Dietary inflammatory index and inflammatory markers in Brazilian adolescents

Autores

DOI:

https://doi.org/10.11606/s1518-8787.2024058005485

Palavras-chave:

Adolescents, Diet, Chronic Inflammation, Markers Inflammatory, Food Consumption

Resumo

OBJECTIVE: To evaluate the association between t he inflammatory potential of the diet measured by the energy-adjusted diet inflammatory index (E-DII) and inflammatory markers in adolescents.

METHODS: This cross-sectional study was conducted among 518 adolescents aged 18 and 19 years from São Luís, Maranhão, Brazil in 2016. A semiquantitative food frequency questionnaire (FFQ) was used to assess dietary intake from which E-DII scores were calculated to determine the inflammatory potential of the diet. The associations between E-DII and inflammatory markers (hs-CRP, IL-6, IL-4, TNF-α, and IFNγ) were analyzed using multivariable linear regression. The variables included in the adjusted model were identified using the directed acyclic graph.

RESULTS: The diet of these adolescents was mostly pro-inflammatory; mean E-DII score was 1.71 and ranged from -2.44 to 5.58. Higher E-DII scores were positively associated with higher levels of IFNγ in the adjusted analysis (Adjusted Coef.: 1.19; 95%CI: 0.36–12.04). We observed no associations between E-DII and other inflammatory markers (hs-CRP, IL-6, IL-4, TNF-α). Study results indicate that E-DII is useful in evaluating the inflammatory potential of the diet of Brazilian adolescents.

CONCLUSIONS: Cross-sectionally E-DII scores were positively associated with IFNγ concentrations. Future research should examine the association between changes in E-DII scores and levels of inflammatory markers longitudinally.

Referências

Zhong J, Shi G. Editorial: Regulation of Inflammation in Chronic Disease. Front Immunol. 2019 Apr;10:737. https://doi.org/10.3389/fimmu.2019.00737

Ferrucci L, Fabbri E. Inflammageing: chronic inflammation in ageing, cardiovascular disease, and frailty. Nat Rev Cardiol. 2018 Jul;15:505–22. https://doi.org/10.1038/s41569-018-0064-2

Ozawa M, Shipley M, Kivimaki M, Singh-Manoux A, Brunner EJ. Dietary pattern, inflammation and cognitive decline: The Whitehall II prospective cohort study. Clin Nutr. 2017 Apr;36:506–12. https://doi.org/10.1016/j.clnu.2016.01.013

Christ A, Lauterbach M, Latz E. Western Diet and the Immune System: An Inflammatory Connection. Immunity. 2019 Nov;51(5):794–811. https://doi.org/10.1016/j.immuni.2019.09.020

Sureda A, Bibiloni MDM, Julibert A, Bouzas C, Argelich E, Llompart I, et al. Adherence to the Mediterranean Diet and Inflammatory Markers. Nutrients. 2018 Jan;10(1):62. https://doi.org/10.3390/nu10010062

Roager HM, Vogt JK, Kristensen M, Hansen LB, Ibrügger S, Maerkedahl RB, et al. Whole grain-rich diet reduces body weight and systemic low-grade inflammation without inducing major changes of the gut microbiome: a randomised cross-over trial. Gut. 2019; 68:83–93. https://doi.org/10.1136/gutjnl-2017-314786

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):1689–96. https://doi.org/10.1017/S1368980013002115

Peres LC, Bandera EV, Qin B, Guertin KA, Shivappa N, Hbert JR, et al. Dietary inflammatory index and risk of epithelial ovarian cancer in African American women. Int J Cancer. 2016 Oct;140(3):535–43. https://doi.org/10.1002/ijc.30467

Shivappa N, Hébert JR, Rietzschel ER, Buyzere ML, Langlois M, Bebruyne E, et al. Associations between dietary inflammatory index and inflammatory markers in the Asklepios Study. Br J Nutr. 2015 Feb;113(4):665–71. https://doi.org/10.1017/S000711451400395X

