PMID- 37694566 OWN - NLM STAT- MEDLINE DCOM- 20240112 LR - 20240306 IS - 1475-2662 (Electronic) IS - 0007-1145 (Linking) VI - 131 IP - 3 DP - 2024 Feb 14 TI - Association of dietary and lifestyle inflammation score with type 2 diabetes mellitus and cardiometabolic risk factors in Iranian adults: Sabzevar Persian Cohort Study. PG - 521-530 LID - 10.1017/S0007114523001903 [doi] AB - Systemic inflammation may contribute to the initiation and progression of type 2 diabetes mellitus (T2DM) through diet and lifestyle. We examined the association of dietary inflammation score (DIS), lifestyle inflammation score (LIS) and dietary and lifestyle inflammation score (DLIS) with T2DM and cardiometabolic risk factors among Iranian adults. In this study, we identified and recruited 619 patients with T2DM and 2113 without T2DM from 35 to 75 years old men and women in the baseline phase of the Sabzevar Persian Cohort Study. Using a validated 115-item semi-quantitative FFQ, we calculated a 19-component DIS and a 3-component LIS weighted by circulating inflammation biomarkers. The DIS, LIS and DLIS associations with diabetes were assessed by multivariable logistic regression analysis. The average age of the participants was 48.29 (sd 8.53) (without T2DM: 47.66 (sd 8.42); with T2DM: 50.44 (sd 8.57)). Individuals in the highest compared with the lowest tertiles of DLIS (OR: 3.40; 95 % CI 2.65, 4.35; P(trend) < 0.001), DIS (OR: 3.41; 95 % CI 2.66, 4.38; P(trend) < 0.001) and LIS (OR: 1.15; 95 % CI 0.90, 1.46; P(trend) = 0.521) had an increased risk of T2DM. For those in the highest relative to the lowest joint DIS and LIS tertiles, the results were OR: 3.37; 95 % CI 2.13, 5.32; P(interaction) < 0.001. No significant associations were found between DLIS and cardiometabolic risk factors, including blood pressure, liver enzymes and glycaemic and lipid profiles, except for waist circumference (P < 0.001) and waist-to-hip ratio (P = 0.010). A higher DIS and DLIS score was associated with a higher risk of T2DM, while the LIS score was not associated with T2DM risk. FAU - Bakhshimoghaddam, Farnush AU - Bakhshimoghaddam F AD - Nutrition and Metabolic Diseases Research Center, Clinical Sciences Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. AD - Department of Nutrition, School of Allied Medical Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. FAU - Jafarirad, Sima AU - Jafarirad S AUID- ORCID: 0000-0002-3161-5329 AD - Nutrition and Metabolic Diseases Research Center, Clinical Sciences Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. AD - Department of Nutrition, School of Allied Medical Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. FAU - Maraghi, Elham AU - Maraghi E AUID- ORCID: 0000-0003-3556-8838 AD - Department of Biostatistics and Epidemiology, Faculty of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. FAU - Ghorat, Fereshteh AU - Ghorat F AUID- ORCID: 0000-0002-7620-2544 AD - Non-Communicable Diseases Research Center, Sabzevar University of Medical Sciences, Sabzevar, Iran. LA - eng PT - Journal Article DEP - 20230911 PL - England TA - Br J Nutr JT - The British journal of nutrition JID - 0372547 SB - IM MH - Male MH - Adult MH - Humans MH - Female MH - Middle Aged MH - Aged MH - *Diabetes Mellitus, Type 2 MH - Iran/epidemiology MH - Cardiometabolic Risk Factors MH - Cohort Studies MH - Diet/adverse effects MH - Inflammation MH - Life Style MH - Risk Factors OTO - NOTNLM OT - Diabetes OT - Diet OT - Inflammation OT - Lifestyle EDAT- 2023/09/11 12:43 MHDA- 2024/01/12 06:42 CRDT- 2023/09/11 06:40 PHST- 2024/01/12 06:42 [medline] PHST- 2023/09/11 12:43 [pubmed] PHST- 2023/09/11 06:40 [entrez] AID - S0007114523001903 [pii] AID - 10.1017/S0007114523001903 [doi] PST - ppublish SO - Br J Nutr. 2024 Feb 14;131(3):521-530. doi: 10.1017/S0007114523001903. Epub 2023 Sep 11.