Association of Dietary Inflammatory Index with cardiovascular disease in Kurdish adults: results of a prospective study on Ravansar non-communicable diseases

pour, Azad Ayeneh; Moradinazar, Mehdi; Samadi, Mehnoosh; Hamzeh, Behrooz; Najafi, Farid; Karimi, Sheno; Faraji, Fakhereh; Darbandi, Mitra

doi:10.1186/s12872-020-01707-7

Cited by 17 publications

(15 citation statements)

References 24 publications

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“…Additionally, previous papers have shown an inverse association between dietary antioxidants and the risk of CVDs and metabolic syndrome (MetS) [ 7 , 14 ]. On the other hand, scientific evidence has shown that an inflammatory diet is correlated with an increased risk of developing type 2 diabetes, hypertension, cardiovascular diseases (CVDs), and non-alcoholic fatty liver (NAFLD) [ 15 – 17 ]. According to a review study, antioxidants have anti-inflammatory effects although different types of antioxidants may have different effects since they are structurally and chemically different [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Association between dietary total antioxidant capacity and hypertension in Iranian Kurdish women

et al. 2022

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Background Antioxidants intake from diet has been identified as one of the effective factors in the development of hypertension (HTN). The present study aimed to investigate the association between total antioxidant capacity (TAC) and HTN in women. Methods This cross-sectional study was performed using the baseline phase data of the ravansar non-communicable disease cohort study. The TAC was calculated using food items of the food frequency questionnaire. TAC scores were classified into four groups (quartile). The first and fourth quartiles had the lowest and highest TAC scores, respectively. Logistic regression analysis was utilized to estimate the odds ratio. Results A total of 5067 women were included in the study. Women with the highest socioeconomic status (SES) had a significantly higher TAC intake compared to those with the lowest SES (P < 0.001). The participants in the third and fourth quartiles of the TAC had significantly lower odds of HTN, respectively by 21% (OR = 0.79; 95% CI: 0.64, 0.972) and 26% (OR = 0.74; 95% CI: 0.60, 0.91), compared to the first quartile. After adjusting for confounding variables was found to significantly reduce the odds of developing HTN in the fourth quartile of TAC by 22% compared to the first quartile (OR = 0.78; 95% CI: 0.62, 0.97). Conclusion A high dietary TAC was associated to a decreased odd of HTN in women. We could suggest a diet rich in natural antioxidants as it may help prevent development of HTN.

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Section: Introductionmentioning

confidence: 99%

Association between dietary total antioxidant capacity and hypertension in Iranian Kurdish women

et al. 2022

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“…Prior studies have primarily centered on exploring the link between DII and CVD. In the Ravansar Non-Communicable Disease (RaNCD) cohort study 16 , where 9% of participants had prior CVD records, the investigation set out to scrutinize the connection between DII and CVD risk. The findings unveiled that higher adherence to a pro-inflammatory diet correlated with an elevated risk of CVD ( OR : 1.4, 95% CI : 1.1–1.8).…”

Section: Discussionmentioning

confidence: 99%

Associations between dietary inflammatory index and stroke risk: based on NHANES 2005–2018

Huang,

Lai,

Zhao

et al. 2024

Sci Rep

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The dietary inflammatory index (DII) is a measure of the inflammatory potential of the diet and is closely associated with insulin resistance (IR) and stroke. And IR may play an important role in the development of stroke. Therefore, this study aimed to evaluate the relationship between DII and stroke risk while delving into the potential role of IR in this association. We analyzed data from the National Health and Nutrition Examination Survey (NHANES) from 2005 to 2018, performing weighted univariate analyses, logistic regression, and mediation analyses. At baseline, 3.89% of participants developed stroke, and we observed stroke patients exhibited higher DII scores. After adjusting for covariates, compared to participants in the first quartile of DII scores, those in the third quartile and fourth quartile had increased odds of experiencing a stroke (OR: 1.78, 95% CI: 1.18–2.68) and (OR: 1.70, 95% CI: 1.16–2.50), respectively. Moreover, a significant dose–response relationship was observed (P-trend < 0.05). However, there was no observed interaction between DII and homeostatic model assessment-IR (HOMA-IR) concerning stroke risk, and HOMA-IR did not mediate the association between DII and stroke. In summary, our study elucidated the significant association between DII and stroke risk, independent of IR. This insight suggests that an anti-inflammatory diet may serve as an effective strategy for stroke prevention.

