The association between an energy-adjusted dietary inflammatory index and inflammation in rural and urban Black South Africans
Bibliographic Data
| ID | 15093068 |
|---|---|
| Authors | Maylene Ferreira (North-West University, corresponding author), H Toinét Cronjé (University of Copenhagen), Tertia Van Zyl (0000-0001-7666-2500, North-West University), Nicola P Bondonno (0000-0001-5905-444X, Edith Cowan University), Marlien Pieters (0000-0003-2849-6370, North-West University) |
| Year | 2022 |
| Volume | 25 |
| Issue | 12 |
| Pages | 3432-3444 |
| Publication date | 2022-12-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Public Health Nutrition (JOURNAL) |
| Journal identifiers | ISSN: 1368-9800 • E-ISSN: 1475-2727 |
| Publisher | Cambridge University Press (CUP) (PUBLISHER) |
| DOI | 10.1017/s136898002100505x |
| PMID | 34955112 |
| OpenAlex | W4200149190 |
| Language | EN |
| References cited | 49 |
Objective: To quantify the inflammatory potential of the diet of rural and urban Black South Africans using an adapted energy-adjusted dietary inflammatory index (AE-DII) and to investigate its relationship with inflammatory and cardio-metabolic disease risk markers. Dietary inflammatory potential has not been investigated in African populations. Design: Cross-sectional investigation. Setting: Rural and urban sites in the North West province of South Africa. Participants: 1885 randomly selected, apparently healthy Black South Africans older than 30 years. Results: AE-DII scores ranged from –3·71 to +5·08 with a mean of +0·37. AE-DII scores were significantly higher in men (0·47 ± 1·19) than in women (0·32 ± 1·29), and in rural (0·55 ± 1·29) than urban participants (0·21 ± 1·19). Apart from its dietary constituents, AE-DII scores are primarily associated with age, rural–urban status and education. Contrary to the literature, alcohol consumption was positively associated with AE-DII scores. Of the four tested inflammatory and thirteen cardio-metabolic biomarkers, the AE-DII was only significantly negatively associated with albumin and HDL cholesterol, and positively with waist circumference and fasting glucose, upon full adjustment. Conclusion: Rural men consumed the most pro-inflammatory diet, and urban women the least pro-inflammatory diet. The diet of the participants was not overtly pro- or anti-inflammatory and was not associated with measured inflammatory markers. The inflammatory potential of alcohol at different levels of intake requires further research. Understanding dietary inflammatory potential in the context of food insecurity, unhealthy lifestyle practices and lack of dietary variety remains limited
Alcohol intake · Association (psychology · Black african · Context (archaeology · Dietary management · Index (typography · Inflammation · Rural area · Rural population · Agriculture Sustainability and Environmental Impact · Diet and metabolism studies · Nutritional Studies and Diet
The Prospective Urban Rural Epidemiology (Pure) study
Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990–2017
Accelerated nutrition transition in the North West Province of South Africa
Changes in food intake from 2005 to 2010 by a cohort of black rural and urban African men and women in the North West Province of South Africa
The use of predefined diet quality scores in the context of CVD risk during urbanization in the South African Prospective Urban and Rural Epidemiological (Pure) study
Designing and developing a literature-derived, population-based dietary inflammatory index
A culture-sensitive quantitative food frequency questionnaire used in an African population
A population-based dietary inflammatory index predicts levels of C-reactive protein in the Seasonal Variation of Blood Cholesterol Study (Seasons)
| Highly cited | No |
|---|