The association of dietary inflammatory index and osteosarcopenia in Iranian adults: results of iranian multicenter osteoporosis study.

IF 1.6 Q4 ENDOCRINOLOGY & METABOLISM
Journal of Diabetes and Metabolic Disorders Pub Date : 2025-01-17 eCollection Date: 2025-06-01 DOI:10.1007/s40200-025-01558-z
Navid Ostovar, Noushin Fahimfar, Afshin Ostovar, Sevana Daneghian
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引用次数: 0

Abstract

Objectives: To investigate the association between the Dietary Inflammatory Index (DII) and osteosarcopenia using nationally representative data.

Methods: We utilized data from 1,418 men and women aged ≥ 50 years old participating in Iranian Multicenter Osteoporosis Study (IMOS), a nation-wide, cross-sectional study conducted in 2021. Osteosarcopenia was defined based on standard criteria, considering the presence of both osteopenia/osteoporosis and sarcopenia. We assessed dietary patterns using a semi-quantitative 168-item Food Frequency Questionnaire (FFQ) and calculated energy-adjusted DII (E-DII) scores based on 31 specific food items. Multivariable logistic regression models were used to examine the association between osteosarcopenia and E-DII, adjusting for potential confounders. Nutrient intake calculations were performed using Nutritionist IV software.

Results: The mean age of participants was 60.1 (SD = 7.9) years, with 770 (54.3%) being women. The prevalence of osteosarcopenia was 8.8% (95% CI: 7.3-10.6%). Osteosarcopenia was more prevalent among women, older participants, and rural inhabitants. However, the difference was not statistically significant for sex and area of residence. After adjusting for confounders, the odds ratios for osteosarcopenia in the second and third tertiles of E-DII score were 2.23 (95% CI: 1.23-4.05) and 2.47 (95% CI: 1.40-4.37), respectively.

Conclusions: Our findings suggest an association between osteosarcopenia and the DII. A healthy low-inflammatory diet may play a crucial role in maintaining musculoskeletal health among the elderly.

伊朗成人饮食炎症指数与骨骼肌减少症的关系:伊朗多中心骨质疏松症研究的结果。
目的:研究膳食炎症指数(DII)与骨骼肌减少症之间的关系,使用具有全国代表性的数据。方法:我们利用了参加伊朗多中心骨质疏松症研究(IMOS)的1418名年龄≥50岁的男性和女性的数据,这是一项于2021年进行的全国性横断面研究。骨骼肌减少症是根据标准标准定义的,考虑到骨量减少/骨质疏松和肌肉减少的存在。我们使用半定量的168项食物频率问卷(FFQ)评估饮食模式,并基于31种特定食物计算能量调整DII (E-DII)分数。采用多变量logistic回归模型检验骨骼肌减少症和E-DII之间的关系,调整潜在混杂因素。使用Nutritionist IV软件进行营养摄入计算。结果:参与者的平均年龄为60.1 (SD = 7.9)岁,其中770(54.3%)为女性。骨骼肌减少症患病率为8.8% (95% CI: 7.3-10.6%)。骨骼肌减少症在女性、老年参与者和农村居民中更为普遍。然而,性别和居住地区的差异没有统计学意义。在调整混杂因素后,E-DII评分的第二和第三分位数中骨质减少症的优势比分别为2.23 (95% CI: 1.23-4.05)和2.47 (95% CI: 1.40-4.37)。结论:我们的研究结果表明骨骼肌减少症与DII之间存在关联。健康的低炎症饮食可能在保持老年人肌肉骨骼健康方面起着至关重要的作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Diabetes and Metabolic Disorders
Journal of Diabetes and Metabolic Disorders Medicine-Internal Medicine
CiteScore
4.80
自引率
3.60%
发文量
210
期刊介绍: Journal of Diabetes & Metabolic Disorders is a peer reviewed journal which publishes original clinical and translational articles and reviews in the field of endocrinology and provides a forum of debate of the highest quality on these issues. Topics of interest include, but are not limited to, diabetes, lipid disorders, metabolic disorders, osteoporosis, interdisciplinary practices in endocrinology, cardiovascular and metabolic risk, aging research, obesity, traditional medicine, pychosomatic research, behavioral medicine, ethics and evidence-based practices.As of Jan 2018 the journal is published by Springer as a hybrid journal with no article processing charges. All articles published before 2018 are available free of charge on springerlink.Unofficial 2017 2-year Impact Factor: 1.816.
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