PMID- 35058706 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220430 IS - 1178-7031 (Print) IS - 1178-7031 (Electronic) IS - 1178-7031 (Linking) VI - 15 DP - 2022 TI - The Relationship Between Mild Cognitive Impairment and Anti-Inflammatory/Pro-Inflammatory Nutrients in the Elderly in Northern China: A Bayesian Kernel Machine Regression Approach. PG - 325-339 LID - 10.2147/JIR.S342672 [doi] AB - OBJECTIVE: This study aims to explore the role of nutrients with pro-inflammatory or anti-inflammatory potential in the risk of mild cognitive impairment in the elderly. METHODS: We evaluated the intake of 22 nutrients in the baseline survey data of 612 elderly people in northern China. Meanwhile, the least absolute contraction and selection operator (LASSO) regression analysis was used to screen the nutrients with strong correlation with MCI. Bayesian kernel machine regression (BKMR) was devoted to explore the possible associations between various nutrients with different inflammatory potentials and the risk of mild cognitive impairment. RESULTS: A total of 253 people (41.3%) were diagnosed with mild cognition. Ten nutrients are significantly related to the risk of MCI and were screened by a lasso regression model, including 5 pro-inflammatory nutrients (inflammation effect score >0) and 5 anti-inflammatory nutrients (inflammation effect score <0). We incorporated the inflammatory effect scores of 10 nutrients into the BKMR model, and the results showed that the inflammatory effect of 10 nutrients continued to rise with the increase in inflammation scores, proposing that the overall effect is pro-inflammatory. The BKMR analysis results of the pro-inflammatory group and the anti-inflammatory group showed that multiple nutrients in the two groups had a significant combined effect on mild cognitive impairment. We found that by comparing the overall effect of inflammation and the effect of a single group, we found that the inflammation effect of the pro-inflammatory diet and the anti-inflammatory diet had a certain offsetting effect (P < 0.005). CONCLUSION: In the elderly population in northern China, pro-inflammatory diets are associated with an increased risk of mild cognitive impairment. However, these results need to be further evaluated and verified in more prospective studies. CI - (c) 2022 Li et al. FAU - Li, Ruiqiang AU - Li R AD - Department of Nutrition and Food Hygiene, School of Public Health, Hebei Medical University, Hebei Province Key Laboratory of Environment and Human Health, Shijiazhuang, People's Republic of China. FAU - Zhan, Wenqiang AU - Zhan W AD - School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, People's Republic of China. FAU - Huang, Xin AU - Huang X AD - Department of Nutrition and Food Hygiene, School of Public Health, Hebei Medical University, Hebei Province Key Laboratory of Environment and Human Health, Shijiazhuang, People's Republic of China. FAU - Zhang, Limin AU - Zhang L AD - Department of Nutrition and Food Hygiene, School of Public Health, Hebei Medical University, Hebei Province Key Laboratory of Environment and Human Health, Shijiazhuang, People's Republic of China. FAU - Zhang, Zechen AU - Zhang Z AD - Department of Nutrition and Food Hygiene, School of Public Health, Hebei Medical University, Hebei Province Key Laboratory of Environment and Human Health, Shijiazhuang, People's Republic of China. FAU - Zhou, Meiqi AU - Zhou M AD - Department of Nutrition and Food Hygiene, School of Public Health, Hebei Medical University, Hebei Province Key Laboratory of Environment and Human Health, Shijiazhuang, People's Republic of China. FAU - Wang, Zhihong AU - Wang Z AD - National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing, People's Republic of China. FAU - Ma, Yuxia AU - Ma Y AD - Department of Nutrition and Food Hygiene, School of Public Health, Hebei Medical University, Hebei Province Key Laboratory of Environment and Human Health, Shijiazhuang, People's Republic of China. LA - eng PT - Journal Article DEP - 20220114 PL - New Zealand TA - J Inflamm Res JT - Journal of inflammation research JID - 101512684 PMC - PMC8765544 OTO - NOTNLM OT - Bayesian kernel machine regression OT - anti-inflammatory OT - elderly OT - mild cognitive impairment OT - pro-inflammatory COIS- The authors report no conflicts of interest in this work. EDAT- 2022/01/22 06:00 MHDA- 2022/01/22 06:01 PMCR- 2022/01/14 CRDT- 2022/01/21 06:17 PHST- 2021/10/23 00:00 [received] PHST- 2021/12/31 00:00 [accepted] PHST- 2022/01/21 06:17 [entrez] PHST- 2022/01/22 06:00 [pubmed] PHST- 2022/01/22 06:01 [medline] PHST- 2022/01/14 00:00 [pmc-release] AID - 342672 [pii] AID - 10.2147/JIR.S342672 [doi] PST - epublish SO - J Inflamm Res. 2022 Jan 14;15:325-339. doi: 10.2147/JIR.S342672. eCollection 2022.