The Association Between Dietary Diversity Score and Odds of Diabetic Nephropathy: A Case-Control Study

Rezazadegan, Mahsa; Mirjalili, Fatemeh; Jalilpiran, Yahya; Aziz, Monireh; Jayedi, Ahmad; Setayesh, Leila; Yekaninejad, Mir Saeed; Casazza, Krista; Mirzaei, Khadijeh

doi:10.3389/fnut.2022.767415

Cited by 5 publications

(5 citation statements)

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“…In the present study, a high DDS was found to be associated with decreased odds of MASLD. This finding is consistent with previous research that has shown an inverse association between DDS and the risk of diabetic nephropathy ( 29 ) and bladder cancer ( 30 ). In another study, by emphasizing the higher diversity scores for vegetables and fewer diversity scores for meat and refined grains, high DDS is inversely correlated with the risk of MASLD ( 15 ).…”

Section: Discussionsupporting

confidence: 93%

“…Numerous studies have shown that an overall dietary pattern, rather than focusing on individual foods or nutrients, is a better predictor of overall diet quality and is associated with various diseases. In particular, DDS and AHEI have been used as indicators of diet quality in relation to non-communicable diseases such as cardiovascular disease, polycystic ovaries, and some cancers ( 26 – 29 ). In the present study, a high DDS was found to be associated with decreased odds of MASLD.…”

Section: Discussionmentioning

confidence: 99%

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Diet quality indices and odds of metabolic dysfunction-associated fatty liver disease: a case-control study

Ramaiah,

Jamel Baljon,

Alsulami

et al. 2024

Front. Nutr.

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ObjectivesThere are only limited studies investigating the impact of dietary quality indicators, such as dietary quality index (DQI), dietary diversity score (DDS), and alternative healthy eating index (AHEI), on metabolic dysfunction-associated fatty liver disease (MASLD). Furthermore, these indicators may have different components that could lead to varying results. Therefore, this study aims to assess the nutritional quality indicators and their potential association with MASLD.MethodsThe study included 128 recently diagnosed MASLD patients and 256 controls aged between 20 and 60 years. The dietary intake of participants was evaluated using a validated semi-quantitative food frequency questionnaire that consisted of 168 items. In this study, the method used to evaluate dietary diversity was based on five main food groups, specifically bread and grains, vegetables, fruits, meat, and dairy. The AHEI-2010 was computed using data collected from the FFQ.ResultsAfter adjusting for confounders in the fully adjusted model, a significant negative correlation was observed between DDS and the risk of MASLD (OR 0.41, 95% CI 0.20, 0.97). Participants in the top quartile of AHEI had a 76% lower risk of MASLD compared with those in the bottom quartile after controlling for all potential confounders in the fully adjusted model (OR 0.24, 95% CI 0.12, 0.56).ConclusionThe results of our study suggest that there is a significant association between adherence to a high-diversity diet and a reduced likelihood of developing MASLD. Similarly, we observed a similar association between adherence to the AHEI diet and a lower risk of MASLD.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Diet quality indices and odds of metabolic dysfunction-associated fatty liver disease: a case-control study

Ramaiah,

Jamel Baljon,

Alsulami

et al. 2024

Front. Nutr.

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“…When constructing a DDS, the food groups included were different across studies and may contribute to the inconsistent findings, partly due to the study population and purpose ( 21 , 32 , 33 , 37 ). In the literature, the classification of DDS was based on the US Department of Agriculture (USDA) food guide pyramid (five food groups), the Chinese Dietary Guideline (10 food groups), and the Food and Agriculture Organization (FAO) guidelines (9 food groups) ( 32 , 34 , 38 ). In our study, we calculated the DDS based on the dietary guidelines for Chinese populations, which additionally includes some food groups which play important roles in the Chinese diet.…”

Section: Discussionmentioning

confidence: 99%

Dietary diversity and possible sarcopenia among older people in China: a nationwide population-based study

et al. 2023

Front. Nutr.

