Research Center in Policies, Population and Health, School of Medicine, National Autonomous, University of Mexico (UNAM), Mexico City, Mexico.
Genomics of Bone Metabolism Laboratory, National Institute of Genomic Medicine, Mexico City, Mexico.
Nutr Res. 2024 Jul;127:53-62. doi: 10.1016/j.nutres.2024.05.002. Epub 2024 May 23.
We hypothesized that higher scores on the dietary inflammatory index (DII) would be associated with a lower glomerular filtration rate (GFR). This cross-sectional study included 2098 participants from Mexican Teachers Cohort Study, the Health Workers Cohort Study, and the Comitán Study belonging to the RenMex consortium. Energy-adjusted DII scores were estimated using a semi-quantitative food frequency questionnaire (FFQ). eGFR was estimated by the CKD Epidemiology Collaboration equation. Quantile regression models and ordered regression models were estimated to assess the associations of interest. Median age of study participants was 47 years, median eGFR was 102.9 mL/min/1.73m, and the median energy-adjusted DII was 0.89 (range, -2.25, +4.86). The median eGFR was lower in participants in the highest percentile of DII compared to those in the lowest percentile (103.8 vs 101.4). We found that continuous and categorical energy-adjusted DII scores were associated with lower eGFR, especially at the lower percentiles. In adjusted ordered logistic regression, we found that the highest DII category was associated with 1.80 times the odds of belonging to the mildly decreased eGFR category or moderately decreased eGFR category compared lowest DII category (OR: 1.80, 95%CI 1.35, 2.40). A high DII score was associated with a lower eGFR among the Mexican population. Additional studies are crucial to validate these findings and explore potential strategies to reduce the consumption of pro-inflammatory foods as a preventive approach for chronic kidney disease (CKD).
我们假设,饮食炎症指数(DII)得分较高与肾小球滤过率(GFR)降低有关。这项横断面研究包括了来自墨西哥教师队列研究、卫生工作者队列研究和 Comitán 研究的 2098 名参与者,这些研究都属于 RenMex 联盟。使用半定量食物频率问卷(FFQ)估计了能量调整后的 DII 评分。通过 CKD 流行病学合作方程估计了 eGFR。使用分位数回归模型和有序回归模型来评估相关关联。研究参与者的中位年龄为 47 岁,中位 eGFR 为 102.9 mL/min/1.73m,中位能量调整后的 DII 为 0.89(范围:-2.25,+4.86)。与 DII 最低百分位的参与者相比,DII 最高百分位的参与者的中位 eGFR 较低(103.8 与 101.4)。我们发现,连续的和分类的能量调整后的 DII 评分与较低的 eGFR 相关,尤其是在较低的百分位数。在调整后的有序逻辑回归中,我们发现与最低 DII 分类相比,DII 最高分类与轻度 eGFR 分类或中度 eGFR 分类的几率增加了 1.80 倍(OR:1.80,95%CI 1.35,2.40)。高 DII 评分与墨西哥人群中的 eGFR 降低有关。需要进一步的研究来验证这些发现,并探讨减少促炎食物消耗的潜在策略,作为预防慢性肾脏病(CKD)的一种方法。