1. The Dietary Inflammatory Index Is Associated With Diabetes Severity
- Author
-
Dana E. King and Jun Xiang
- Subjects
Adult ,Male ,0301 basic medicine ,Research design ,medicine.medical_specialty ,National Health and Nutrition Examination Survey ,Cross-sectional study ,030209 endocrinology & metabolism ,Logistic regression ,Risk Assessment ,Severity of Illness Index ,Article ,Body Mass Index ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,Diabetes mellitus ,Diabetes Mellitus ,medicine ,Humans ,Aged ,Glycated Hemoglobin ,Inflammation ,030109 nutrition & dietetics ,business.industry ,Incidence ,Confounding ,Public Health, Environmental and Occupational Health ,Feeding Behavior ,Middle Aged ,Nutrition Surveys ,medicine.disease ,United States ,eye diseases ,Cross-Sectional Studies ,Female ,sense organs ,Family Practice ,business ,Risk assessment ,Body mass index - Abstract
OBJECTIVE: The Dietary Inflammatory Index (DII) is a recently developed dietary inflammation assessment tool. The current study examined the association between DII and the presence and severity of diabetes in adults age ≥20 years. RESEARCH DESIGN AND METHODS: Cross-sectional analysis of 4434 adult participants in the National Health and Nutrition Examination Survey (NHANES 2013 to 2014). The DII was calculated based on 24-hour dietary recall data. Linear and logistic regression models were used to estimate the relationship and control for possible confounding factors. RESULTS: Among 4434 participants, mean age was 49.4 years, mean BMI (body mass index) was 29.3 kg/m(2), and mean DII (higher is more inflammatory) was 0.65 (range, −3.41 to +9.05). The mean DII scores in participants with and without diabetes were 0.79 and 0.50, respectively (P = .0098). Participants with Hemoglobin A1c (HgbA1c) >9% had higher DII scores than those with 6.5% to 9% HgbA1c (1.37 vs 0.54, P = .0002) and those with 9%. Further research will help clarify the association between inflammation and diet and the utility of the DII as a tool in risk assessment and management of patients with diabetes.
- Published
- 2019