Association between dietary inflammatory index and risk of cardiovascular disease in the Mashhad stroke and heart atherosclerotic disorder study population

Zahra Asadi, Mahdiyeh Yaghooti-Khorasani, Hamideh Ghazizadeh, Fatemeh Sadabadi, Ehsan Mosa-Farkhany, Susan Darroudi, Niloofar Shabani, Atiyeh Kamel-Khodabandeh, Afsane Bahrami, Mohammad-Sadegh Khorrami-Mohebbseraj, Sahar Heidari-Bakavoli, Alireza Heidari-Bakavoli, Habibollah Esmaily, Mohsen Moohebati, Mohammad R Oladi, Nitin Shivappa, James R Hébert, Gordon A Ferns, Majid Ghayour-Mobarhan, Zahra Asadi, Mahdiyeh Yaghooti-Khorasani, Hamideh Ghazizadeh, Fatemeh Sadabadi, Ehsan Mosa-Farkhany, Susan Darroudi, Niloofar Shabani, Atiyeh Kamel-Khodabandeh, Afsane Bahrami, Mohammad-Sadegh Khorrami-Mohebbseraj, Sahar Heidari-Bakavoli, Alireza Heidari-Bakavoli, Habibollah Esmaily, Mohsen Moohebati, Mohammad R Oladi, Nitin Shivappa, James R Hébert, Gordon A Ferns, Majid Ghayour-Mobarhan

Abstract

The dietary inflammatory index (DII) is a novel way of describing diet that has been studied in relation to various health conditions, including cardiovascular disease (CVD) in several populations. We aimed to investigate the association between DII and CVD events among a representative population sample in northeastern Iran. This prospective cohort study was a subsample of 4,672 adults aged 35-65 years, and recruited as part of Mashhad stroke and heart atherosclerotic disorder cohort study population. The DII was computed at baseline according to a 65-item validated food frequency questionnaire. Cox regression was used to determine the association of DII with incident CVD. One hundred twenty-four participants developed CVD (including 24 cases of myocardial infarction [MI], 34 cases of stable angina [SA], and 66 cases of unstable angina [UA]). After adjusting for potential confounding factors, a hazard ratios of 1.06 (95% confidence interval: 0.70-1.60), 1.36 (95% confidence interval: 0.52-3.52), 1.33 (95% confidence interval: 0.60-2.94), and 0.86 (95% confidence interval: 0.48-1.53) were found for total CVD, MI, SA, and UA events, respectively, among the participants with proinflammatory diet (DII ≥ 0) versus those with anti-inflammatory diet (DII < 0). There was no statistically significant association between the DII and total CVD, MI, SA, or UA in this population of middle-aged Iranian men and women.

Keywords: cardiovascular diseases; dietary inflammatory index; food frequency questionnaire.

© 2019 International Union of Biochemistry and Molecular Biology.

