Associations of Dietary Inflammatory Index Scores with the disability status and subjective health of older adults living in non-urban municipalities in Nagasaki and Ishikawa Prefectures, Japan

Abstract Objective: To examine associations of Dietary Inflammatory Index (DII) scores with disability and subjective health, which is prognostic of disability, in a large, systematically sampled population of older adults living in non-urban areas in Japan. Design: Cross-sectional. The Tokyo Me...

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Main Authors: Momoka Masuda, Chiho Goto, Hideki Imai, Shihomi Sakurai, Mikie Hidaka, Haruna Ushimura, Rieko Nakao, Mayumi Ohnishi, Masahiro Umezaki
Format: Article
Language:English
Published: Cambridge University Press 2025-01-01
Series:Public Health Nutrition
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Online Access:https://www.cambridge.org/core/product/identifier/S1368980025000424/type/journal_article
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author Momoka Masuda
Chiho Goto
Hideki Imai
Shihomi Sakurai
Mikie Hidaka
Haruna Ushimura
Rieko Nakao
Mayumi Ohnishi
Masahiro Umezaki
author_facet Momoka Masuda
Chiho Goto
Hideki Imai
Shihomi Sakurai
Mikie Hidaka
Haruna Ushimura
Rieko Nakao
Mayumi Ohnishi
Masahiro Umezaki
author_sort Momoka Masuda
collection DOAJ
description Abstract Objective: To examine associations of Dietary Inflammatory Index (DII) scores with disability and subjective health, which is prognostic of disability, in a large, systematically sampled population of older adults living in non-urban areas in Japan. Design: Cross-sectional. The Tokyo Metropolitan Institute of Gerontology Index of Competence was used to assess disability. Both overall disability and disabilities in components of everyday competence (instrumental activities of daily living (IADL), intellectual activities and social participation) were examined. Participants who reported an inability to perform one or more activities were categorised as disabled. Subjective health was assessed based on the response to the following question: ‘In general, how do you feel about your own health?’ Setting: Six non-urban municipalities in Japan that differ in terms of regional characteristics. Participants: Adults aged 65–74 years (n 7930). Results: DII scores were positively associated with the odds of overall disability (OR (95 % CI)) = 1·23 (1·19, 1·28)); disabilities in IADL (OR (95 % CI) = 1·10 (1·05, 1·15)); intellectual activities (OR (95 % CI) = 1·28 (1·23, 1·33)); social participation (OR (95 % CI) = 1·17 (1·13, 1·22)) and poor subjective health (OR (95 %CI) = 1·09 (1·05, 1·14)). Conclusions: Our results imply the importance of reducing dietary inflammation to prevent both disability and a decline in subjective health, a predictor of disability.
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spelling doaj-art-0bc7fc5d9c3e4b42a8f5508a01f11f7b2025-08-20T03:18:58ZengCambridge University PressPublic Health Nutrition1368-98001475-27272025-01-012810.1017/S1368980025000424Associations of Dietary Inflammatory Index Scores with the disability status and subjective health of older adults living in non-urban municipalities in Nagasaki and Ishikawa Prefectures, JapanMomoka Masuda0https://orcid.org/0009-0009-7522-2664Chiho Goto1Hideki Imai2Shihomi Sakurai3Mikie Hidaka4Haruna Ushimura5Rieko Nakao6Mayumi Ohnishi7Masahiro Umezaki8Department of Human Ecology, School of International Health, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, JapanDepartment of Health and Nutrition, School of Health and Human Life, Nagoya Bunri University, 365 Maeda, Inazawa-cho, Inazawa-shi, Aichi 492-8520, JapanFaculty of Nursing, Ishikawa Prefectural Nursing University, 1-1 Gakuendai, Kahoku-shi, Ishikawa 929-1210, JapanFaculty of Nursing, Ishikawa Prefectural Nursing University, 1-1 Gakuendai, Kahoku-shi, Ishikawa 929-1210, JapanSchool of Nursing, Tokyo Medical University, 6-1-1 Shinjuku, Shinjuku-ku, Tokyo 160-8402, JapanFaculty of Nursing, Ishikawa Prefectural Nursing University, 1-1 Gakuendai, Kahoku-shi, Ishikawa 929-1210, JapanNagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki-shi, Nagasaki 852-8520, JapanNagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki-shi, Nagasaki 852-8520, JapanDepartment of Human Ecology, School of International Health, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, Japan Abstract Objective: To examine associations of Dietary Inflammatory Index (DII) scores with disability and subjective health, which is prognostic of disability, in a large, systematically sampled population of older adults living in non-urban areas in Japan. Design: Cross-sectional. The Tokyo Metropolitan Institute of Gerontology Index of Competence was used to assess disability. Both overall disability and disabilities in components of everyday competence (instrumental activities of daily living (IADL), intellectual activities and social participation) were examined. Participants who reported an inability to perform one or more activities were categorised as disabled. Subjective health was assessed based on the response to the following question: ‘In general, how do you feel about your own health?’ Setting: Six non-urban municipalities in Japan that differ in terms of regional characteristics. Participants: Adults aged 65–74 years (n 7930). Results: DII scores were positively associated with the odds of overall disability (OR (95 % CI)) = 1·23 (1·19, 1·28)); disabilities in IADL (OR (95 % CI) = 1·10 (1·05, 1·15)); intellectual activities (OR (95 % CI) = 1·28 (1·23, 1·33)); social participation (OR (95 % CI) = 1·17 (1·13, 1·22)) and poor subjective health (OR (95 %CI) = 1·09 (1·05, 1·14)). Conclusions: Our results imply the importance of reducing dietary inflammation to prevent both disability and a decline in subjective health, a predictor of disability. https://www.cambridge.org/core/product/identifier/S1368980025000424/type/journal_articleDietary Inflammatory IndexDisabilitySubjective healthOlder peopleJapan
spellingShingle Momoka Masuda
Chiho Goto
Hideki Imai
Shihomi Sakurai
Mikie Hidaka
Haruna Ushimura
Rieko Nakao
Mayumi Ohnishi
Masahiro Umezaki
Associations of Dietary Inflammatory Index Scores with the disability status and subjective health of older adults living in non-urban municipalities in Nagasaki and Ishikawa Prefectures, Japan
Public Health Nutrition
Dietary Inflammatory Index
Disability
Subjective health
Older people
Japan
title Associations of Dietary Inflammatory Index Scores with the disability status and subjective health of older adults living in non-urban municipalities in Nagasaki and Ishikawa Prefectures, Japan
title_full Associations of Dietary Inflammatory Index Scores with the disability status and subjective health of older adults living in non-urban municipalities in Nagasaki and Ishikawa Prefectures, Japan
title_fullStr Associations of Dietary Inflammatory Index Scores with the disability status and subjective health of older adults living in non-urban municipalities in Nagasaki and Ishikawa Prefectures, Japan
title_full_unstemmed Associations of Dietary Inflammatory Index Scores with the disability status and subjective health of older adults living in non-urban municipalities in Nagasaki and Ishikawa Prefectures, Japan
title_short Associations of Dietary Inflammatory Index Scores with the disability status and subjective health of older adults living in non-urban municipalities in Nagasaki and Ishikawa Prefectures, Japan
title_sort associations of dietary inflammatory index scores with the disability status and subjective health of older adults living in non urban municipalities in nagasaki and ishikawa prefectures japan
topic Dietary Inflammatory Index
Disability
Subjective health
Older people
Japan
url https://www.cambridge.org/core/product/identifier/S1368980025000424/type/journal_article
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