Wirth MD, Burch J, Shivappa N, Violanti JM, Burchfiel CM, Fekedulegn D, et al. Association of a Dietary Inflammatory Index With Inflammatory Indices and Metabolic Syndrome Among Police Officers. J Occup Environ Med. 2014 Sep;56(9):986–9. https://doi.org/10.1097/JOM.0000000000000213

Na W, Kim M, Sohn C. Dietary inflammatory index and its relationship with high-sensitivity C-reactive protein in Korean: data from the health examinee cohort. J Clin Biochem Nutr. 2018 Jan;62(1):83–8. https://doi.org/10.3164/jcbn.17-22

Tabung FK, Steck SE, Ma Y, Liese AD, Zhang J, Caan B, et al. The association between dietary inflammatory index and risk of colorectal cancer among postmenopausal women: results from the Women’s Health Initiative. Cancer Causes Control. 2014 Dec;26:399–408. https://doi.org/10.1007/s10552-014-0515-y

Hébert JR, Shivappa N, Wirth MD, Hussey JR, Hurley TG. Perspective: The dietary inflammatory index (DII) – lessons learned, improvements made, and future directions. Adv Nutr. 2019 Mar;10(2):185–95. https://doi.org/10.1093/advances/nmy071

Almeida-de-Souza J, Santos R, Barros R, Abreu S, Moreira C, Lopes L, et al. Dietary inflammatory index and inflammatory biomarkers in adolescents from LabMed physical activity study. Eur J Clin Nutr. 2017 Dec;72:710–9. https://doi.org/10.1038/s41430-017-0013-x

Shivappa N, Hebert JR, Marcos A, Diaz LE, Gomez S, Nova E, et al. Association between dietary inflammatory index and inflammatory markers in the HELENA study. Mol Nutr Food Res. 2016 Dec;61(6):1600707. https://doi.org/10.1002/mnfr.201600707

Kurklu NS, Torun NK, Kucukcetin IO, Akyol A. Is there a relationship between the dietary inflammatory index and metabolic syndrome among adolescents? J Pediatr Endocrinol Metab. 2020 Feb;33(4):495–502. https://doi.org/10.1515/jpem-2019-0409

Cassano P, Bui E, Rogers AH, Walton ZE, Ross R, Zeng M, et al. Inflammatory cytokines in major depressive disorder: A case-control study. Aust N Z J Psychiatry. 2016 Jun;51(1):23–31. https://doi.org/10.1177/0004867416652736.

Schneider BC, Motta JVS, Muniz LC, Bielemann RM, Madruga SW, Orlandi SP, et al. Design of a digital and self-reported food frequency questionnaire to estimate food consumption in adolescents and young adults: birth cohorts at Pelotas, Rio Grande do Sul, Brazil. Rev Bras Epidemiol. 2016 Apr–Jun;19(2):419–32. https://doi.org/10.1590/1980-5497201600020017

Bogea EG, França AKTC, Bragança MLBM, Vaz JS, Assunção MC, Barbieri MA, et al. Relative validity of a food frequency questionnaire for adolescents from a capital in the Northeastern region of Brazil. Braz J Med Biol Res. 2021; 54(1):e9991. https://doi.org/10.1590/1414-431x20209991

Instituto Brasileiro de Geografia e Estatítica (IBGE). Pesquisa de Orçamentos Familiares 2008-2009: Tabela de Composição Nutricional dos Alimentos Consumidos no Brasil. Rio de Janeiro, RJ: IBGE; 2011

Núcleo de Estudos e Pesquisa em Alimentação. Tabela brasileira de composição de alimentos – TACO. Campinas, SP: NEPA; 2011

Tabela Brasileira de Composição de Alimentos – TBCA. Tabelas Complementares – Flavonoides. 7. ed. São Paulo, SP: Universidade de São Paulo, Food Research Center; 2019.