References

REFERENCES

    1. Sadeghi M, Haghdoost AA, Bahrampour A, Dehghani M. Modeling the burden of cardiovascular diseases in Iran from 2005 to 2025: The impact of demographic changes. Iran J Public Health. 2017;46(4):506-516.
    1. Mendis S, Puska P, Norrving B. Global atlas on cardiovascular disease prevention and control. Geneva, Switzerland: World Health Organization, 2011.
    1. Abegunde DO, Mathers CD, Adam T, Ortegon M, Strong K. The burden and costs of chronic diseases in low-income and middle-income countries. Lancet. 2007;370(9603):1929-1938.
    1. Mathers CD, Loncar D. Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med. 2006;3(11):e442.
    1. Garcia-Arellano A, Ramallal R, Ruiz-Canela M, et al. Dietary inflammatory index and incidence of cardiovascular disease in the PREDIMED study. Nutrients. 2015;7(6):4124-4138.
    1. Vissers LE, Waller MA, van der Schouw YT, et al. The relationship between the dietary inflammatory index and risk of total cardiovascular disease, ischemic heart disease and cerebrovascular disease: Findings from an Australian population-based prospective cohort study of women. Atherosclerosis. 2016;253:164-170.
    1. Crowley SD. The cooperative roles of inflammation and oxidative stress in the pathogenesis of hypertension. Antioxid Redox Signal. 2014;20(1):102-120.
    1. Pearson TA, Mensah GA, Alexander RW, et al. Markers of inflammation and cardiovascular disease: Application to clinical and public health practice: A statement for healthcare professionals from the Centers for Disease Control and Prevention and the American Heart Association. Circulation. 2003;107(3):499-511.
    1. Messner B, Bernhard D. Smoking and cardiovascular disease: Mechanisms of endothelial dysfunction and early atherogenesis. Arterioscler Thromb Vasc Biol. 2014;34(3):509-515.
    1. Denova-Gutiérrez E, Tucker KL, Flores M, Barquera S, Salmerón J. Dietary patterns are associated with predicted cardiovascular disease risk in an urban Mexican adult population. J Nutr. 2016;146(1):90-97.
    1. Sun J, Buys N, Shen S. Dietary patterns and cardiovascular disease-related risks in Chinese older adults. Front Public Health. 2013;1:48.
    1. Ahluwalia N, Andreeva V, Kesse-Guyot E, Hercberg S. Dietary patterns, inflammation and the metabolic syndrome. Diabetes Metab. 2013;39(2):99-110.
    1. Bodén S, Wennberg M, Van Guelpen B, et al. Dietary inflammatory index and risk of first myocardial infarction: A prospective population-based study. Nutr J. 2017;16(1):21.
    1. Gambardella J, Santulli G. Integrating diet and inflammation to calculate cardiovascular risk. Atherosclerosis. 2016;253:258-261.
    1. Forouzanfar MH, Sepanlou SG, Shahraz S, et al. Evaluating causes of death and morbidity in Iran, global burden of diseases, injuries, and risk factors study 2010. Arch Iran Med. 2014;17(5):304-320.
    1. Ramallal R, Toledo E, Martínez-González MA, et al. Dietary inflammatory index and incidence of cardiovascular disease in the SUN cohort. PloS one. 2015;10(9):e0135221.
    1. Namazi N, Larijani B, Azadbakht L. Dietary inflammatory index and its association with the risk of cardiovascular diseases, metabolic syndrome, and mortality: A systematic review and meta-analysis. Horm Metab Res. 2018;50(5):345-358.
    1. Norton K, Whittingham N, Carter L, Kerr D, Gore C, Marfell-Jones M. Measurement techniques in anthropometry. Anthropometrica. 1996;1:25-75.
    1. Control CD. Prevention, control CfD, Prevention. Defining adult overweight and obesity. Atlanta, GA: Centers for Disease Control and Prevention, 2016.
    1. James WPT, Schofield EC. Human energy requirements. A manual for planners and nutritionists. Oxford, UK: Oxford University Press, 1990.
    1. Ahmadnezhad M, Asadi Z, Miri HH, Ferns GA, Ghayour-Mobarhan M, Ebrahimi-Mamaghani M. Validation of a short semi-quantitative food frequency questionnaire for adults: A pilot study. J Nutritional Sci Dietet. 2017;3(2): In press.
    1. Shivappa N, Steck SE, Hurley TG, Hussey JR, Hébert JR. Designing and developing a literature-derived, population-based dietary inflammatory index. Public Health Nutr. 2014;17(8):1689-1696.
    1. O'Neil A, Shivappa N, Jacka FN, et al. Pro-inflammatory dietary intake as a risk factor for CVD in men: A 5-year longitudinal study. Br J Nutr. 2015;114(12):2074-2082.
    1. Braunwald E. Heart disease. United States, 1988;21(2).
    1. Kelishadi R, Hashemipour M, Ziaei M, Samani SG, Poursafa P, Khavarian N. Comparison of dietary and physical activity patterns among obese children and adolescents with or without metabolic syndrome. Sci J Kurdistan Univ Med Sci. 2010;15(1):36-45.
    1. Fung TT, Rimm EB, Spiegelman D, et al. Association between dietary patterns and plasma biomarkers of obesity and cardiovascular disease risk. Am J Clin Nutr. 2001;73(1):61-67.
    1. Després J-P, Lemieux I. Abdominal obesity and metabolic syndrome. Nature. 2006;444(7121):881-887.
    1. WHO. WHO global report on trends in prevalence of tobacco smoking 2015. Geneva, Switzerland: World Health Organization, 2015.
    1. Gambardella J, Sardu C, Sacra C, Del Giudice C, Santulli G. Quit smoking to outsmart atherogenesis: Molecular mechanisms underlying clinical evidence. Atherosclerosis. 2017;257:242-245.
    1. Ambrose JA, Barua RS. The pathophysiology of cigarette smoking and cardiovascular disease: An update. J Am Coll Cardiol. 2004;43(10):1731-1737.
    1. Shivappa N, Harris H, Wolk A, Hebert JR. Association between inflammatory potential of diet and mortality among women in the Swedish mammography cohort. Eur J Nutr. 2016;55(5):1891-1900.

Source: PubMed

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