nach oben

Clinical Rheumatology

Erschienen in:

28.05.2022 | Original Article

The association between dietary inflammation index and the risk of rheumatoid arthritis in Americans

verfasst von: Shate Xiang, Yao Wang, Suhai Qian, Jie Li, Yibo Jin, Xinghong Ding, Taotao Xu

Erschienen in: Clinical Rheumatology | Ausgabe 9/2022

Einloggen, um Zugang zu erhalten

Abstract

Background

The correlation between dietary inflammation index (DII) and rheumatoid arthritis (RA) has been found, but the effect of confounding factors is not considered. This study aims to further explore the association between DII and RA risk by taking the Americans as the research object.

Methods

The data from the 2005–2018 National Health and Nutrition Examination Survey (NHANES) database included 1819 self-reported RA individuals and 8602 non-RA individuals. The analytical methods include logistic regression, additive model, smooth curve fitting, and the recursive algorithm.

Results

There was a positive correlation between DII and RA in Americans (β = 1.068, 95% CI = 1.026 to 1.111, P = 0.001). This result was still presented in the subgroup analysis, including age less than 50 years, female, other Hispanics, BMI ≥ 25, and federal poverty rate > 185%, and it was more pronounced in smokers. The results show that the superposition of DII and other risk factors would increase the risk of RA (β > 1.068). In addition, individuals with RA are inadequate in intake of anti-inflammatory foods, in line with the Mediterranean diet.

Conclusions

The inflammatory potential of the diet is positively correlated with the risk of RA, and has a superimposed effect with other risk factors, increasing the probability of the risk of disease. These results emphasize that reducing the intake of pro-inflammatory foods may be an effective measure to prevent the onset of rheumatoid arthritis. However, eating anti-inflammatory foods exclusively is not the best option. Intaking some pro-inflammatory foods like protein, energy, and total saturated acids may be necessary to maintain the physiological function of the human body.

Key Points

• Dietary inflammation index (DII) is positively correlated with RA risk.

• When DII and other risk factors appear at the same time, the effects of the two will be superimposed on each other, increasing the risk of RA.

• When the DII is the same, Hispanic has a higher incidence of RA.

• Among the pro-inflammatory foods, the intake of protein, energy, and saturated fatty acids is still required by RA patients.

Nur mit Berechtigung zugänglich

McInnes IB, Schett G (2011) The pathogenesis of rheumatoid arthritis. N Engl J Med 365:2205–2219. https://doi.org/10.1056/NEJMra1004965CrossRefPubMed

Senftleber NK, Nielsen SM, Andersen JR et al (2017) Marine oil supplements for arthritis pain: a systematic review and meta-analysis of randomized trials. Nutrients 9:42. https://doi.org/10.3390/nu9010042CrossRefPubMedCentral

Tobón GJ, Youinou P, Saraux A (2010) The environment, geo-epidemiology, and autoimmune disease: rheumatoid arthritis. J Autoimmun 35:10–14. https://doi.org/10.1016/j.jaut.2009.12.009CrossRefPubMed

Letarouilly JG, Flipo RM, Cortet B et al (2021) Body composition in patients with rheumatoid arthritis: a narrative literature review. Ther Adv Musculoskelet Dis 13:1759720x211015006. https://doi.org/10.1177/1759720X211015006CrossRefPubMedPubMedCentral

Smolen JS, Aletaha D, McInnes IB (2016) Rheumatoid arthritis. Lancet 388:2023–2038. https://doi.org/10.1016/s0140-6736(16)30173-8CrossRefPubMed

Scott DL, Wolfe F, Huizinga TW (2010) Rheumatoid arthritis. Lancet 376:1094–1108. https://doi.org/10.1016/s0140-6736(10)60826-4CrossRefPubMed

Feng J, Chen Q, Yu F et al (2016) Body mass index and risk of rheumatoid arthritis: a meta-analysis of observational studies. Medicine (Baltimore) 95(8):e2859. https://doi.org/10.1097/md.0000000000002859CrossRef

Asoudeh F, Djafarian K, Akhalghi M et al (2022) The effect of probiotic cheese consumption on inflammatory and anti-inflammatory markers, disease severity, and symptoms in patients with rheumatoid arthritis: Study protocol for a randomized, double-blind, placebo-controlled trial. Trials 23:180. https://doi.org/10.1186/s13063-022-06113-2CrossRefPubMedPubMedCentral

Gioia C, Lucchino B, Tarsitano MG et al (2020) Dietary habits and nutrition in rheumatoid arthritis: can diet influence disease development and clinical manifestations? Nutrients 12:1456. https://doi.org/10.3390/nu12051456CrossRefPubMedCentral

10.

