Association between dietary inflammatory index and gallstone disease among middle-aged and elderly population
TAN Jingyu1,2,3, TUO Jiayi1,2,3, YANG Danni1,2,3, FANG Jie2,3, LI Honglan2,3, XIANG Yongbing2,3
1. School of Public Health, Shanghai Jiao Tong University, Shanghai 200025, China; 2. Department of Epidemiology, Shanghai Cancer Institute, Shanghai 200032, China; 3. State Key Laboratory of Systems Medicine for Cancer, Shanghai Cancer Institute, Shanghai 200032, China
Abstract：Objective To analyze the association between dietary inflammatory index (DII) and gallstone disease among middle-aged and elderly population, so as to provide the evidence for the prevention and control of gallstone disease. Methods Baseline survey data were collected from the Shanghai Women's Health Study (SWHS) and Shanghai Men's Health Study (SMHS), including demographic information, gallstone disease prevalence and dietary habits. DII was calculated using 29 kinds of food parameters associated with common inflammatory biomarkers and food intake data of residents. A multivariable logistic regression model was used to analyze the association between dietary inflammatory index and gallstone disease. Results A total of 132 312 individuals were included in the analysis. There were 59 627 males and 72 685 females. Among males, the median age was 53.07 (interquartile range, 9.73) years, 41 544 cases (69.67%) had an educational level of middle school, 4 463 cases (7.48%) had gallstone disease, and DII was -6.46 to 5.59. Among females, the median age was 50.27 (interquartile range, 9.05) years, 47 380 cases (65.19%) had an educational level of middle school, 8 090 cases (11.13%) had gallstone disease, and DII was -6.44 to 4.93. Multivariable logistic regression analysis showed that after adjusting for age, educational level, income level, smoking, alcohol consumption, tea consumption, physical activity and menopausal status (only for females), DII (OR=1.095, 95%CI: 1.002-1.196) was associated with an increased risk of gallston disease among males, but no statistically association was found among females (P>0.05). Conclusion DII might be associated with an increased risk of gallstone disease among middle-aged and elderly population.
谭靖宇, 拓嘉怡, 杨丹妮, 方婕, 李泓澜, 项永兵. 中老年人群膳食炎症指数与胆石症的关联研究[J]. 预防医学, 2024, 36(7): 611-615.
TAN Jingyu, TUO Jiayi, YANG Danni, FANG Jie, LI Honglan, XIANG Yongbing. Association between dietary inflammatory index and gallstone disease among middle-aged and elderly population. Preventive Medicine, 2024, 36(7): 611-615.
[1] SU Z,GONG Y H,LIANG Z H.Prevalence of gallstone in mainland China:a meta-analysis of cross-sectional studies[J].Clin Res Hepatol Gastroenterol,2020,44(4):69-71. [2] SHABANZADEH D M.Incidence of gallstone disease and complications[J].Curr Opin Gastroenterol,2018,34(2):81-89. [3] DAN W Y,YANG Y S,PENG L H,et al.Gastrointestinal microbiome and cholelithiasis:current status and perspectives[J].World J Gastroenterol,2023,29(10):1589-1601. [4] TEHRANI A N,SAADATI S,YARI Z,et al.Dietary fiber intake and risk of gallstone:a case-control study[J].BMC Gastroenterol,2023,23(1):1-8. [5] DI CIAULA A,GARRUTI G,FRÜHBECK G,et al.The role of diet in the pathogenesis of cholesterol gallstones[J].Curr Med Chem,2019,26(19):3620-3638. [6] 王苑,许洪伟.我国胆石症危险因素的Meta分析[J].