宁夏医科大学学报2024,Vol.46Issue(2) :176-181.DOI:10.16050/j.cnki.issn1674-6309.2024.02.011

膳食炎症指数与血清炎症标志物和血脂异常的相关性研究

The Association of Dietary Inflammatory Index with Serum Inflammatory Markers and Dyslipidemia

张亚娣 李小霞 尹婷 杨婵 张毓洪 赵燚
宁夏医科大学学报2024,Vol.46Issue(2) :176-181.DOI:10.16050/j.cnki.issn1674-6309.2024.02.011

膳食炎症指数与血清炎症标志物和血脂异常的相关性研究

The Association of Dietary Inflammatory Index with Serum Inflammatory Markers and Dyslipidemia

张亚娣 1李小霞 1尹婷 1杨婵 2张毓洪 3赵燚3
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作者信息

  • 1. 宁夏医科大学公共卫生学院,银川 750004
  • 2. 宁夏医科大学护理学院,银川 750004
  • 3. 宁夏医科大学公共卫生学院,银川 750004;宁夏环境因素与慢性病控制重点实验室,银川 750004
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摘要

目的 探讨能量调整的膳食炎症指数(energy-adjusted DII,E-DII)与炎性因子和血脂异常之间的关系.方法 数据来自宁夏自然人群队列,按照成组匹配的病例对照研究纳入病例组(血脂异常者)245 例和对照组247 例.膳食调查采用食物频率法并计算E-DII.利用Spearman相关和二元Logistic回归模型分别分析E-DII与炎性因子和血脂异常的关系.结果 病例组的血脂指标(TC、TG、LDL-C)和炎性因子(IL-2、IL-6、TNF-α)的平均值高于对照组,IL-18 低于对照组(P均<0.05).E-DII的范围为-2.86~3.81,其平均值在两组间差异无统计学意义(P>0.05).将E-DII按三分位数分组,在中性组IL-6 与E-DII呈正相关(r=0.162,P=0.038),在促炎倾向组E-DII与IL-18 呈负相关(r=-0.188,P=0.016).在Logistics回归模型中,经调整混杂因素前后,以及在糖尿病和非糖尿患者群亚组分析中,未发现E-DII和血脂异常的关联,经趋势性检验差异无统计学意义(P均>0.05).结论 E-DII与IL-6 和IL-18 相关,尚未发现其与血脂异常的关联.

Abstract

Objective This study aimed to explore the association of energy-adjusted DII(E-DII)with inflammatory factors and dyslipidemia.Methods Data came from Ningxia natural population cohort.According to the matched case-control design,245 subjects with dyslipidemia and 247 control subjects were included.Dietary surveys used the food frequency method and the E-DII was calculated.Spearman correlation analysis and binary Logistic regression models were used to analyze the relationship between E-DII and inflammatory factors and dyslipidemia,respectively.Results The mean values of blood lipid indicators(TC,TG,LDL-C)and inflammatory factors(IL-2,IL-6,TNF-α)in the case group were higher than those in the control group,while IL-18 was lower in the case group(Pall<0.05).The range of E-DII was from-2.86 to 3.81,and the mean value between the two groups showed no significant difference(P>0.05).When E-DII was divided into three quartiles,there was a positive correlation between IL-6 and E-DII in the neutral group(r=0.162,P=0.038),and a negative correlation between E-DII and IL-18 in the pro-inflammatory tendency group(r=-0.188,P= 0.016).In the Logistic regression model,after adjusting for confounding factors and in subgroup analyses of diabetic and non-diabetic populations,no association was found between E-DII and dyslipidemia,which was tested by trend analysis(Pall>0.05).Conclusion E-DII is related to IL-6 and IL-18,but not to dyslipidemia.

关键词

能量调整的膳食炎症指数/血脂异常/炎症标志物/病例对照研究

Key words

energy-adjusted dietary inflammatory index/dyslipidemia/inflammatory markers/case-control study

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基金项目

宁夏回族自治区重点研发计划(2021BEG02026)

宁夏回族自治区自然科学基金(2020AAC03188)

出版年

2024
宁夏医科大学学报
宁夏医科大学

宁夏医科大学学报

CSTPCD
影响因子:0.84
ISSN:1674-6309
参考文献量21
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