• Home
  • The association between dietary inflammatory pattern and body weight, lipid profile in Iranian diabetic adults

Share To

Article Url


Manuscript ID : 16279 Visit : 187 Page: 28 - 34

Article Type: Original Research

The association between dietary inflammatory pattern and body weight, lipid profile in Iranian diabetic adults

Subject Areas :

Maryam Mohamadi Narab 1 , Fereydoun Siassi 2 , Fariba Koohdani 3

1 - Department of Nutrition, Science and Research Branch, Islamic Azad University, Tehran, Iran
2 - Department of Community Nutrition, School of Nutritional Science and Dietetics, International Campus, Tehran University of Medical Science, Tehran, Iran
3 - Department of Cellular and Molecular Nutrition, School of Nutritional Science and Dietetics, International Campus, Tehran University of Medical Sciences, Tehran, Iran

Received: 2019-11-13 Accepted : 2020-02-10 Published : 2020-03-15

Keywords: Lipid Profile, Diet, Dietary Inflammatory Index, inflammation,

Abstract :

Diabetes mellitus and its comorbidities which result in dyslipidemia and cardiovascular diseases (CVD) are one of the leading causes of death in the world, and diet plays a major role in those disease incidences, especially through lipid oxidation mechanisms. This, in turn, leads to tissue inflammation and the formation of atheromatous plaques. Our objective was to evaluate the association between the inflammatory potential of the diet and the incidence of dyslipidemia or its subclasses. We included 599 T2DM patients (276 men and 323 women), aged 35 to 65 years from diabetes referral centers, including Gabric Diabetes Association, Iranian Diabetes Society, and other health centers in Tehran. The lipid profiles in serum were measured by the dietary inflammatory index (DII) was computed using a validated 148-item semi-quantitative food frequency questionnaire (FFQ). The DII score ranged between - 4.85 and 5.46 and its mean and standard deviation (SD) was (-0.02±1.65). Younger individuals had higher adherence to the inflammatory diet (p≤0.001). Moreover, in the higher quartiles of DII, lower levels of physical activities were seen (p=0.005). There were no significant differences in the distribution of BMI, waist circumference, or lipid profile across DII quartiles. In the overall analysis, no significant association was observed between DII and lipid profile in the crude model, but after adjusting for confounders (age, gender, BMI, physical activity, and energy intake), the DII score was found to be positively associated with total cholesterol (β=3.123, SE=1.478, p=0.035) in all participants. A pro-inflammatory diet, as measured by a higher DII score, was prospectively associated with a higher level of total cholesterol in serum. This result may shed a light on the prevention of incidence dyslipidemia and CVD in diabetic patients by intervention in dietary patterns.

References:


