Open AccessDietary Inflammatory Index is associated with Healthy Eating Index, Alternative Healthy Eating Index, and dietary patterns among Iranian adults
Author(s) -
Asadi Zahra,
Ghaffarian Zirak Roshanak,
Yaghooti Khorasani Mahdiyeh,
Saedi Mostafa,
Parizadeh Seyed Mostafa,
JafarzadehEsfehani Reza,
Khorramruz Fateme,
Jandari Sajedeh,
MohammadiBajgiran Maryam,
ZareFeyzabadi Reza,
Esmaily Habibollah,
Rahimi Hamid Reza,
Tayefi Maryam,
Ferns Gordon A.,
Shivappa Nitin,
Hébert James R.,
Ghazizadeh Hamideh,
GhayourMobarhan Majid
Publication year - 2020
Publication title -
journal of clinical laboratory analysis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.536
H-Index - 50
eISSN - 1098-2825
pISSN - 0887-8013
DOI - 10.1002/jcla.23523
Subject(s) - waist , medicine , confounding , food frequency questionnaire , body mass index , poisson regression , healthy eating , mediterranean diet , physiology , gastroenterology , physical activity , environmental health , physical therapy , population
Background Recent investigations have evaluated the effect of the inflammatory potential of diet in several populations by calculating the Dietary Inflammatory Index (DII) score. We aimed to evaluate the association of the DII with the Healthy Eating Index (HEI), the Alternative Healthy Eating Index (AHEI), and dietary pattern (DP) among healthy Iranian adults. Methods A cross‐sectional study was conducted among 4365 middle‐aged adults. Major DPs and DII score were identified using a validated semi‐quantitative food frequency questionnaire (FFQ). Poisson regression was used to evaluate the association of DPs, HEI, and AHEI across tertiles of DII. Results After adjustment for confounding variables, a low HEI (HEI < 55) and AHEI (AHEI < 56.5) were more prevalent among the participants in the highest tertile of DII compared to the first tertile (PR: 1.13, P ‐value <.05; PR: 1.10, P ‐value <.05; respectively). Adherence to a balanced healthy dietary pattern was significantly lower in subjects with a diet that was more pro‐inflammatory compared to those with anti‐inflammatory diet (PR: 0.85, P ‐value P < .01). No significant association was found between the DII and a western DP. High levels of HDL and hip and waist circumference were observed in the highest tertile of DII, and high levels of dietary intake of protein and fiber, minerals, fasting blood glucose, and monounsaturated fat were reported in the lowest tertile of DII. Conclusion The highest tertile of the DII (a pro‐inflammatory diet) was associated with a lower HEI, AHEI, and lower adherence to balanced DP in a representative sample of adults in Iran.