Dietary antioxidants and obesity: a new perspective on the role of composite dietary antioxidant index in reducing obesity risk using a dual-criteria definition

ObjectiveTo investigate the association between the Composite Dietary Antioxidant Index (CDAI) and obesity defined by both BMI and waist circumference (WC).MethodsThis was a cross-sectional study using data from the National Health and Nutrition Examination Survey (NHANES) 2009–2018. Multivariable l...

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Main Authors: Yi-Qian Chen, Chen Wang, Yi-Jie Zhang, Yue-Yang Zhang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Nutrition
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Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2025.1600925/full
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author Yi-Qian Chen
Chen Wang
Yi-Jie Zhang
Yue-Yang Zhang
author_facet Yi-Qian Chen
Chen Wang
Yi-Jie Zhang
Yue-Yang Zhang
author_sort Yi-Qian Chen
collection DOAJ
description ObjectiveTo investigate the association between the Composite Dietary Antioxidant Index (CDAI) and obesity defined by both BMI and waist circumference (WC).MethodsThis was a cross-sectional study using data from the National Health and Nutrition Examination Survey (NHANES) 2009–2018. Multivariable logistic regression models and restricted cubic splines were used to assess the relationship between CDAI and obesity, defined as BMI ≥ 30 kg/m2 combined with WC ≥ 88 cm (women) or ≥102 cm (men). Models were adjusted for sociodemographic, lifestyle, and comorbidity factors. A stratified analysis and sensitivity analysis were also conducted.ResultsAmong 17,067 participants, CDAI was inversely associated with obesity (OR: 0.97, 95% CI: 0.95–0.99). Participants in the highest CDAI quartile had a 23% lower obesity risk compared to the lowest quartile (OR: 0.77, 95% CI: 0.62–0.95). Subgroup and sensitivity analyses yielded consistent results.ConclusionCDAI is inversely associated with obesity defined by dual criteria, suggesting that dietary antioxidants may play a protective role in obesity prevention. By using a more comprehensive definition of obesity, our study provides insights that are more directly applicable to clinical practice and public health strategies aimed at reducing obesity-related morbidity and mortality.
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spelling doaj-art-afa485c587d34dc5bf10d6b890415aab2025-08-20T03:09:34ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2025-07-011210.3389/fnut.2025.16009251600925Dietary antioxidants and obesity: a new perspective on the role of composite dietary antioxidant index in reducing obesity risk using a dual-criteria definitionYi-Qian ChenChen WangYi-Jie ZhangYue-Yang ZhangObjectiveTo investigate the association between the Composite Dietary Antioxidant Index (CDAI) and obesity defined by both BMI and waist circumference (WC).MethodsThis was a cross-sectional study using data from the National Health and Nutrition Examination Survey (NHANES) 2009–2018. Multivariable logistic regression models and restricted cubic splines were used to assess the relationship between CDAI and obesity, defined as BMI ≥ 30 kg/m2 combined with WC ≥ 88 cm (women) or ≥102 cm (men). Models were adjusted for sociodemographic, lifestyle, and comorbidity factors. A stratified analysis and sensitivity analysis were also conducted.ResultsAmong 17,067 participants, CDAI was inversely associated with obesity (OR: 0.97, 95% CI: 0.95–0.99). Participants in the highest CDAI quartile had a 23% lower obesity risk compared to the lowest quartile (OR: 0.77, 95% CI: 0.62–0.95). Subgroup and sensitivity analyses yielded consistent results.ConclusionCDAI is inversely associated with obesity defined by dual criteria, suggesting that dietary antioxidants may play a protective role in obesity prevention. By using a more comprehensive definition of obesity, our study provides insights that are more directly applicable to clinical practice and public health strategies aimed at reducing obesity-related morbidity and mortality.https://www.frontiersin.org/articles/10.3389/fnut.2025.1600925/fullcomposite dietary antioxidant indexobesityNHANESBMIwaist circumference
spellingShingle Yi-Qian Chen
Chen Wang
Yi-Jie Zhang
Yue-Yang Zhang
Dietary antioxidants and obesity: a new perspective on the role of composite dietary antioxidant index in reducing obesity risk using a dual-criteria definition
Frontiers in Nutrition
composite dietary antioxidant index
obesity
NHANES
BMI
waist circumference
title Dietary antioxidants and obesity: a new perspective on the role of composite dietary antioxidant index in reducing obesity risk using a dual-criteria definition
title_full Dietary antioxidants and obesity: a new perspective on the role of composite dietary antioxidant index in reducing obesity risk using a dual-criteria definition
title_fullStr Dietary antioxidants and obesity: a new perspective on the role of composite dietary antioxidant index in reducing obesity risk using a dual-criteria definition
title_full_unstemmed Dietary antioxidants and obesity: a new perspective on the role of composite dietary antioxidant index in reducing obesity risk using a dual-criteria definition
title_short Dietary antioxidants and obesity: a new perspective on the role of composite dietary antioxidant index in reducing obesity risk using a dual-criteria definition
title_sort dietary antioxidants and obesity a new perspective on the role of composite dietary antioxidant index in reducing obesity risk using a dual criteria definition
topic composite dietary antioxidant index
obesity
NHANES
BMI
waist circumference
url https://www.frontiersin.org/articles/10.3389/fnut.2025.1600925/full
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