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“…Furthermore, a greater intake of animal fats and sodium is associated with the onset of micro albuminuria, while a greater intake of carotenoids, which have an anti-inflammatory effect, is associated with an increase in GFR ( 32 ). One of the potential mechanisms adding to the relationship between DII and the risk of renal disease is the impact of diet-related chronic inflammation in the upregulation of various pro-inflammatory mediators like TGF-β, TNF-α, IL-6, and CRP ( 14 ). In contrast, others have shown that the DII score is unrelated to serum hs-CRP and biomarkers of kidney function in elderly patients ( 26 ).…”

Section: Discussionmentioning

confidence: 99%

“…Thus, understanding the role of inflammation in CKD in relation to diet can foster the development of effective prophylactic and therapeutic strategies against the underlying inflammation in CKD patients. While the inflammatory pathophysiology may not be similar in patients with chronic renal failure, persistent low-grade inflammation has been hypothesized as a risk factor for CKD ( 14 ). Dietary intake may contribute to the development of an inflammatory condition and trigger the risk of CKD ( 5 , 9 , 10 ).…”

Section: Introductionmentioning

confidence: 99%

Association of dietary inflammatory index with chronic kidney disease and kidney stones in Iranian adults: A cross-sectional study within the Ravansar non-communicable diseases cohort

Moludi

Fateh²,

Pasdar³

et al. 2022

Front. Nutr.

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Chronic inflammation plays a central role in the pathogenesis of chronic kidney disease (CKD). The association of dietary inflammatory index (DII) with CKD remains underexplored. Thus, the present study aimed to determine the association between the DII, risk of CKD, and kidney stone formation using the data from the Ravansar non-communicable diseases (RaNCD) cohort study conducted in Kermanshah, Iran. The cross-sectional study was conducted using the recruitment phase data of the RaNCD cohort study comprising 9,824 individuals with an age range of 35–65 years. Food frequency questionnaires (FFQ) were used to evaluate the association between diet and DII scores. Renal function was assessed using estimated glomerular filtration rate (eGFR), blood urea nitrogen (BUN), and serum creatinine (Cr) level. CKD was defined based on eGFR. The prevalence of kidney stones was evaluated by participants’ self-report. A total of 1,791 participants (18.24%) had kidney stones, while a majority were in the first quartile (27.69%). Out of 9,824 subjects, 1,747 subjects (eGFR: 18.50 ml/min per 1.73 m2; 95% CI: 17.72–19.30) had CKD. A significant trend for eGFR across all quartiles (Qs) of DII was observed. The odds ratio of CKD in the fourth quartile (pro-inflammatory diet) was 4.38-times higher than in the first quartile (anti-inflammatory diet) of DII (95% CI = 3.58–5.36). Women were found to be more likely to have less eGFR than men in the DII Qs. Collectively, the findings indicated that consumption of a pro-inflammatory diet was associated with a high occurrence of CKD. As a matter of interest, the results also revealed that a pro-inflammatory diet had no significant correlation with kidney stone development.

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Association of Dietary Inflammatory Index with cardiovascular disease in Kurdish adults: results of a prospective study on Ravansar non-communicable diseases

Cited by 17 publications

References 24 publications

Association between dietary total antioxidant capacity and hypertension in Iranian Kurdish women

Association between dietary total antioxidant capacity and hypertension in Iranian Kurdish women

Associations between dietary inflammatory index and stroke risk: based on NHANES 2005–2018

Association of dietary inflammatory index with chronic kidney disease and kidney stones in Iranian adults: A cross-sectional study within the Ravansar non-communicable diseases cohort

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