Characterization of dietary inflammatory index in type 2 diabetes patients.

Authors

  • Dara Reyna-Quiñonez Universidad de Guayaquil
  • Lisseth Morejón-Iza Universidad de Guayaquil
  • Cecilia Liceth Arteaga-Pazmiño Universidad de Guayaquil

DOI:

https://doi.org/10.12873/433arteaga

Keywords:

Dietary inflammatory index, Type 2 diabetes, Inflammation, Diet

Abstract

Introduction: Inflammation is a mechanism involved in the development of type 2 diabetes (T2D) that may be mediated by the inflammatory potential of the diet. The aim of this study was to evaluate the dietary inflammatory index (DII) of patients with T2D.

Materials and methods: Cross-sectional study carried out on patients with T2D treated in the outpatient service of a first level hospital in the province of Guayas, Ecuador. DII scores were calculated from the dietary intake of 33 parameters derived from a 24-hour recall. Parameter values ​​will be changed from national and international food composition tables; negative values were identified as anti-inflammatory and positive ones as proinflammatory.

Results: 41 participants (53.7% women) with a mean age of 65.78 ± 9.5 years, BMI of 27.53 (25.46 - 30.76) kg/m2, and HbA1c of 9.4 ± 2.33 were evaluated. The mean DII score was 2.05 ± 1.78. The DII scores by tertiles were: tertile 1 (−1.15–1.16), tertile 2 (1.17–2.71) and tertile 3 (2.72–5.13). The intake of fiber, thiamine, iron, vitamin B6, vitamin C, vitamin E, beta-carotene, flavones, flavonols, and flavanones was significantly higher in patients in the 1st tercile of IID scores (p = < 0.05).

Conclusions: The DII of patients with T2D was characterized as proinflammatory. Dietary interventions could modulate the inflammatory potential of the diet in subjects with T2D.

References

Sun H, Saeedi P, Karuranga S, Pinkepank M, Ogurtsova K, Duncan BB, et al. IDF Diabetes Atlas: Global, regional and country-level diabetes prevalence estimates for 2021 and projections for 2045. Diabetes Res Clin Pract. 2022;183:109119. doi: 10.1016/j.diabres.2021.109119

Gallardo-Rincón H, Cantoral A, Arrieta A, Espinal C, Magnus MH, Palacios C, et al. Review: Type 2 diabetes in Latin America and the Caribbean: Regional and country comparison on prevalence, trends, costs and expanded prevention. Primary Care Diabetes.

;15(2):352-9. doi: 10.1016/j.pcd.2020.10.001

GBD 2019 Diabetes in the Americas Collaborators. Burden of diabetes and hyperglycaemia in adults in the Americas, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet Diabetes Endocrinol. 2022;10(9):655-67. doi: 10.1016/S2213-8587(22)00186-3

Galicia-Garcia U, Benito-Vicente A, Jebari S, Larrea-Sebal A, Siddiqi H, Uribe KB, et al. Pathophysiology of Type 2 Diabetes Mellitus. Int J Mol Sci. 2020;21(17):6275. doi: 10.3390/ijms 21176275

Tsalamandris S, Antonopoulos AS, Oikonomou E, Papamikroulis

GA, Vogiatzi G, Papaioannou S, et al. The Role of Inflammation in Diabetes: Current Concepts and Future Perspectives. Eur Cardiol. 2019;14(1):50-9. doi: 10.15420/ecr.2018.33.1

Dludla PV, Mabhida SE, Ziqubu K, Nkambule BB, Mazibuko-Mbeje SE, Hanser S, et al. Pancreatic β-cell dysfunction in type 2 diabetes: Implications of inflammation and oxidative stress. World J Diabetes. 2023;14(3):130-46. doi: 10.4239/wjd.v14.i3.130

Rohm TV, Meier DT, Olefsky JM, Donath MY. Inflammation in obesity, diabetes, and related disorders. Immunity. 2022;55(1):31-

doi:10.1016/j.inmune.2021.12.013

Okdahl T, Wegeberg AM, Pociot F, Brock B, Størling J, Brock C. Low-grade inflammation in type 2 diabetes: a cross-sectional study from a Danish diabetes outpatient clinic. BMJ Open. 2022;12(12):e062188. doi: 10.1136/bmjopen-2022-062188

Pezhman L, Tahrani A, Chimen M. Dysregulation of Leukocyte Trafficking in Type 2 Diabetes: Mechanisms and Potential

Therapeutic Avenues. Frontiers in Cell and Developmental Biology. 2021;9 624184. doi: 10.3389/fcell.2021.624184

Burhans MS, Hagman DK, Kuzma JN, Schmidt KA, Kratz M. Contribution of adipose tissue inflammation to the development of type 2 diabetes mellitus. Compr Physiol. 2018;9(1):1-58. doi:

1002/cphy.c170040

Oguntibeju OO. Type 2 diabetes mellitus, oxidative stress and inflammation: examining the links. Int J Physiol Pathophysiol Pharmacol. 2019;11(3):45-63.