Tabela Brasileira de Composição de Alimentos – TBCA. Tabelas Complementares – Perfil de carboidratos. 7. ed. São Paulo, SP: Universidade de São Paulo, Food Research Center; 2019

Sallis JF, Strikmiller PK, Harsha DW, Feldman HA, Ehlinger S, Stone EJ, et al. Validation of interviewer- and self- administered physical activity checklists for fifth grade students. Med Sci Sport Exerc. 1996 Jul;28(7):840–51. https://doi.org/10.1097/00005768-199607000-00011

Ainsworth BE, Haskell WL, Leon AS, Jacobs DR Jr, Montoye HJ, Sallis JF, et al. Compendium of Physical Activities: classification of energy costs of human physical activities. Med Sci Sport Exerc. 1993 Jan;25(1):71–80. https://doi.org/10.1249/00005768-199301000-00011

World Health Organization. Global recommendations on physical activity for health. Geneva: WHO; 2010.

Onis M, Onyango AW, Borghi E, siyam A, Nishida C, Siekmann J. Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ. 2007 Sep;85(9):660–7. https://doi.org/10.2471/BLT.07.043497

Williams DP, Going SB, Lohman TG, Harsha DW, Srinivasan, Webber LS et al. Body fatness and risk for elevated blood pressure, total cholesterol, and serum lipoprotein ratios in children and adolescents. Am J Public Health. 1992 Mar; 82:358–63. https://doi.org/10.2105/AJPH.82.3.358

Flynn JT, Falkner BE. New clinical practice guideline for the management of high blood pressure in children and adolescents. Hypertension. 2017 Aug;70:683–6. https://doi.org/10.1161/HYPERTENSIONAHA.117.10050

Textor J, Hardt J, Knuppel S. DAGitty: a graphical tool for analyzing causal diagrams. Epidemiology. 2011 Sep;22(5):745. https://doi.org/10.1097/ede.0b013e318225c2be

Greenland S, Pearl J, Robins JM. Causal diagrams for epidemiologic research. Epidemiology. 1999 Jan [cited 2024 Mar 15];10(1):37–48. Available from: https://journals.lww.com/epidem/abstract/1999/01000/causal_diagrams_for_epidemiologic_research.8.aspx

Hamidzadeh K, Christensen SM, Dalby E, Chandrasekaran P, Mosser DM. Macrophages and the Recovery from Acute and Chronic Inflammation. Annu Rev Physiol. 2017 Feb;79:567–92. https://doi.org/10.1146/annurev-physiol-022516-034348

Veremeyko T, Siddiqui S, Sotnikov I, Yung A, Ponomarev ED. IL-4/IL-13-Dependent and Independent Expression of miR-124 and Its Contribution to M2 Phenotype of Monocytic Cells in Normal Conditions and during Allergic Inflammation. PLoS One. 2013 Dec;8(12):e81774. https://doi.org/10.1371/journal.pone.0081774

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. 2013 Oct;17(8):1825–33. https://doi.org/10.1017/S1368980013002565

Sproston NR, Ashworth JJ. Role of C-Reactive Protein at Sites of Inflammation and Infection. Front Immunol. 2018 Apr;9:754. https://doi.org/10.3389/fimmu.2018.00754

Pereira NO, Carvalho CA, Sperandio N, Marques KDS Viola PC, Shivappa N, et al. Factors associated with the inflammatory potential of the Brazilian population’s diet. Br J Nutr. 2020 Oct;126(2):285–94. https://doi.org/10.1017/S0007114520004079

Souza AM, Barufaldi LA, Abreu GA, Giannini DT, Oliveira CL, Santos MM, et al. ERICA: intake of macro and micronutrients of Brazilian adolescents. Rev Saude Publica. 2016;50(suppl 1):5s. https://doi.org/10.1590/s01518-8787.2016050006698

Miranda VPN, Peluzio MCG, Faria ER, Franceschini SCC, Priore SE. Inflammatory markers in relation to body composition, physical activity and assessment of nutritional status of the adolescents. Nutr Hosp 2015;31(5):1920–7. https://doi.org/10.3305/nh.2015.31.5.8586

Publicado

2024-07-10

Edição

Seção

Artigos Originais

Como Citar

Gomes, R. de S., Viola, P. C. de A. F., Carvalho, R. R. S. de, Shivappa, N., Hebert, J. R., França, A. K. T. da C. ., & Carvalho, C. A. de. (2024). Dietary inflammatory index and inflammatory markers in Brazilian adolescents. Revista De Saúde Pública, 58(1), 29. https://doi.org/10.11606/s1518-8787.2024058005485