  1. Namazi N, Larijani B, Azadbakht L. Dietary inflammatory index and its association with the risk of cardiovascular diseases, metabolic syndrome, and mortality: A systematic review and meta-analysis. Hormone and Metabolic Research. 2018;50(05):345-58.
    2.
  2. Shivappa N, Godos J, Hébert JR, Wirth MD, Piuri G, Speciani AF, et al. Dietary inflammatory index and cardiovascular risk and mortality—A meta-analysis. Nutrients. 2018;10(2):200.
    3.
  3. Naja F, Shivappa N, Nasreddine L, Kharroubi S, Itani L, Hwalla N, et al. Role of inflammation in the association between the western dietary pattern and metabolic syndrome among Lebanese adults. International Journal of Food Sciences and Nutrition. 2017;68(8):997-1004.
    4.
  4. Alberti KGM, Zimmet P, Shaw J. The metabolic syndrome—a new worldwide definition. The Lancet. 2005;366(9491):1059-62.
    5.
  5. Shin D, Kongpakpaisarn K, Bohra C. Trends in the prevalence of metabolic syndrome and its components in the United States 2007–2014. International Journal of Cardiology. 2018;259:216-9.
    6.
  6. Hu FB, Meigs JB, Li TY, Rifai N, Manson JE. Inflammatory markers and risk of developing type 2 diabetes in women. Diabetes. 2004;53(3):693-700.
    7.
  7. Ruiz-Canela M, Bes-Rastrollo M, Martínez-González MA. The role of dietary inflammatory index in cardiovascular disease, metabolic syndrome and mortality. International Journal of Molecular Sciences. 2016;17(8):1265.
    8.
  8. Pankow JS, Folsom AR, Cushman M, Borecki IB, Hopkins PN, Eckfeldt JH, et al. Familial and genetic determinants of systemic markers of inflammation: the NHLBI family heart study. Atherosclerosis. 2001;154(3):681-9.
    9.
  9. O’Neil A, Shivappa N, Jacka FN, Kotowicz MA, Kibbey K, Hebert JR, et al. Pro-inflammatory dietary intake as a risk factor for CVD in men: a 5-year longitudinal study. British Journal of Nutrition. 2015;114(12):2074-82.
    10.
  10. Cavicchia PP, Steck SE, Hurley TG, Hussey JR, Ma Y, Ockene IS, et al. A new dietary inflammatory index predicts interval changes in serum high-sensitivity C-reactive protein. The Journal of Nutrition. 2009;139(12):2365-72.
    11.
  11. Shivappa N, Steck SE, Hurley TG, Hussey JR, Hébert JR. Designing and developing a literature-derived, population-based dietary inflammatory index. Public Health Nutrition. 2014;17(8):1689-96.
    12.
  12. Shivappa N, Steck SE, Hurley TG, Hussey JR, Ma Y, Ockene IS, et al. A population-based dietary inflammatory index predicts levels of C-reactive protein in the Seasonal Variation of Blood Cholesterol Study (SEASONS). Public Health Nutrition. 2014;17(8):1825-33.
    13.
  13. Shivappa N, Hébert JR, Rietzschel ER, De Buyzere ML, Langlois M, Debruyne E, et al. Associations between dietary inflammatory index and inflammatory markers in the Asklepios Study. British Journal of Nutrition. 2015;113(4):665-71.
    14.
  14. Tabung FK, Smith-Warner SA, Chavarro JE, Fung TT, Hu FB, Willett WC, et al. An empirical dietary inflammatory pattern score enhances prediction of circulating inflammatory biomarkers in adults. The Journal of Nutrition. 2017;147(8):1567-77.
    15.
  15. Phillips C, Shivappa N, Hébert J, Perry I. Dietary inflammatory index and biomarkers of lipoprotein metabolism, inflammation and glucose homeostasis in adults. Nutrients. 2018;10(8):1033.
    16.
  16. Monteiro R, Azevedo I. Chronic inflammation in obesity and the metabolic syndrome. Mediators of inflammation. 2010;2010.
    17.
  17. Tsoupras A, Lordan R, Zabetakis I. Inflammation, not cholesterol, is a cause of chronic disease. Nutrients. 2018;10(5):604.
    18.
  18. Savoia C, Schiffrin EL. Vascular inflammation in hypertension and diabetes: molecular mechanisms and therapeutic interventions. Clinical Science. 2007;112(7):375-84.
    19.
  19. Neufcourt L, Assmann K, Fezeu L, Touvier M, Graffouillère L, Shivappa N, et al. Prospective association between the dietary inflammatory index and metabolic syndrome: Findings from the SU. VI. MAX study. Nutrition, Metabolism and Cardiovascular Diseases. 2015;25(11):988-96.
    20.
  20. Camargo-Ramos C, Correa-Bautista J, Correa-Rodríguez M, Ramírez-Vélez R. Dietary inflammatory index and cardiometabolic risk parameters in overweight and sedentary subjects. International Journal of Environmental Research and Public Health. 2017;14(10):1104.
    21.
  21. Vissers LE, Waller M, van der Schouw YT, Hebert JR, Shivappa N, Schoenaker D, et al. A pro-inflammatory diet is associated with increased risk of developing hypertension among middle-aged women. Nutrition, Metabolism and Cardiovascular Diseases. 2017;27(6):564-70.
    22.
  22. Muhammad HFL, van Baak MA, Mariman EC, Sulistyoningrum DC, Huriyati E, Lee YY, et al. Dietary Inflammatory Index Score and Its Association with Body Weight, Blood Pressure, Lipid Profile, and Leptin in Indonesian Adults. Nutrients. 2019;11(1):148.
    23.
  23. Rafiee M, Sotoudeh G, Djalali M, Alvandi E, Eshraghian M, Javadi F, et al. The interaction between apolipoprotein b insertion/deletion polymorphism and macronutrient intake on lipid profile and serum leptin and ghrelin levels in type 2 diabetes mellitus patients. European Journal of Nutrition. 2019;58(3):1055-65.
    24.