Ouchi N, Parker JL, Lugus JJ et al (2011) Adipokines in inflammation and metabolic disease. Nat Rev Immunol 11:85–97. https://doi.org/10.1038/nri2921CrossRefPubMedPubMedCentral

11.

Comee L, Taylor CA, Nahikian-Nelms M et al (2019) Dietary patterns and nutrient intake of individuals with rheumatoid arthritis and osteoarthritis in the united states. Nutrition 67–68:110533. https://doi.org/10.1016/j.nut.2019.06.014CrossRefPubMed

12.

Rosillo M, Alcaraz MJ, Sánchez-Hidalgo M et al (2014) Anti-inflammatory and joint protective effects of extra-virgin olive-oil polyphenol extract in experimental arthritis. J Nutr Biochem 25:1275–1281. https://doi.org/10.1016/j.jnutbio.2014.07.006CrossRefPubMed

13.

Wagenaar CA, van de Put M, Bisschops M et al (2021) The effect of dietary interventions on chronic inflammatory diseases in relation to the microbiome: a systematic review. Nutrients 13:3208. https://doi.org/10.3390/nu13093208CrossRefPubMedPubMedCentral

14.

Li M, Wang F (2021) Role of intestinal microbiota on gut homeostasis and rheumatoid arthritis. J Immunol Res 2021:8167283. https://doi.org/10.1155/2021/8167283CrossRefPubMedPubMedCentral

15.

Sanchez P, Letarouilly JG, Nguyen Y et al (2022) Efficacy of probiotics in rheumatoid arthritis and spondyloarthritis: a systematic review and meta-analysis of randomized controlled trials. Nutrients 14:354. https://doi.org/10.3390/nu14020354CrossRefPubMedPubMedCentral

16.

Ferro M, Charneca S, Dourado E et al (2021) Probiotic supplementation for rheumatoid arthritis: a promising adjuvant therapy in the gut microbiome era. Front Pharmacol 12:711788. https://doi.org/10.3389/fphar.2021.711788CrossRefPubMedPubMedCentral

17.

Turesson Wadell A, Bärebring L, Hulander E et al (2021) Effects on health-related quality of life in the randomized, controlled crossover trial adira (anti-inflammatory diet in rheumatoid arthritis). PLoS ONE 16:e0258716. https://doi.org/10.1371/journal.pone.0258716CrossRefPubMedPubMedCentral

18.

Hulander E, Bärebring L, Turesson Wadell A et al (2021) Proposed anti-inflammatory diet reduces inflammation in compliant, weight-stable patients with rheumatoid arthritis in a randomized controlled crossover trial. J Nutr 151:3856–3864. https://doi.org/10.1093/jn/nxab313CrossRefPubMedPubMedCentral

19.

Cavicchia PP, Steck SE, Hurley TG et al (2009) A new dietary inflammatory index predicts interval changes in serum high-sensitivity c-reactive protein. J Nutr 139:2365–2372. https://doi.org/10.3945/jn.109.114025CrossRefPubMedPubMedCentral

20.

Shivappa N, Steck SE, Hurley TG et al (2014) Designing and developing a literature-derived, population-based dietary inflammatory index. Public Health Nutr 17:1689–1696. https://doi.org/10.1017/s1368980013002115CrossRefPubMed

21.

Geng J, Deng L, Qiu S et al (2020) Dietary inflammatory potential and risk of sarcopenia: data from national health and nutrition examination surveys. Aging 13:1913–1928. https://doi.org/10.18632/aging.202141CrossRefPubMedPubMedCentral

22.

Shivappa N, Godos J, Hébert JR et al (2017) Dietary inflammatory index and colorectal cancer risk-a meta-analysis. Nutrients 9:1043. https://doi.org/10.3390/nu9091043CrossRefPubMedCentral

23.

