MS 患者。患者的研究数据在奥登纽克马伊斯大学健康实践与研究中心的神经科诊所收集。数据包括人口统计学特征;体重、身高、体重指数、腰围、臀围、体脂肪量、体非脂肪量和腰臀比等人体测量学指标;以及高密度脂蛋白胆固醇 (HDL-c)、低密度脂蛋白胆固醇、甘油三酯和总胆固醇等生化参数。

结果

摄入促炎饮食的患者体脂肪百分比更高(p < 0.05)。体脂肪百分比与饮食炎症指数 (DII) 评分呈正弱相关(rho = 0.206 和 rho = 0.217,分别;p < 0.05)。DII 评分高的组 HDL-c 水平较高,HDL-c 与 DII 评分之间呈正弱相关(rho = 0.307,p < 0.05)。未经调整和调整后的线性回归模型均表明,HDL-c 对 DII 评分的影响具有统计学意义(p < 0.05)。

结论

我们表明,DII 评分与饮食的炎症潜能和促炎饮食相关,可能与 MS 患者的肥胖有关,从临床角度来看,可以用于评估。

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