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| 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
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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 |
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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.
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Received: 26 February 2024
Revised: 16 May 2024
Published: 19 July 2024
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