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膳食炎症指数与血清C反应蛋白关联性的Meta分析

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目的 系统评价膳食炎症指数(dietary inflammatory index,DII)与血清C反应蛋白(C-reactive protein,CRP)的关联性.方法 检索 PubMed、Web of Science 和 EMBASE 数据库,收集有关DII与CRP关联性研究资料,检索时限从建库至2023年10月1日.由两名独立研究者进行文献筛选、数据提取、质量评价,采用R 4.2.2软件进行统计分析,并利用亚组分析、Meta回归分析探索异质性来源.结果 共纳入20项研究,其中包括15项横断面研究、1项病例对照研究、3项队列研究、1项随机对照试验,累计纳入研究对象59 953例.Meta回归分析结果显示,DII与血清CRP水平相关(OR=1.205,95%CI:1.101~1.319).通过基于研究类型、年龄分布、样本量、DII与膳食调查方法的亚组分析后,I2降低(P>0.1).结论 DII与血清CRP水平相关.研究类型、年龄分布、样本量、DII与膳食调查方法的不同可能是影响各研究间异质性的主要因素.
Association between dietary inflammation index and serum C reactive protein level:a Meta-analysis
Objective To systematically evaluate the association between the dietary inflammato-ry index(DII)and serum C-reactive protein(CRP)levels.Methods A search of the PubMed,Web of Science,and EMBASE databases was conducted to collect studies examining the association between the DII and CRP.The search period extended from the inception of each database until October 1,2023.Two independent researchers performed the literature screening,data extraction,and quality assessment.Sta-tistical analyses were conducted using R software version 4.2.2,and subgroup analyses and Meta-regres-sion were utilized to explore the sources of heterogeneity among studies.Results A total of 20 studies were included,comprising 15 cross-sectional studies,1 case-control study,3 cohort studies,and 1 ran-domized controlled trial,with a cumulative total of 59 953 participants.The Meta-analysis indicated a sig-nificant association between the DII and serum CRP levels(OR=1.205,95%CI:1.101~1.319).After conducting subgroup analyses based on study design,age distribution,sample size,DII calculation meth-ods,and dietary assessment techniques,the I2 statistic was reduced(P>0.1).Conclusions Current evidence suggests that the DII may be associated with serum CRP levels.Differences in study design,age distribution,sample size,DII calculation methods,and dietary assessment techniques may be the primary factors contributing to the heterogeneity observed among the studies.

Dietary inflammation indexC-reactive proteinMeta-analysisChronic low-grade inflammation

马润泽、巴合古·依明尼亚孜、顾园申、赵辉、阿娜尔·高少、余文慧、戴江红

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新疆医科大学公共卫生学院,乌鲁木齐 830017

膳食炎症指数 C反应蛋白 Meta分析 慢性低度炎症

国家自然科学基金国家自然科学基金科技创新团队"天山创新团队"项目

82360662821606402022TSYCTD0013

2024

中华疾病控制杂志
中华预防医学会 安徽医科大学

中华疾病控制杂志

CSTPCD北大核心
影响因子:1.862
ISSN:1674-3679
年,卷(期):2024.28(9)
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