Shivappa N, Hébert JR, Zucchetto A et al (2016) Increased risk of nasopharyngeal carcinoma with increasing levels of diet-associated inflammation in an italian case-control study. Nutr Cancer 68:1123–1130. https://doi.org/10.1080/01635581.2016.1216137CrossRefPubMedPubMedCentral

24.

Phillips CM, Chen LW, Heude B et al (2019) Dietary inflammatory index and non-communicable disease risk: a narrative review. Nutrients 11:1873. https://doi.org/10.3390/nu11081873CrossRefPubMedCentral

25.

Shivappa N, Godos J, Hébert JR et al (2018) Dietary inflammatory index and cardiovascular risk and mortality-a meta-analysis. Nutrients 10:200. https://doi.org/10.3390/nu10020200CrossRefPubMedCentral

26.

Aslani Z, Qorbani M, Hébert JR et al (2019) Association of dietary inflammatory index with anthropometric indices in children and adolescents: The weight disorder survey of the childhood and adolescence surveillance and prevention of adult non-communicable disease (caspian)-iv study. Br J Nutr 121:340–350. https://doi.org/10.1017/s0007114518003240CrossRefPubMed

27.

Jandari S, Mosalmanzadeh N, Shadmand Foumani Moghadam MR et al (2021) Dietary inflammatory index and healthy eating index-2015 are associated with rheumatoid arthritis. Public Health Nutr 24:6007–6014. https://doi.org/10.1017/S1368980021001105CrossRefPubMed

28.

Matsumoto Y, Shivappa N, Sugioka Y et al (2021) Change in dietary inflammatory index score is associated with control of long-term rheumatoid arthritis disease activity in a japanese cohort: the tomorrow study. Arthritis Res Ther 23:105. https://doi.org/10.1186/s13075-021-02478-yCrossRefPubMedPubMedCentral

29.

Tandorost A, Kheirouri S, Moludi J et al (2021) Association of dietary inflammatory index (dii) with disease activity and inflammatory cytokines in the patients with rheumatoid arthritis. Int J Clin Pract 75:e14792. https://doi.org/10.1111/ijcp.14792CrossRefPubMed

30.

Ain QU, Sarfraz M, Prasesti GK et al (2021) Confounders in identification and analysis of inflammatory biomarkers in cardiovascular diseases. Biomolecules 11:1464. https://doi.org/10.3390/biom11101464CrossRefPubMedPubMedCentral

31.

Kirkpatrick SI, Reedy J, Krebs-Smith SM et al (2018) Applications of the healthy eating index for surveillance, epidemiology, and intervention research: considerations and caveats. J Acad Nutr Diet 118:1603–1621. https://doi.org/10.1016/j.jand.2018.05.020CrossRefPubMedPubMedCentral

32.

Deng MG, Nie JQ, Li YY et al (2022) Higher hei-2015 scores are associated with lower risk of sleep disorder: results from a nationally representative survey of united states adults. Nutrients 14:873. https://doi.org/10.3390/nu14040873CrossRefPubMedPubMedCentral

33.

Gay IC, Tran DT, Paquette DW (2018) Alcohol intake and periodontitis in adults aged ≥30 years: Nhanes 2009–2012. J Periodontol 89:625–634. https://doi.org/10.1002/jper.17-0276CrossRefPubMed

34.

Sparks JA (2019) Rheumatoid arthritis. Ann Intern Med 170:Itc1-itc16. https://doi.org/10.7326/aitc201901010CrossRefPubMed

35.

Zhou Y, Sun M (2018) A meta-analysis of the relationship between body mass index and risk of rheumatoid arthritis. Excli J 17:1079–1089. https://doi.org/10.17179/excli2018-1763CrossRefPubMedPubMedCentral

36.

Vessey MP, Villard-Mackintosh L, Yeates D (1987) Oral contraceptives, cigarette smoking and other factors in relation to arthritis. Contraception 35:457–464. https://doi.org/10.1016/0010-7824(87)90082-5CrossRefPubMed

37.

