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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Editorial Department of Journal of Clinical Nephrology
2025-01-01
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| Series: | Linchuang shenzangbing zazhi |
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| Online Access: | http://www.lcszb.com/thesisDetails#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 Q<sub>1</sub>， DII Q<sub>2</sub>， DII Q<sub>3</sub>， and DII Q<sub>4</sub> 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 Q<sub>1</sub> （42.17%）， DII Q<sub>2</sub> （46.99%）， DII Q<sub>3</sub> （52.05%）， and DII Q<sub>4</sub> （58.80%） groups （<italic>χ</italic><sup>2</sup>=25.224， <italic>P</italic><0.001）. After adjusting for confounders， DII was still significantly associated with the risk of sarcopenia in CKD patients （<italic>OR</italic>=1.214， 95%<italic>CI</italic>： 1.135-1.299， <italic>P</italic><0.001）. Compared with the DII Q<sub>1</sub> group， CKD patients in the DII Q<sub>3</sub> （<italic>OR</italic>=1.467， 95%<italic>CI</italic>： 1.106-1.948， <italic>P</italic>=0.008）， and DII Q<sub>4</sub> groups （<italic>OR</italic>=1.876， 95%<italic>CI</italic>： 1.405-2.511， <italic>P</italic><0.001） had a significantly higher risk of developing sarcopenia， with an increasing odds ratio （<italic>OR</italic>） （<italic>P</italic><sub>for trend</sub> < 0.001）. After stratification， DII remained positively associated with the risk of sarcopenia in female CKD patients （<italic>P</italic>=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. |
| format | Article |
| id | doaj-art-bf83e21d1a844b9db8ca662f82d69a70 |
| institution | Kabale University |
| issn | 1671-2390 |
| language | zho |
| publishDate | 2025-01-01 |
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| spelling | doaj-art-bf83e21d1a844b9db8ca662f82d69a702025-08-20T03:48:58ZzhoEditorial Department of Journal of Clinical NephrologyLinchuang shenzangbing zazhi1671-23902025-01-01251680347922Correlation of dietary inflammation index with sarcopenia in patients with chronic kidney disease based on the NHANES databaseMa Xiao-yanYao RuiNi LinDai Jing-jingObjectiveTo 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 Q<sub>1</sub>， DII Q<sub>2</sub>， DII Q<sub>3</sub>， and DII Q<sub>4</sub> 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 Q<sub>1</sub> （42.17%）， DII Q<sub>2</sub> （46.99%）， DII Q<sub>3</sub> （52.05%）， and DII Q<sub>4</sub> （58.80%） groups （<italic>χ</italic><sup>2</sup>=25.224， <italic>P</italic><0.001）. After adjusting for confounders， DII was still significantly associated with the risk of sarcopenia in CKD patients （<italic>OR</italic>=1.214， 95%<italic>CI</italic>： 1.135-1.299， <italic>P</italic><0.001）. Compared with the DII Q<sub>1</sub> group， CKD patients in the DII Q<sub>3</sub> （<italic>OR</italic>=1.467， 95%<italic>CI</italic>： 1.106-1.948， <italic>P</italic>=0.008）， and DII Q<sub>4</sub> groups （<italic>OR</italic>=1.876， 95%<italic>CI</italic>： 1.405-2.511， <italic>P</italic><0.001） had a significantly higher risk of developing sarcopenia， with an increasing odds ratio （<italic>OR</italic>） （<italic>P</italic><sub>for trend</sub> < 0.001）. After stratification， DII remained positively associated with the risk of sarcopenia in female CKD patients （<italic>P</italic>=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/thesisDetails#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/thesisDetails#10.3969/j.issn.1671-2390.2025.01.001 |
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