Forouhi NG, Misra A, Mohan V, Taylor R, Yancy W. Dietary and nutritional approaches for prevention and management of type 2 diabetes. BMJ. 2018;361:k2234. doi:10.1136/bmj.k2234

Jin Q, Shi N, Aroke D, Lee DH, Joseph JJ, Donneyong M, et al. Insulinemic and Inflammatory Dietary Patterns Show Enhanced Predictive Potential for Type 2 Diabetes Risk in Postmenopausal

Women. Diabetes Care. 2021;44(3):707-14. doi: 10.2337/dc 20-2216

Laouali N, Mancini FR, Hajji-Louati M, El Fatouhi D, Balkau B, Boutron-Ruault MC, et al. Dietary inflammatory index and type 2 diabetes risk in a prospective cohort of 70,991 women followed for 20 years: the mediating role of BMI. Diabetologia. 2019;62(12):2222-32. doi: 10.1007/s00125-019-04972-0

Zwickey H, Horgan A, Hanes D, Schiffke H, Moore A, Wahbeh H, et al. Effect of the Anti-Inflammatory Diet in People with Diabetes

and Pre-Diabetes: A Randomized Controlled Feeding Study. J

Restor Med. 2019;8(1):e20190107. doi: 10.14200/jrm.2019.0107

Hariharan R, Odjidja EN, Scott D, Shivappa N, Hébert JR, Hodge A, et al. The dietary inflammatory index, obesity, type 2 diabetes, and cardiovascular risk factors and diseases. Obesity Reviews. 2022;23(1). doi:10.1111/obr.13349

Shivappa N, Steck SE, Hurley TG, Hussey JR, Hébert JR. Designing and developing a literature-derived, population-based dietary inflammatory index. Public Health Nutr. 2014;17(8):1689-

doi: 10.1017/S1368980013002115

Shivappa N, Steck SE, Hurley TG, Hussey JR, Ma Y, Ockene IS, et al. A population-based dietary inflammatory index predicts levels of C-reactive protein in the Seasonal Variation of Blood Cholesterol Study (SEASONS). Public Health Nutr. 2014;17(8):

-33. doi: 10.1017/S1368980013002565

Bahr LS, Franz K, Mähler A. Assessing the (anti)-inflammatory potential of diets. Curr Opin Clin Nutr Metab Care. 2021;24(5):40210. doi: 10.1097/MCO.0000000000000772

Madden AM, Smith S. Body composition and morphological assessment of nutritional status in adults: a review of anthropometric variables. Journal of Human Nutrition and Dietetics. 2016;29(1):7-25. doi: 10.1111/jhn.12278

Herrera ME, Chisaguano M, Rodríguez GV, Crispim SP. Manual fotográfico de porciones para cuantificación alimentaria del Ecuador, 2. a ed. USFQ PRESS; 2022. Disponible en: https://ulibros.com/index.php/manual-fotografico-de-porciones-para-cuantificacion-alimentaria-del-ecuador-2-a-ed-1s8qn.html

Ramírez-Luzuriaga MJ, Silva-Jaramillo M, Belmont P, Freire W. Tabla de composición de alimentos del Ecuador: Compilación del Equipo técnico de la ENSANUT-ECU. 2014.

Herrera Fontana ME, Chisaguano Tonado AM, Jumbo Crisanto JV, Castro Morillo NP, Anchundia Ortega AP. La tabla de composición química de los alimentos: basada en nutrientes de interés para la población ecuatoriana. Bitácora Académica USFQ. 2021;11. Disponible en: https://revistas.usfq.edu.ec/index.php/bitacora/ issue/view/191

U.S. DEPARTMENT OF AGRICULTURE. Food Data Central. Dis ponible en: https://fdc.nal.usda.gov/

Shrestha B, Dunn L. The Declaration of Helsinki on Medical Research involving Human Subjects: A Review of Seventh Revision. J Nepal Health Res Counc. 2020;17(4):548-52. doi: 10.33314/jnhrc.v17i4.1042

Denova-Gutiérrez E, Muñoz-Aguirre P, Shivappa N, Hébert JR, Tolentino-Mayo L, Batis C, et al. Dietary Inflammatory Index and Type 2 Diabetes Mellitus in Adults: The Diabetes Mellitus Survey of Mexico City. Nutrients. 2018;10(4):385. doi: 10.3390/nu10 040385

King DE, Xiang J. The Dietary Inflammatory Index Is Associated With Diabetes Severity. J Am Board Fam Med. 2019;32(6):801-6. doi: 10.3122/jabfm.2019.06.190092

Asadi S, Aminianfar A, Shiva F, Asadi S, Yarizadeh H, Qorbani M, et al. Association between Dietary Inflammatory Index Scores and Diabetes Sensorimotor Polyneuropathy in Patients with Type 2 Diabetes Mellitus: A Case-Control Study. Evid Based Complement Alternat Med. 2022;2022:2661649. doi: 10.1155/ 2022/2661649

Wang Y, Armijos RX, Xun P, Weigel MM. Dietary Inflammatory Index and Cardiometabolic Risk in Ecuadorian Women. Nutrients. 2021;13(8):2640. doi: 10.3390/nu13082640

Sun M, Wang L, Guo Y, Yan S, Li J, Wang X, et al. The Association Among Inflammatory Diet, Glycohemoglobin, and Cognitive

Function Impairment in the Elderly: Based on the NHANES 20112014. J Alzheimers Dis. 2022;87(4):1713-23. doi: 10.3233/JAD-2 15688

Published

2023-08-22

How to Cite

Reyna-Quiñonez, D., Morejón-Iza, L., & Arteaga-Pazmiño, C. L. (2023). Characterization of dietary inflammatory index in type 2 diabetes patients. Nutrición Clínica Y Dietética Hospitalaria, 43(3). https://doi.org/10.12873/433arteaga

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Research articles

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