{"title":"Associations between Diet Inflammatory Index Scores and nutritional status in chronic kidney disease patients","authors":"Gül Eda Kılınç , Alev Keser , Mine Şebnem Karakan , Nitin Shivappa","doi":"10.1016/j.nupar.2024.05.003","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><p>To examine the relationship between the energy-adjusted dietary inflammatory index (E-DII) and nutritional status, anthropometric measurements, subjective global evaluations (SGA) and biochemical parameters of chronic kidney disease patients.</p></div><div><h3>Methods</h3><p>Cross-sectional analyses were performed on data collected from individuals.</p></div><div><h3>Participants/setting</h3><p>Participants included 119 adults aged 19 years and older, who had data from at least three days of valid 24-hour dietary recall data. Main outcome measures nutritional status, anthropometric measurements, SGA and biochemical parameters were collected. Statistical analyses performed Mann–Whitney U test, ANOVA, Kruskal–Wallis and ANCOVA test was used.</p></div><div><h3>Results</h3><p>It was determined that 79.8% of the patients were well-nourished, 19.3% had moderate malnutrition, and 0.9% had severe malnutrition. The patients with severe malnutrition was in the last quartile. It was determined that macronutrients and all vitamin and mineral intakes decreased in the last quartile values compared to the first quartile values (<em>P</em> <!--><<!--> <!-->0.05). After adjustment for age, sex, energy intake and glomerular filtration rat, there was a significant differences in triceps skinfold thickness and body fat percentage among the four quartiles. There was an increase in the C reactive protein levels from the first quartile to the third quartile (<em>P</em> <!--><<!--> <!-->0.05).</p></div><div><h3>Conclusions</h3><p>This study shows that E-DII is a good tool for assessing the overall inflammatory potential of diet in chronic kidney disease patients.</p></div>","PeriodicalId":54702,"journal":{"name":"Nutrition Clinique et Metabolisme","volume":null,"pages":null},"PeriodicalIF":0.5000,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nutrition Clinique et Metabolisme","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0985056224000992","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}
引用次数: 0
Abstract
Objectives
To examine the relationship between the energy-adjusted dietary inflammatory index (E-DII) and nutritional status, anthropometric measurements, subjective global evaluations (SGA) and biochemical parameters of chronic kidney disease patients.
Methods
Cross-sectional analyses were performed on data collected from individuals.
Participants/setting
Participants included 119 adults aged 19 years and older, who had data from at least three days of valid 24-hour dietary recall data. Main outcome measures nutritional status, anthropometric measurements, SGA and biochemical parameters were collected. Statistical analyses performed Mann–Whitney U test, ANOVA, Kruskal–Wallis and ANCOVA test was used.
Results
It was determined that 79.8% of the patients were well-nourished, 19.3% had moderate malnutrition, and 0.9% had severe malnutrition. The patients with severe malnutrition was in the last quartile. It was determined that macronutrients and all vitamin and mineral intakes decreased in the last quartile values compared to the first quartile values (P < 0.05). After adjustment for age, sex, energy intake and glomerular filtration rat, there was a significant differences in triceps skinfold thickness and body fat percentage among the four quartiles. There was an increase in the C reactive protein levels from the first quartile to the third quartile (P < 0.05).
Conclusions
This study shows that E-DII is a good tool for assessing the overall inflammatory potential of diet in chronic kidney disease patients.
期刊介绍:
Nutrition Clinique et Métabolisme is the journal of the French-speaking Society of Enteral and Parenteral Nutrition. Associating clinicians, biologists, pharmacists, and fundamentalists, the articles presented in the journal concern man and animals, and deal with organs and cells. The goal is a better understanding of the effects of artificial nutrition and human metabolism. Original articles, general reviews, update articles, technical notes and communications are published, as well as editorials and case reports.