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BackgroundSarcopenia is a common geriatric disease. Many dietary factors may contribute to the development of sarcopenia. Few studies have been conducted on dietary diversity and sarcopenia in Chinese older adults. Among a nationwide sample, the objective of this study is to assess the association between the dietary diversity score (DDS) and the prevalence of possible sarcopenia. We considered the different patterns of dietary diversity in relation to possible sarcopenia.MethodsWe conducted this analysis utilizing the cross-sectional data from the 2012, 2014, and 2018 waves of the Chinese longitudinal healthy longevity survey (CLHLS). A standard developed by the Asian Working Group for Sarcopenia 2019 (AWGS2019) was used to assess the possibility of sarcopenia. On the basis of the DDS generated by previous studies, we have constructed four new indicators as follows: total diet, animal-based diet, plant-based diet, and plant-based diet without the consumption of legume products and nuts. We used the generalized estimation equation (GEE) model to evaluate the associations between the DDS of the total diet, animal-based diet, plant-based diet, and plant-based diet without the intake of legume products and nuts and possible sarcopenia. These associations were statistically adjusted for a variety of potential confounders. Sensitivity analysis was performed by excluding some participants who were long-term bedridden, had Alzheimer's disease, or were terminally ill.ResultsThe analysis included 6,624 participants (mean age 83.4 years at baseline). In our study, we found that participants with a higher DDS of the total diet (OR = 0.62; 95% CI: 0.51–0.77), animal-based diet (OR = 0.62; 95% CI: 0.49–0.79), and plant-based diet (OR = 0.64;95% CI: 0.51–0.80) were at a lower risk of developing sarcopenia. In sensitivity analyses, the associations remained unchanged.ConclusionTaking a diversified diet, including animal foods, may reduce the risk of developing sarcopenia. According to the findings of this study, adopting a diversified diet might reduce the risk of sarcopenia for older adults.

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“…Recent studies have suggested that there is an inverse association between following a plant-based diet (PBD) and the risk of T2DM and its secondary outcomes. In addition, several high-quality dietary strategies, such as Dietary Approach to Stop Hypertension (DASH), Diet Diversity Score (DDS), and Mediterranean dietary pattern (MDP) containing less processed food and rich in plant-based food are associated with delayed progression of DN (14)(15)(16).…”

Section: Introductionmentioning

confidence: 99%

The Association between Plant-Based Dietary Index and Odds of Diabetic Nephropathy in Women: A Case-Control Study

Jebraeili

Mirzababaei

Abaj

et al. 2023

Preprint

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Recent research has suggested that adherence to plant-based dietary index (PDI) may reduce the risk of type 2 diabetes and related complications like DN. Therefore, the aim of this study was to investigate the possible association of PDI with the odds of DN. We enrolled 105 eligible women with DN and 105 controls (30–65 years) who were referred to the Kowsar Diabetes Clinic in Semnan, Iran. A 147-iteme food frequency questionnaire (FFQ) was used to evaluate an overall PDI, healthy plant-based diet index (hPDI), and unhealthful plant-based diet index (uPDI). Biochemical variables and anthropometric measurements were assessed for all patients using the pre-defined protocols. According to our final analyze, after controlling for potential confounders, participants with greater adherence to overall PDI (OR: 0.29; 95% CI: 0.15–0.56; P < 0.001) and hPDI (OR: 0.30; 95% CI: 0.15–0.56; P < 0.001) had 71% and 70% lower odds of DN compared to those with a low adherence. Conversely, subjects with a higher adherence to the uPDI were positively associated with increased odds of DN (OR = 5.00; 95% CI = 2.78–8.98; P < 0.001) and (OR = 4.27; 95% CI = 2.24–8.14; P < 0.001) in the crude and adjusted models, respectively. The result of this study showed that greater adherence to overall PDI and hPDI was inversely associated with the odds of DN. However, further prospective studies are warranted to confirm these results. Plant-based diet; Diabetic nephropathy; Diabetes; case-control

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The Association Between Dietary Diversity Score and Odds of Diabetic Nephropathy: A Case-Control Study

Cited by 5 publications

References 39 publications

Diet quality indices and odds of metabolic dysfunction-associated fatty liver disease: a case-control study

Diet quality indices and odds of metabolic dysfunction-associated fatty liver disease: a case-control study

Dietary diversity and possible sarcopenia among older people in China: a nationwide population-based study

The Association between Plant-Based Dietary Index and Odds of Diabetic Nephropathy in Women: A Case-Control Study

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