Unveiling the Inflammatory Connections: Evaluating Anthropometric and Bio-impedance Indices as Prognostic Indicators of Inflammation through the Dietary Inflammatory Index among Government Doctors in Gujarat, India - A Cross-sectional Study.
IF 0.7 4区 医学Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Anjali Dave, M Yogesh, Nidhi Trivedi, Shubham Patel, Naresh Makawana
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引用次数: 0
Abstract
Background: Obesity and chronic inflammation increase metabolic disease risk.
Objectives: This study investigated associations between inflammation, body composition, and dietary patterns in Indian physicians.
Materials and methods: In this cross-sectional study, 550 government doctors aged 25-60 years in Gujarat, India, were recruited through multistage random sampling. Anthropometry, bioelectrical impedance analysis, and food frequency questionnaire data were collected. Dietary Inflammatory Index (DII) scores were calculated.
Results: High obesity prevalence was observed, with 48% classified as obese by body fat percentage (BF%) despite normal body mass index (BMI). Significant positive correlations were found between DII scores and BF% (r = 0.57, P < 0.001) and BMI (r = 0.27, P < 0.001). DII scores were negatively correlated with skeletal muscle percent (r = -0.45, P < 0.001). Higher body fat raised the odds of elevated DII by 1.121 (95% confidence interval [CI] 1.05-1.22, P < 0.001), while higher muscle percent lowered DII odds by 0.910 (95% CI 0.85-0.964, P < 0.001).
Conclusions: Excess adiposity correlated with higher dietary inflammation among Indian physicians, contrasting with lower inflammation linked to greater muscle mass. Evaluating inflammation alongside body composition provides insights beyond BMI alone.
背景：肥胖和慢性炎症增加代谢性疾病的风险。目的：本研究调查了印度医生的炎症、身体组成和饮食模式之间的关系。材料与方法：本横断面研究采用多阶段随机抽样的方法，在印度古吉拉特邦招募了550名年龄在25-60岁的政府医生。收集了人体测量、生物电阻抗分析和食物频率问卷数据。计算饮食炎症指数（DII）评分。结果：观察到高肥胖患病率，尽管身体质量指数（BMI）正常，但以体脂百分比（BF%）划分为肥胖的比例为48%。DII评分与BF% （r = 0.57, P < 0.001）和BMI （r = 0.27, P < 0.001）呈正相关。DII评分与骨骼肌百分比呈负相关（r = -0.45, P < 0.001）。较高的体脂使DII升高的几率增加1.121(95%可信区间[CI] 1.05-1.22, P < 0.001)，而较高的肌肉百分比使DII升高的几率降低0.910 （95% CI 0.85-0.964, P < 0.001）。结论：在印度医生中，过度肥胖与较高的饮食炎症相关，而较低的炎症与较大的肌肉质量相关。将炎症与身体成分结合起来评估，可以提供比BMI更深入的见解。
期刊介绍：
Indian Journal of Public Health is a peer-reviewed international journal published Quarterly by the Indian Public Health Association. It is indexed / abstracted by the major international indexing systems like Index Medicus/MEDLINE, SCOPUS, PUBMED, etc. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles. The Indian Journal of Public Health publishes articles of authors from India and abroad with special emphasis on original research findings that are relevant for developing country perspectives including India. The journal considers publication of articles as original article, review article, special article, brief research article, CME / Education forum, commentary, letters to editor, case series reports, etc. The journal covers population based studies, impact assessment, monitoring and evaluation, systematic review, meta-analysis, clinic-social studies etc., related to any domain and discipline of public health, specially relevant to national priorities, including ethical and social issues. Articles aligned with national health issues and policy implications are prefered.
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