Ryan AS, Craig LD, Finn SC (1992) Nutrient intakes and dietary patterns of older americans: a national study. J Gerontol 47:M145-150. https://doi.org/10.1093/geronj/47.5.m145CrossRefPubMed

38.

Hiza HA, Casavale KO, Guenther PM et al (2013) Diet quality of americans differs by age, sex, race/ethnicity, income, and education level. J Acad Nutr Diet 113:297–306. https://doi.org/10.1016/j.jand.2012.08.011CrossRefPubMed

39.

Chen Q, Li H, Liu Y et al (2022) Epigenetic regulation of immune and inflammatory responses in rheumatoid arthritis. Front Immunol 13:881191. https://doi.org/10.3389/fimmu.2022.881191CrossRefPubMedPubMedCentral

40.

Frisell T, Saevarsdottir S, Askling J (2016) Family history of rheumatoid arthritis: an old concept with new developments. Nat Rev Rheumatol 12:335–343. https://doi.org/10.1038/nrrheum.2016.52CrossRefPubMed

41.

Del Rincón I, Battafarano DF, Arroyo RA et al (2003) Ethnic variation in the clinical manifestations of rheumatoid arthritis: role of hla-drb1 alleles. Arthritis Rheum 49:200–208. https://doi.org/10.1002/art.11000CrossRefPubMed

42.

del Rincón I, Escalante A (1999) Hla-drb1 alleles associated with susceptibility or resistance to rheumatoid arthritis, articular deformities, and disability in mexican americans. Arthritis Rheum 42:1329–1338. https://doi.org/10.1002/1529-0131(199907)42:7%3c1329::aid-anr5%3e3.0.co;2-1CrossRefPubMed

43.

Pardo MR, Garicano Vilar E, San Mauro Martín I et al (2021) Bioavailability of magnesium food supplements: a systematic review. Nutrition 89:111294. https://doi.org/10.1016/j.nut.2021.111294CrossRefPubMed

44.

Mehdi Y, Hornick JL, Istasse L et al (2013) Selenium in the environment, metabolism and involvement in body functions. Molecules 18:3292–3311. https://doi.org/10.3390/molecules18033292CrossRefPubMedPubMedCentral

45.

Meyer-Ficca M, Kirkland JB (2016) Niacin. Adv Nutr 7:556–558. https://doi.org/10.3945/an.115.011239CrossRefPubMedPubMedCentral

46.

Petersson S, Philippou E, Rodomar C et al (2018) The mediterranean diet, fish oil supplements and rheumatoid arthritis outcomes: evidence from clinical trials. Autoimmun Rev 17(11):1105–1114. https://doi.org/10.1016/j.autrev.2018.06.007CrossRefPubMed

47.

Philippou E, Petersson SD, Rodomar C et al (2021) Rheumatoid arthritis and dietary interventions: Systematic review of clinical trials. Nutr Rev 79:410–428. https://doi.org/10.1093/nutrit/nuaa033CrossRefPubMed

48.

Smedslund G, Byfuglien MG, Olsen SU et al (2010) Effectiveness and safety of dietary interventions for rheumatoid arthritis: a systematic review of randomized controlled trials. J Am Diet Assoc 110:727–735. https://doi.org/10.1016/j.jada.2010.02.010CrossRefPubMed

49.

Lanchais K, Capel F, Tournadre A (2020) Could omega 3 fatty acids preserve muscle health in rheumatoid arthritis? Nutrients 12:223. https://doi.org/10.3390/nu12010223CrossRefPubMedCentral

50.

Harcombe Z (2019) Us dietary guidelines: is saturated fat a nutrient of concern? Br J Sports Med 53:1393–1396. https://doi.org/10.1136/bjsports-2018-099420CrossRefPubMed

51.

Lopez S, Bermudez B, Ortega A et al (2011) Effects of meals rich in either monounsaturated or saturated fat on lipid concentrations and on insulin secretion and action in subjects with high fasting triglyceride concentrations. Am J Clin Nutr 93:494–499. https://doi.org/10.3945/ajcn.110.003251CrossRefPubMed

52.

Kjeldsen-Kragh J, Haugen M, Borchgrevink CF et al (1991) Controlled trial of fasting and one-year vegetarian diet in rheumatoid arthritis. Lancet 338:899–902. https://doi.org/10.1016/0140-6736(91)91770-uCrossRefPubMed

53.

