美国成年人膳食炎症指数和膳食抗氧化综合指数与肺活量保留率受损的关系以及甘油三酯-葡萄糖指数的中介作用:2007-2012 年全国健康调查

IF 10.7 1区 生物学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY
Yuyu Zheng , Wanlu Liu , Xinyu Zhu, Mengya Xu, Baihao Lin, Yansen Bai
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引用次数: 0

摘要

背景以往的研究表明,炎症性和抗氧化性饮食模式可改变慢性阻塞性肺病的发病风险,但很少有研究探讨这些饮食与慢性阻塞性肺病早期症状(PRISm)之间的关系,代谢紊乱的潜在作用也有待阐明。方法分析了参加 2007-2012 年美国国家健康与营养调查(NHANES)的 9529 人的数据。通过24小时饮食回忆评估了膳食炎症指数(DII)和膳食抗氧化剂综合指数(CDAI),根据生化指标计算了多种代谢指标,并通过肺功能参数定义了PRISm病例。通过广义线性模型和二元逻辑回归模型评估了DII和CDAI的个体效应和联合效应,并通过因果中介分析进一步探讨了代谢指标的中介效应。结果DII增加与肺功能下降(FEV1:β = -18.82,FVC:β = -29.2;OR = 1.04)和代谢指标增加(MAP、UA、TC、TyG和MS的β分别为0.316、0.036、0.916、0.033和0.145)有关。与此相反,CDAI 分别与肺功能(FEV1:β = 3.42;FVC:β = 4.91;PRISm:OR = 0.99)和代谢指标(β <0)呈正相关和负相关。DII 和 CDAI 的联合效应表明,与低 CDAI 受试者相比(低 DII + 高 CDAI vs. 高 DII + 低 CDAI),DII 对高 CDAI 受试者的 TyG(β = -0.11)、FEV1(β = 72.62)、FVC(β = 122.27)和 PRISm(OR = 0.79)的危害效应最小。此外,TyG 分别介导了 13.74 %、8.29 % 和 21.70 % 的 DII 和 37.30 %、20.90 % 和 12.32 % 的 CDAI-FEV1、-FVC 和 -PRISm 关联。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Associations of dietary inflammation index and composite dietary antioxidant index with preserved ratio impaired spirometry in US adults and the mediating roles of triglyceride-glucose index: NHANES 2007–2012

Associations of dietary inflammation index and composite dietary antioxidant index with preserved ratio impaired spirometry in US adults and the mediating roles of triglyceride-glucose index: NHANES 2007–2012

Background

Previous studies have shown that inflammatory and antioxidant dietary patterns can modify the risk of COPD, yet few studies have examined the association of these diets with its early signs (PRISm), and the potential role of metabolic disorders remains to be elucidated.

Methods

Data from 9529 individuals who participated in the 2007–2012 National Health and Nutrition Examination Survey (NHANES) were analyzed. The Dietary Inflammation Index (DII) and the Dietary Antioxidant Composite Index (CDAI) were assessed using 24-h dietary recall, multiple metabolic indicators were calculated according to biochemical markers, and lung function parameters defined PRISm cases. Individual and joint effects of DII and CDAI were evaluated by generalized linear models and binary logistic regression models, and mediation effects of metabolic indicators were further explored by causal mediation analysis.

Results

Increased DII was associated with decreased lung function (FEV1: β = −18.82, FVC: β = −29.2; OR = 1.04) and increased metabolic indicators (β = 0.316, 0.036, 0.916, 0.033, and 0.145 on MAP, UA, TC, TyG, and MS, respectively). Contrary to this, CDAI were positively and negatively associated with lung function (FEV1: β = 3.42; FVC: β = 4.91; PRISm: OR = 0.99) and metabolic indicators (β < 0), respectively. Joint effects of DII and CDAI indicated the minimal hazard effects of DII on TyG (β = −0.11), FEV1 (β = 72.62), FVC (β = 122.27), and PRISm (OR = 0.79) in subjects with high CDAI when compared with those with low CDAI (low DII + high CDAI vs. high DII + low CDAI). Furthermore, TyG mediated 13.74 %, 8.29 %, and 21.70 % of DII- and 37.30 %, 20.90 %, and 12.32 % of CDAI-FEV1, -FVC, and -PRISm associations, respectively.

Conclusions

These findings indicated that CDAI can attenuate the adverse effects of DII on metabolic disorders and lung function decline, which provides new insight for diet modification in preventing early lung dysfunction.

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来源期刊
Redox Biology
Redox Biology BIOCHEMISTRY & MOLECULAR BIOLOGY-
CiteScore
19.90
自引率
3.50%
发文量
318
审稿时长
25 days
期刊介绍: Redox Biology is the official journal of the Society for Redox Biology and Medicine and the Society for Free Radical Research-Europe. It is also affiliated with the International Society for Free Radical Research (SFRRI). This journal serves as a platform for publishing pioneering research, innovative methods, and comprehensive review articles in the field of redox biology, encompassing both health and disease. Redox Biology welcomes various forms of contributions, including research articles (short or full communications), methods, mini-reviews, and commentaries. Through its diverse range of published content, Redox Biology aims to foster advancements and insights in the understanding of redox biology and its implications.
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