Dietary inflammatory index and cardiovascular risk factors in Spanish children and adolescents
Dietary inflammatory index and cardiovascular risk factors in Spanish children and adolescents
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DOI：
10.1002/nur.21904
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发表时间：
2018-10-01
影响因子：
2
通讯作者：
Schmidt-RioValle, Jacqueline
中科院分区：
文献类型：
--
作者：
Correa-Rodriguez, Maria;Gonzalez-Jimenez, Emilio;Schmidt-RioValle, Jacqueline
饮食中的炎症潜在性是心血管不良事件的公认危险因素。在这项研究中，我们基于儿童和青少年的人体测量、身体成分、血压和心率参数，分析了饮食炎症指数(DII)与心血管危险因素的关系。我们对428名西班牙学龄儿童(平均年龄12.32+/-1.84岁)进行了一项横断面研究，他们的DII指数是根据3天内24小时的饮食回忆计算出来的。进行人体测量，并通过生物电阻抗分析进行身体成分分析。用自动监护仪评估血压和心率参数。青春期评分采用Tanner标准。我们分析了DII作为一个连续变量和一个基于四分位数的类别变量。线性回归分析显示，在调整了年龄、性别、总能量摄入量和Tanner分期后，DiI与腰围/身高比(WHtR)显著相关(p=.026；B=0.128，95%CI[.001-.016])。除咖啡因外，所有常量和微量营养素的摄入量在DII Q1(抗炎饮食)中都被发现较高。这项研究提供了DII和WHtR之间显著关联的初步证据，WHtR是心血管风险的一个指标。结果表明，饮食的炎症潜能可能在儿童和青少年变得超重或肥胖的过程中发挥作用。未来应该在年轻人中进行研究，以验证和进一步探索这些关系。
Dietary inflammatory potential is an established risk factor for adverse cardiovascular events. In this study we analyzed the relation between the Dietary Inflammatory Index (DII) and cardiovascular risk factors, based on anthropometric, body composition, blood pressure, and heart rate parameters in children and adolescents. We conducted a cross-sectional study of 428 Spanish schoolchildren (mean age 12.32 +/- 1.84), whose DII was calculated, based on a 24-hr diet recall over 3 days. Anthropometric measurements were taken, and body composition analyzed by bioelectrical impedance analysis. Blood pressure and heart rate parameters were assessed with an automatic monitor. Pubertal stage was assessed based on Tanner criteria. We analyzed the DII both as a continuous variable and as a category variable based on quartiles. Linear regression analysis revealed that the DII was significantly associated with waist to height ratio (WHtR) (p=.026; B=0.128, 95% CI [.001-.016]) after adjusting for age, sex, total energy intake, and Tanner stage. All macro- and micronutrient intakes were found to be higher in the DII Q1 (anti-inflammatory diet) except for caffeine. This study provides preliminary evidence of a significant association between the DII and WHtR, an index of cardiovascular risk. The results obtained indicate that the inflammatory potential of the diet may play a role in children and adolescents becoming overweight or developing obesity. Future studies in young people should be conducted to validate and further explore these relationships.