Guagnano MT, D’Angelo C, Caniglia D et al (2021) Improvement of inflammation and pain after three months’ exclusion diet in rheumatoid arthritis patients. Nutrients 13:3535. https://doi.org/10.3390/nu13103535CrossRefPubMedPubMedCentral

54.

Vadell AKE, Bärebring L, Hulander E et al (2020) Anti-inflammatory diet in rheumatoid arthritis (adira)-a randomized, controlled crossover trial indicating effects on disease activity. Am J Clin Nutr 111:1203–1213. https://doi.org/10.1093/ajcn/nqaa019CrossRefPubMedPubMedCentral

55.

Taylor PC, Moore A, Vasilescu R et al (2016) A structured literature review of the burden of illness and unmet needs in patients with rheumatoid arthritis: a current perspective. Rheumatol Int 36:685–695. https://doi.org/10.1007/s00296-015-3415-xCrossRefPubMedPubMedCentral

56.

Bungau SG, Behl T, Singh A et al (2021) Targeting probiotics in rheumatoid arthritis. Nutrients 13:3376. https://doi.org/10.3390/nu13103376CrossRefPubMedPubMedCentral

57.

Le Roy CI, Kurilshikov A, Leeming ER et al (2022) Yoghurt consumption is associated with changes in the composition of the human gut microbiome and metabolome. BMC Microbiol 22:39. https://doi.org/10.1186/s12866-021-02364-2CrossRefPubMedPubMedCentral

58.

Alkushi AG, Abdelfattah-Hassan A, Eldoumani H et al (2022) Probiotics-loaded nanoparticles attenuated colon inflammation, oxidative stress, and apoptosis in colitis. Sci Rep 12:5116. https://doi.org/10.1038/s41598-022-08915-5CrossRefPubMedPubMedCentral

Titel: The association between dietary inflammation index and the risk of rheumatoid arthritis in Americans
verfasst von: Shate Xiang
Yao Wang
Suhai Qian
Jie Li
Yibo Jin
Xinghong Ding
Taotao Xu
Publikationsdatum: 28.05.2022
Verlag: Springer International Publishing
Erschienen in: Clinical Rheumatology / Ausgabe 9/2022
Print ISSN: 0770-3198
Elektronische ISSN: 1434-9949
DOI: https://doi.org/10.1007/s10067-022-06217-9

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

^{Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag}

Kostenlos registrieren

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

The association between dietary inflammation index and the risk of rheumatoid arthritis in Americans

Abstract

Background

Methods

Results

Conclusions

Leitlinien kompakt für die Innere Medizin

Neu im Fachgebiet Innere Medizin

Erhebliches Risiko für Kehlkopfkrebs bei mäßiger Dysplasie

Nach Herzinfarkt mit Typ-1-Diabetes schlechtere Karten als mit Typ 2?

15% bedauern gewählte Blasenkrebs-Therapie

Costims – das nächste heiße Ding in der Krebstherapie?

Update Innere Medizin

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

Abstract

Background

Methods

Results

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 9/2022

Association of rheumatoid arthritis with mortality in chronic kidney disease: a cohort study

In-ICU-acquired infections in flare-up systemic rheumatic disease patients receiving immunosuppressant

The impact of a structured weight-loss treatment on physical fitness in patients with psoriatic arthritis and obesity compared to matched controls: a prospective interventional study

Correction to: Functional manifestations of early knee osteoarthritis: a systematic review and meta-analysis

Physical exercise for dermatomyositis and polymyositis: a systematic review and meta-analysis

Comparison and correlation study of synovial ultrasound indices and serum VEGF in rheumatoid wrist arthritis before and after treatment

Leitlinien kompakt für die Innere Medizin

Neu im Fachgebiet Innere Medizin

Erhebliches Risiko für Kehlkopfkrebs bei mäßiger Dysplasie

Nach Herzinfarkt mit Typ-1-Diabetes schlechtere Karten als mit Typ 2?

15% bedauern gewählte Blasenkrebs-Therapie

Costims – das nächste heiße Ding in der Krebstherapie?

Update Innere Medizin