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Associations of dietary inflammatory index with metabolic syndrome and its components: a systematic review and meta-analysis.


ABSTRACT:

Objective

Inflammation has been suggested to play an important role in the development and progression of metabolic syndrome (MetS). Dietary inflammatory index (DII), a measurement of inflammatory potential in diets, was suggested to be associated with MetS. The aim of this systematic review and meta-analysis was to establish the associations of DII with MetS and its components based on available observational studies.

Design

Systematic review and meta-analysis.

Setting

A comprehensive literature search of studies that assessed the associations between DII and MetS was conducted in PubMed, Medline and Embase, using a combination of search terms relating to DII and MetS.

Participants

Eighteen articles were eligible, of which fourteen were cross-sectional and four were cohort in design.

Results

Results from the random effects meta-analysis showed significantly positive associations of higher DII (top v. bottom quartiles) with MetS (OR: 1·23 (95 % CI 1·10, 1·37)), abdominal obesity (OR: 1·15 (95 % CI 1·02, 1·29)), high blood pressure (OR: 1·17 (95 % CI 1·07, 1·29)), hyperglycaemia (OR: 1·18 (95 % CI 1·05, 1·33)) and hypertriacylglycerolaemia (OR: 1·17 (95 % CI 1·07, 1·28)). The effects of summary OR became stronger when analyses were restricted to cohorts, studies that adjudged for covariates (including BMI, physical activity and total energy intake).

Conclusions

Higher DII, representing pro-inflammatory diet, is associated with higher odds of MetS and its components, except for low HDL-cholesterol. The findings prompt dietary interventions for preventing MetS from the aspect of inflammation.

SUBMITTER: Yi Q 

PROVIDER: S-EPMC10195344 | biostudies-literature | 2021 Nov

REPOSITORIES: biostudies-literature

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Publications

Associations of dietary inflammatory index with metabolic syndrome and its components: a systematic review and meta-analysis.

Yi Qian Q   Li Xue X   He Yazhou Y   Xia Wei W   Shao Jing J   Ye Zhihong Z   Song Peige P  

Public health nutrition 20210121 16


<h4>Objective</h4>Inflammation has been suggested to play an important role in the development and progression of metabolic syndrome (MetS). Dietary inflammatory index (DII), a measurement of inflammatory potential in diets, was suggested to be associated with MetS. The aim of this systematic review and meta-analysis was to establish the associations of DII with MetS and its components based on available observational studies.<h4>Design</h4>Systematic review and meta-analysis.<h4>Setting</h4>A c  ...[more]

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