  24. Wanner M, Probst-Hensch N, Kriemler S, Meier F, Autenrieth C, Martin BW. Validation of the long international physical activity questionnaire: influence of age and language region. Preventive Medicine Reports. 2016;3:250-6.
    25.
  25. Mirmiran P, Hosseini-Esfahani F, Jessri M, Mahan LK, Shiva N, Azizi F. Does dietary intake by Tehranian adults align with the 2005 dietary guidelines for Americans? Observations from the Tehran lipid and glucose study. Journal of health, population, and nutrition. 2011;29(1):39.
    26.
  26. Esmaillzadeh A, Mirmiran P, Azizi F. Whole-grain consumption and the metabolic syndrome: a favorable association in Tehranian adults. European Journal of Clinical Nutrition. 2005;59(3):353.
    27.
  27. Shivappa N, Prizment AE, Blair CK, Jacobs DR, Steck SE, Hébert JR. Dietary inflammatory index and risk of colorectal cancer in the Iowa Women's Health Study. Cancer Epidemiology and Prevention Biomarkers. 2014;23(11):2383-92.
    28.
  28. Wirth M, Burch J, Shivappa N, Violanti JM, Burchfiel CM, Fekedulegn D, et al. Association of a dietary inflammatory index with inflammatory indices and the metabolic syndrome among police officers. Journal of occupational and environmental medicine/American College of Occupational and Environmental Medicine. 2014;56(9):986.
    29.
  29. Shivappa N, Prizment AE, Blair CK, Jacobs DR, Steck SE, Hébert JR. Dietary inflammatory index and risk of colorectal cancer in the Iowa Women's Health Study. Cancer Epidemiology and Prevention Biomarkers. 2014.
    30.
  30. Wirth MD, Shivappa N, Steck SE, Hurley TG, Hébert JR. The dietary inflammatory index is associated with colorectal cancer in the National Institutes of Health–American Association of Retired Persons Diet and Health Study. British Journal of Nutrition. 2015;113(11):1819-27.
    31.
  31. Garcia-Arellano A, Ramallal R, Ruiz-Canela M, Salas-Salvadó J, Corella D, Shivappa N, et al. Dietary inflammatory index and incidence of cardiovascular disease in the PREDIMED study. Nutrients. 2015;7(6):4124-38.
    32.
  32. Wirth MD, Sevoyan M, Hofseth L, Shivappa N, Hurley TG, Hébert JR. The Dietary Inflammatory Index is associated with elevated white blood cell counts in the National Health and Nutrition Examination Survey. Brain, Behavior, and Immunity. 2018;69:296-303.
    33.
  33. Riboli E, Elmståhl S, Saracci R, Gullberg B, Lindgärde F. The Malmö Food Study: validity of two dietary assessment methods for measuring nutrient intake. International Journal of Epidemiology. 1997;26(suppl_1):S161.
    34.
  34. Neufcourt L, Assmann KE, Fezeu LK, Touvier M, Graffouillere L, Shivappa N, et al. Prospective association between the dietary inflammatory index and cardiovascular diseases in the SUpplémentation en VItamines et Minéraux AntioXydants (SU. VI. MAX) cohort. Journal of the American Heart Association. 2016;5(3):e002735.
    35.
  35. Sokol A, Wirth MD, Manczuk M, Shivappa N, Zatonska K, Hurley TG, et al. Association between the dietary inflammatory index, waist-to-hip ratio and metabolic syndrome. Nutrition research. 2016;36(11):1298-303.
    36.
  36. Giugliano D, Ceriello A, Esposito K. The effects of diet on inflammation: emphasis on the metabolic syndrome. Journal of the American College of Cardiology. 2006;48(4):677-85.
    37.
  37. Julia C, Assmann KE, Shivappa N, Hebert JR, Wirth MD, Hercberg S, et al. Long-term associations between inflammatory dietary scores in relation to long-term C-reactive protein status measured 12 years later: findings from the Supplementation en Vitamines et Mineraux Antioxydants (SU. VI. MAX) cohort. British Journal of Nutrition. 2017;117(2):306-14.
    38.
  38. Hansson GK. Inflammation, atherosclerosis, and coronary artery disease. New England Journal of Medicine. 2005;352(16):1685-95.
    39.
  39. Libby P, Okamoto Y, Rocha VZ, Folco E. Inflammation in atherosclerosis: transition from theory to practice. Circulation Journal. 2010;74(2):213-20.
    40.
  40. Calder PC, Albers R, Antoine J-M, Blum S, Bourdet-Sicard R, Ferns G, et al. Inflammatory disease processes and interactions with nutrition. British Journal of Nutrition. 2009;101(S1):1-45.
    41.
  41. San KMM, Fahmida U, Wijaksono F, Lin H, Zaw KK, Htet MK. Chronic low grade inflammation measured by dietary inflammatory index and its association with obesity among school teachers in Yangon, Myanmar. Asia Pacific Journal of Clinical Nutrition. 2018;27(1):92.
    42.
  42. Ramallal R, Toledo E, Martínez JA, Shivappa N, Hébert JR, Martínez‐González MA, et al. Inflammatory potential of diet, weight gain, and incidence of overweight/obesity: The SUN cohort. Obesity. 2017;25(6):997-1005.
    43.
  43. Han JM, Levings MK. Immune regulation in obesity-associated adipose inflammation. The Journal of Immunology. 2013;191(2):527-32.
    44.
  44. Lumeng CN, Bodzin JL, Saltiel AR. Obesity induces a phenotypic switch in adipose tissue macrophage polarization. The Journal of Clinical Investigation. 2007;117(1):175-84.
    45.
  45. Morris DL, Singer K, Lumeng CN. Adipose tissue macrophages: phenotypic plasticity and diversity in lean and obese states. Current Opinion in Clinical Nutrition and Metabolic Care. 2011;14(4):341.
    46.

Related articles

The rights to this website are owned by the Raimag Press Management System.
Copyright © 2021-2024

Home| Login| About Us| Contact Us|
[فارسی] [العربية] [fa] [ar]