中华肝胆外科杂志,2016,22(6):386-390. [7] KOSHIOL J,CASTRO F,KEMP T J,et al.Association of inflammatory and other immune markers with gallbladder cancer:results from two independent case-control studies[J].Cytokine,2016,83:217-225. [8] SHIVAPPA N,STECK S E,HURLEY T G,et al.Designing and developing a literature-derived,population-based dietary inflammatory index[J].Public Health Nutr,2014,17(8):1689-1696. [9] SADRI Z,HAROUNI J,VAHID F,et al.Association between the Dietary Inflammatory Index with gallstone disease:finding from Dena PERSIAN cohort[J].BMJ Open Gastroenterol,2022,9(1):1-6. [10] GHORBANI M,HEKMATDOOST A,DARABI Z,et al.Dietary inflammatory index and risk of gallstone disease in Iranian women:a case-control study[J].BMC Gastroenterol,2023,23(1):1-8. [11] CHENG J N,ZHUANG Q,WANG W Y,et al.Association of pro-inflammatory diet with increased risk of gallstone disease:a cross-sectional study of NHANES January 2017-March 2020[J].Front Nutr,2024,11:1-10. [12] ZHENG W,CHOW W H,YANG G,et al.The Shanghai Women's Health Study:rationale,study design,and baseline characteristics[J].Am J Epidemiol,2005,162(11):1123-1131. [13] SHU X O,LI H,YANG G,et al.Cohort profile:the Shanghai Men's Health Study[J].Int J Epidemiol,2015,44(3):810-818. [14] SHU X O,YANG G,JIN F,et al.Validity and reproducibility of the food frequency questionnaire used in the Shanghai Women's Health Study[J].Eur J Clin Nutr,2004,58(1):17-23. [15] VILLEGAS R,YANG G,LIU D,et al.Validity and reproducibility of the food-frequency questionnaire used in the Shanghai Men's Health Study[J].Br J Nutr,2007,97(5):993-1000. [16] MATTHEWS C E,SHU X O,YANG G,et al.Reproducibility and validity of the Shanghai Women's Health Study physical activity questionnaire[J].Am J Epidemiol,2003,158(11):1114-1122. [17] JURJ A L,WEN W,XIANG Y B,et al.Reproducibility and validity of the Shanghai Men's Health Study physical activity questionnaire[J].Am J Epidemiol,2007,165(10):1124-1133. [18] AINSWORTH B E,HASKELL W L,WHITT M C,et al.Compendium of physical activities:an update of activity codes and met intensities[J].Med Sci Sports Exerc,(2000),32(9):498-504. [19] 杨月欣,王光亚,潘兴昌.中国食物成分表(2002)[J].北京:北京大学医学出版社,2002. [20] 钟莎莎,刘奇,王强,等.肥胖引发低度炎症导致认知障碍的机制研究进展[J].中国医药导报,2024,21(8):32-35. [21] 徐贝贝,李银玲,王炳元.酒精性肝病相关危险因素的研究进展[J].中华肝脏病杂志,2017,25(5):397-400. [22] NASERI K,SAADATI S,ASADZADEH-AGHDAEI H,et al.Healthy dietary pattern reduces risk of gallstones:results of a case-control study in Iran[J].Int J Prev Med,2022,13:1-6. [23] FIGUEIREDO J C,HAIMAN C,PORCEL J,et al.Sex and ethnic/racial-specific risk factors for gallbladder disease[J].BMC Gastroenterol,2017,17(1):1-12. [24] GUTIÉRREZ-DÍAZ I,MOLINERO N,CABRERA A,et al.Diet:cause or consequence of the microbial profile of cholelithiasis disease?[J].Nutrients,2018,10(9):1-13. [25] GONÇALVES DE ALBUQUERQUE C F,BURTH P,YOUNES IBRAHIM M,et al.Reduced plasma nonesterified fatty acid levels and the advent of an acute lung injury in mice after intravenous or enteral oleic acid administration[J/OL].Mediators Inflamm,2012[2024-05-16].https://doi.org/10.1155/2012/601032. [26] MALESZA I J,MALESZA M,WALKOWIAK J,et al.High-fat,western-style diet,systemic inflammation,and gut microbiota:a narrative review[J].Cells,2021,10(11):1-31. [27] SHABANZADEH D M,SKAABY T,SØRENSEN L T,et al.Metabolic biomarkers and gallstone disease-a population-based study[J].Scand J Gastroenterol,2017,52(11):1270-1277. [28] LIU Z,KEMP T J,GAO Y T,et al.Association of circulating inflammation proteins and gallstone disease[J].J Gastroenterol Hepatol,2018,33(11):1920-1924. [29] LIU T,SIYIN S T,YAO N,et al.Relationship between high-sensitivity C reactive protein and the risk of gallstone disease:results from the Kailuan cohort study[J].BMJ Open,2020,10(9):1-7.
