Association between composite dietary antioxidant index and hyperlipidemia in adults based on the NHANES

Abstract Hyperlipidemia, a major risk factor for cardiovascular diseases, can potentially be alleviated by dietary antioxidants. This study explored the relationship between hyperlipidemia and the Composite Dietary Antioxidant Index (CDAI), which measures antioxidant intake from carotenoids, seleniu...

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Main Authors: Kaidi Nie, Tingting Deng, Yiling Bai, Yuxian Zhang, Zhixuan Chen, Xile Peng, Lina Xia, Jiao Liu
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-86223-4
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author Kaidi Nie
Tingting Deng
Yiling Bai
Yuxian Zhang
Zhixuan Chen
Xile Peng
Lina Xia
Jiao Liu
author_facet Kaidi Nie
Tingting Deng
Yiling Bai
Yuxian Zhang
Zhixuan Chen
Xile Peng
Lina Xia
Jiao Liu
author_sort Kaidi Nie
collection DOAJ
description Abstract Hyperlipidemia, a major risk factor for cardiovascular diseases, can potentially be alleviated by dietary antioxidants. This study explored the relationship between hyperlipidemia and the Composite Dietary Antioxidant Index (CDAI), which measures antioxidant intake from carotenoids, selenium, zinc, and vitamins A, C, and E. Analyzing data from 27,493 participants aged 20 and older from the National Health and Nutrition Examination Survey (NHANES) conducted between 2001 and 2018, we used weighted regression models to assess this association while adjusting for multiple covariates. Restricted cubic splines were also applied to check for any non-linear relationships. Findings revealed that higher CDAI scores significantly correlated with lower hyperlipidemia prevalence. Specifically, each unit increase in log-transformed CDAI was linked to a 14% decrease in hyperlipidemia risk (OR = 0.86, 95% CI: 0.77–0.95). Participants in the top CDAI quartile had a 15% lower hyperlipidemia prevalence compared to those in the bottom quartile (OR = 0.85, 95% CI: 0.77–0.95). No significant non-linear relationship was observed (p = 0.822). In conclusion, increased antioxidant intake, as measured by CDAI, is associated with reduced hyperlipidemia, underscoring the role of antioxidants in its management.
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spelling doaj-art-13040331d4814f6d941c5f9d9a0836d52025-01-19T12:21:42ZengNature PortfolioScientific Reports2045-23222025-01-0115111110.1038/s41598-025-86223-4Association between composite dietary antioxidant index and hyperlipidemia in adults based on the NHANESKaidi Nie0Tingting Deng1Yiling Bai2Yuxian Zhang3Zhixuan Chen4Xile Peng5Lina Xia6Jiao Liu7Key Laboratory of Traditional Chinese Medicine Regimen and Health, State Administration of Traditional Chinese Medicine, Chengdu University of Traditional Chinese MedicineKey Laboratory of Traditional Chinese Medicine Regimen and Health, State Administration of Traditional Chinese Medicine, Chengdu University of Traditional Chinese MedicineKey Laboratory of Traditional Chinese Medicine Regimen and Health, State Administration of Traditional Chinese Medicine, Chengdu University of Traditional Chinese MedicineKey Laboratory of Traditional Chinese Medicine Regimen and Health, State Administration of Traditional Chinese Medicine, Chengdu University of Traditional Chinese MedicineKey Laboratory of Traditional Chinese Medicine Regimen and Health, State Administration of Traditional Chinese Medicine, Chengdu University of Traditional Chinese MedicineKey Laboratory of Traditional Chinese Medicine Regimen and Health, State Administration of Traditional Chinese Medicine, Chengdu University of Traditional Chinese MedicineKey Laboratory of Traditional Chinese Medicine Regimen and Health, State Administration of Traditional Chinese Medicine, Chengdu University of Traditional Chinese MedicineKey Laboratory of Traditional Chinese Medicine Regimen and Health, State Administration of Traditional Chinese Medicine, Chengdu University of Traditional Chinese MedicineAbstract Hyperlipidemia, a major risk factor for cardiovascular diseases, can potentially be alleviated by dietary antioxidants. This study explored the relationship between hyperlipidemia and the Composite Dietary Antioxidant Index (CDAI), which measures antioxidant intake from carotenoids, selenium, zinc, and vitamins A, C, and E. Analyzing data from 27,493 participants aged 20 and older from the National Health and Nutrition Examination Survey (NHANES) conducted between 2001 and 2018, we used weighted regression models to assess this association while adjusting for multiple covariates. Restricted cubic splines were also applied to check for any non-linear relationships. Findings revealed that higher CDAI scores significantly correlated with lower hyperlipidemia prevalence. Specifically, each unit increase in log-transformed CDAI was linked to a 14% decrease in hyperlipidemia risk (OR = 0.86, 95% CI: 0.77–0.95). Participants in the top CDAI quartile had a 15% lower hyperlipidemia prevalence compared to those in the bottom quartile (OR = 0.85, 95% CI: 0.77–0.95). No significant non-linear relationship was observed (p = 0.822). In conclusion, increased antioxidant intake, as measured by CDAI, is associated with reduced hyperlipidemia, underscoring the role of antioxidants in its management.https://doi.org/10.1038/s41598-025-86223-4HyperlipidemiaDietary antioxidantsComposite dietary antioxidant index (CDAI)Cross-sectional analysisNHANES
spellingShingle Kaidi Nie
Tingting Deng
Yiling Bai
Yuxian Zhang
Zhixuan Chen
Xile Peng
Lina Xia
Jiao Liu
Association between composite dietary antioxidant index and hyperlipidemia in adults based on the NHANES
Scientific Reports
Hyperlipidemia
Dietary antioxidants
Composite dietary antioxidant index (CDAI)
Cross-sectional analysis
NHANES
title Association between composite dietary antioxidant index and hyperlipidemia in adults based on the NHANES
title_full Association between composite dietary antioxidant index and hyperlipidemia in adults based on the NHANES
title_fullStr Association between composite dietary antioxidant index and hyperlipidemia in adults based on the NHANES
title_full_unstemmed Association between composite dietary antioxidant index and hyperlipidemia in adults based on the NHANES
title_short Association between composite dietary antioxidant index and hyperlipidemia in adults based on the NHANES
title_sort association between composite dietary antioxidant index and hyperlipidemia in adults based on the nhanes
topic Hyperlipidemia
Dietary antioxidants
Composite dietary antioxidant index (CDAI)
Cross-sectional analysis
NHANES
url https://doi.org/10.1038/s41598-025-86223-4
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