Correlation of dietary inflammation index with sarcopenia in patients with chronic kidney disease based on the NHANES database

ObjectiveTo identify the correlation of dietary inflammatory index (DII) with sarcopenia in patients with chronic kidney disease (CKD) based on the National Health and Nutrition Examination Survey (NHANES) database.MethodsData from 1999-2006 and 2012-2018 in the NHANES database were analyzed. DII wa...

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Main Authors: Ma Xiao-yan, Yao Rui, Ni Lin, Dai Jing-jing
Format: Article
Language:zho
Published: Editorial Department of Journal of Clinical Nephrology 2025-01-01
Series:Linchuang shenzangbing zazhi
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Online Access:http://www.lcszb.com/article/doi/10.3969/j.issn.1671-2390.2025.01.001
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author Ma Xiao-yan
Yao Rui
Ni Lin
Dai Jing-jing
author_facet Ma Xiao-yan
Yao Rui
Ni Lin
Dai Jing-jing
author_sort Ma Xiao-yan
collection DOAJ
description ObjectiveTo identify the correlation of dietary inflammatory index (DII) with sarcopenia in patients with chronic kidney disease (CKD) based on the National Health and Nutrition Examination Survey (NHANES) database.MethodsData from 1999-2006 and 2012-2018 in the NHANES database were analyzed. DII was calculated from dietary data, and patients were divided into DII Q1, DII Q2, DII Q3, and DII Q4 groups based on DII quartiles. Age, gender and the prevalence of sarcopenia were compared between the groups. Logistic regression model was used to analyze the relationship between DII and sarcopenia in patients with trend and stratification analysis. Restricted cubic spline plots (RCS) were used to analyze a nonlinear relationship between DII and sarcopenia.ResultsA total of 1,660 CKD patients were included in this study. There was a significant difference in the prevalence of sarcopenia in CKD patients among the DII Q1 (42.17%), DII Q2 (46.99%), DII Q3 (52.05%), and DII Q4 (58.80%) groups (χ2=25.224, P<0.001). After adjusting for confounders, DII was still significantly associated with the risk of sarcopenia in CKD patients (OR=1.214, 95%CI: 1.135-1.299, P<0.001). Compared with the DII Q1 group, CKD patients in the DII Q3 (OR=1.467, 95%CI: 1.106-1.948, P=0.008), and DII Q4 groups (OR=1.876, 95%CI: 1.405-2.511, P<0.001) had a significantly higher risk of developing sarcopenia, with an increasing odds ratio (OR) (Pfor trend < 0.001). After stratification, DII remained positively associated with the risk of sarcopenia in female CKD patients (P=0.024).ConclusionDII is strongly associated with the risk of sarcopenia in CKD patients, with higher DII scores associated with a higher risk of developing sarcopenia.
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spelling doaj-art-1390ea8392004f1dbcecbc27d523fc5f2025-01-17T08:29:52ZzhoEditorial Department of Journal of Clinical NephrologyLinchuang shenzangbing zazhi1671-23902025-01-012511610.3969/j.issn.1671-2390.2025.01.0011671-2390(2025)01-0001-06Correlation of dietary inflammation index with sarcopenia in patients with chronic kidney disease based on the NHANES databaseMa Xiao-yan0Yao Rui1Ni Lin2Dai Jing-jing3Department of Nephrology,Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200092,ChinaDepartment of Nephrology,Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200092,ChinaDepartment of Nephrology,Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200092,ChinaDepartment of Nephrology,Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200092,ChinaObjectiveTo identify the correlation of dietary inflammatory index (DII) with sarcopenia in patients with chronic kidney disease (CKD) based on the National Health and Nutrition Examination Survey (NHANES) database.MethodsData from 1999-2006 and 2012-2018 in the NHANES database were analyzed. DII was calculated from dietary data, and patients were divided into DII Q1, DII Q2, DII Q3, and DII Q4 groups based on DII quartiles. Age, gender and the prevalence of sarcopenia were compared between the groups. Logistic regression model was used to analyze the relationship between DII and sarcopenia in patients with trend and stratification analysis. Restricted cubic spline plots (RCS) were used to analyze a nonlinear relationship between DII and sarcopenia.ResultsA total of 1,660 CKD patients were included in this study. There was a significant difference in the prevalence of sarcopenia in CKD patients among the DII Q1 (42.17%), DII Q2 (46.99%), DII Q3 (52.05%), and DII Q4 (58.80%) groups (χ2=25.224, P<0.001). After adjusting for confounders, DII was still significantly associated with the risk of sarcopenia in CKD patients (OR=1.214, 95%CI: 1.135-1.299, P<0.001). Compared with the DII Q1 group, CKD patients in the DII Q3 (OR=1.467, 95%CI: 1.106-1.948, P=0.008), and DII Q4 groups (OR=1.876, 95%CI: 1.405-2.511, P<0.001) had a significantly higher risk of developing sarcopenia, with an increasing odds ratio (OR) (Pfor trend < 0.001). After stratification, DII remained positively associated with the risk of sarcopenia in female CKD patients (P=0.024).ConclusionDII is strongly associated with the risk of sarcopenia in CKD patients, with higher DII scores associated with a higher risk of developing sarcopenia.http://www.lcszb.com/article/doi/10.3969/j.issn.1671-2390.2025.01.001chronic kidney diseasesarcopeniadietary inflammatory indexnational health and nutrition survey database
spellingShingle Ma Xiao-yan
Yao Rui
Ni Lin
Dai Jing-jing
Correlation of dietary inflammation index with sarcopenia in patients with chronic kidney disease based on the NHANES database
Linchuang shenzangbing zazhi
chronic kidney disease
sarcopenia
dietary inflammatory index
national health and nutrition survey database
title Correlation of dietary inflammation index with sarcopenia in patients with chronic kidney disease based on the NHANES database
title_full Correlation of dietary inflammation index with sarcopenia in patients with chronic kidney disease based on the NHANES database
title_fullStr Correlation of dietary inflammation index with sarcopenia in patients with chronic kidney disease based on the NHANES database
title_full_unstemmed Correlation of dietary inflammation index with sarcopenia in patients with chronic kidney disease based on the NHANES database
title_short Correlation of dietary inflammation index with sarcopenia in patients with chronic kidney disease based on the NHANES database
title_sort correlation of dietary inflammation index with sarcopenia in patients with chronic kidney disease based on the nhanes database
topic chronic kidney disease
sarcopenia
dietary inflammatory index
national health and nutrition survey database
url http://www.lcszb.com/article/doi/10.3969/j.issn.1671-2390.2025.01.001
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