首页|膳食炎症指数与罹患癫痫风险的关系研究——基于NHANES调查数据的横断面分析

膳食炎症指数与罹患癫痫风险的关系研究——基于NHANES调查数据的横断面分析

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目的 采用膳食炎症指数(DII)评估膳食炎症与罹患癫痫(EP)风险的相关性,为癫痫的防治工作提供饮食方面的科学依据。方法 采用2013年1月—2020年3月美国国家健康与营养检查调查(NHANES)收集的20岁及以上成年人数据。运用多元逻辑回归模型,分析DII与罹患癫痫风险的相关性,使用受限三次样条回归(RCS)进行线性试验,探索评分值与风险之间是否存在定量关系。通过亚组及交互作用分析,评估不同亚组之间DII和EP相关的稳定性。结果 研究纳入15 565例受访者,其中131例诊断为癫痫,在多元逻辑回归完全调整模型中,DII作为连续变量与罹患癫痫风险之间呈正相关(OR=1。12,95%CI 1。02~1。24;P=0。021);进行DII三分位后,在完全调整模型中,高促炎组的罹患癫痫风险高于低促炎组(OR=1。63,95%CI 1。02~2。6;P=0。039)。在RCS线性试验中,DII与罹患癫痫风险之间呈正相关(非线性:P=0。342)。在分层分析中,两者之间关系保持稳定,各亚组间未发现显著的交互作用。结论 美国成人DII与罹患癫痫风险呈正相关,DII每增加一个单位,癫痫发生风险增加12%。
Association between dietary inflammatory index and the risk of epilepsy:a cross-sectional analysis based on the National Health and Nutrition Examination Survey data
Objective To investigate the association between dietary inflammation and the risk of epilepsy(EP)based on dietary inflammatory index(DII),and to provide a scientific basis for the prevention and treatment of EP in terms of dietary intervention.Methods Related data of the adults aged≥20 years were obtained from the National Health and Nutrition Ex-amination Survey(NHANES)from January 2013 to March 2020.A multivariate logistic regression model was used to investi-gate the association between DII and the risk of EP,and a restricted cubic spline(RCS)regression analysis was used to per-form the linearity test and explore the quantitative relationship between DII score and the risk of EP.The subgroup and interac-tion analyses were used to evaluate the stability of the association between DII and EP across different subgroups.Results A total of 15565 respondents were included in this study,among whom 131 were diagnosed with EP.In the fully adjusted multi-variate logistic regression model,DII,as a continuous variable,was positively associated with the risk of EP[odds ratio(OR)=1.12,95%confidence interval(CI)1.02-1.24,P=0.021].After the tertile categorization of DII,the fully adjusted model showed that the high pro-inflammatory group had a significantly higher risk of EP than the low pro-inflammatory group(OR=1.63,95%CI 1.02-2.6,P=0.039).In the RCS linearity test,DII was positively associated with the risk of EP(non-linearity:P=0.342).The stratified analysis showed that the relationship between DII and the risk of EP remained stable,with no significant interactions observed between subgroups.Conclusion There is a positive correlation between DII and the risk of EP among American adults,and for every unit increase in DII,the risk of EP is increased by 12%.

EpilepsyDietary inflammatory indexPro-inflammatory dietAnti-inflammatory diet

张玲、陈邓、刘凌

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四川大学华西医院神经内科,四川 成都 610041

成都市第八人民医院,成都医学院附属老年医院,四川 成都 610083

癫痫 膳食炎症指数 促炎饮食 抗炎饮食

2024

中风与神经疾病杂志
吉林大学

中风与神经疾病杂志

CSTPCD
影响因子:0.754
ISSN:1003-2754
年,卷(期):2024.41(6)
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