Correlation between dietary inflammation and mortality among hyperlipidemics
Abstract Background and objective Although the the Dietary Inflammatory Index (DII) serves to be one of the reliable indicator for hyperlipidaemia, there is still uncertainty about its relationship to prognosis in the hyperlipidaemic population. In current study, the DII levels were analyzed in rela...
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BMC
2023-11-01
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Series: | Lipids in Health and Disease |
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Online Access: | https://doi.org/10.1186/s12944-023-01975-0 |
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author | Lili Wang Tao Liu Qingdui Zhang Lele Wang Qiang Zhou Jing Wang Hao Miao Ji Hao Chunmei Qi |
author_facet | Lili Wang Tao Liu Qingdui Zhang Lele Wang Qiang Zhou Jing Wang Hao Miao Ji Hao Chunmei Qi |
author_sort | Lili Wang |
collection | DOAJ |
description | Abstract Background and objective Although the the Dietary Inflammatory Index (DII) serves to be one of the reliable indicator for hyperlipidaemia, there is still uncertainty about its relationship to prognosis in the hyperlipidaemic population. In current study, the DII levels were analyzed in relation to the mortality risk among among the hyperlipidaemic individuals with the aim of determining any prospective correlation. Methods 14,460 subjects with hyperlipidaemia from the 10-year (2001–2010) National Health and Nutrition Examination Survey (NHANES) were chosen for this study. The endpoint event for follow-up was all-cause mortality, and subjects were tracked for up to December 31, 2019, or death, whichever occurred first. The tertiles of the DII levels were utilized for categorizing the study population into three groups. Survival curves, Cox proportional hazards regression models, restricted cubic spline (RCS), subgroup and interaction analyses, and sensitivity analyses were employed sequentially for the purpose of evaluating the association of the DII with mortality. Results 3170 (21.92%) all-cause deaths were recorded during an average 148-month follow-up period. Kaplan-Meier survival curves indicated that the survival rate of participants divided into the low DII group was substantially improved compared to that of those in the higher DII group (log-rank P < 0.001). After controlling for confounders, higher levels of DII were observed to be meaningfully linked to an elevated risk of death, no matter whether DII was specified for the continuous (hazard ratio (HR): 1.06; 95% confidence interval (CI): 1.04–1.08) or the categorical variable (HR: 1.22; 95% CI: 1.11–1.33). The DII and mortality displayed a linear association, according to the RCS. Stratified and sensitivity analyses reinforced the proof that these findings were reliable. Conclusion Among patients with hyperlipidaemia, the risk of death was positively and linearly linked with DII levels. |
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language | English |
last_indexed | 2024-03-09T05:28:39Z |
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series | Lipids in Health and Disease |
spelling | doaj.art-c6560b53c1aa46ecbaf08e96a01892812023-12-03T12:34:36ZengBMCLipids in Health and Disease1476-511X2023-11-0122111110.1186/s12944-023-01975-0Correlation between dietary inflammation and mortality among hyperlipidemicsLili Wang0Tao Liu1Qingdui Zhang2Lele Wang3Qiang Zhou4Jing Wang5Hao Miao6Ji Hao7Chunmei Qi8Department of Cardiology, The Second Affiliated Hospital of Xuzhou Medical UniversityDepartment of Cardiology, Jinshan Branch of Shanghai Sixth People’s HospitalDepartment of Cardiology, The Second Affiliated Hospital of Xuzhou Medical UniversityDepartment of Cardiology, The Second Affiliated Hospital of Xuzhou Medical UniversityDepartment of Cardiology, The Second Affiliated Hospital of Xuzhou Medical UniversityDepartment of Cardiology, The Second Affiliated Hospital of Xuzhou Medical UniversityDepartment of Cardiology, The Second Affiliated Hospital of Xuzhou Medical UniversityDepartment of Cardiology, The Second Affiliated Hospital of Xuzhou Medical UniversityDepartment of Cardiology, The Second Affiliated Hospital of Xuzhou Medical UniversityAbstract Background and objective Although the the Dietary Inflammatory Index (DII) serves to be one of the reliable indicator for hyperlipidaemia, there is still uncertainty about its relationship to prognosis in the hyperlipidaemic population. In current study, the DII levels were analyzed in relation to the mortality risk among among the hyperlipidaemic individuals with the aim of determining any prospective correlation. Methods 14,460 subjects with hyperlipidaemia from the 10-year (2001–2010) National Health and Nutrition Examination Survey (NHANES) were chosen for this study. The endpoint event for follow-up was all-cause mortality, and subjects were tracked for up to December 31, 2019, or death, whichever occurred first. The tertiles of the DII levels were utilized for categorizing the study population into three groups. Survival curves, Cox proportional hazards regression models, restricted cubic spline (RCS), subgroup and interaction analyses, and sensitivity analyses were employed sequentially for the purpose of evaluating the association of the DII with mortality. Results 3170 (21.92%) all-cause deaths were recorded during an average 148-month follow-up period. Kaplan-Meier survival curves indicated that the survival rate of participants divided into the low DII group was substantially improved compared to that of those in the higher DII group (log-rank P < 0.001). After controlling for confounders, higher levels of DII were observed to be meaningfully linked to an elevated risk of death, no matter whether DII was specified for the continuous (hazard ratio (HR): 1.06; 95% confidence interval (CI): 1.04–1.08) or the categorical variable (HR: 1.22; 95% CI: 1.11–1.33). The DII and mortality displayed a linear association, according to the RCS. Stratified and sensitivity analyses reinforced the proof that these findings were reliable. Conclusion Among patients with hyperlipidaemia, the risk of death was positively and linearly linked with DII levels.https://doi.org/10.1186/s12944-023-01975-0HyperlipidaemiaDietary inflammatory indexRisk of deathCohort studyAdult population |
spellingShingle | Lili Wang Tao Liu Qingdui Zhang Lele Wang Qiang Zhou Jing Wang Hao Miao Ji Hao Chunmei Qi Correlation between dietary inflammation and mortality among hyperlipidemics Lipids in Health and Disease Hyperlipidaemia Dietary inflammatory index Risk of death Cohort study Adult population |
title | Correlation between dietary inflammation and mortality among hyperlipidemics |
title_full | Correlation between dietary inflammation and mortality among hyperlipidemics |
title_fullStr | Correlation between dietary inflammation and mortality among hyperlipidemics |
title_full_unstemmed | Correlation between dietary inflammation and mortality among hyperlipidemics |
title_short | Correlation between dietary inflammation and mortality among hyperlipidemics |
title_sort | correlation between dietary inflammation and mortality among hyperlipidemics |
topic | Hyperlipidaemia Dietary inflammatory index Risk of death Cohort study Adult population |
url | https://doi.org/10.1186/s12944-023-01975-0 |
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