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    Dietary inflammatory index in relation to sub-clinical atherosclerosis and atherosclerotic vascular disease mortality in older women

    Access Status
    Fulltext not available
    Authors
    Bondonno, N.
    Lewis, J.
    Blekkenhorst, L.
    Shivappa, N.
    Woodman, R.
    Bondonno, C.
    Ward, Natalie
    Hébert, J.
    Thompson, P.
    Prince, R.
    Hodgson, J.
    Date
    2017
    Type
    Journal Article
    
    Metadata
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    Citation
    Bondonno, N. and Lewis, J. and Blekkenhorst, L. and Shivappa, N. and Woodman, R. and Bondonno, C. and Ward, N. et al. 2017. Dietary inflammatory index in relation to sub-clinical atherosclerosis and atherosclerotic vascular disease mortality in older women. British Journal of Nutrition. 117 (11): pp. 1577-1586.
    Source Title
    British Journal of Nutrition
    DOI
    10.1017/S0007114517001520
    ISSN
    0007-1145
    School
    School of Biomedical Sciences
    URI
    http://hdl.handle.net/20.500.11937/54425
    Collection
    • Curtin Research Publications
    Abstract

    Arterial wall thickening, stimulated by low-grade systemic inflammation, underlies many cardiovascular events. As diet is a significant moderator of systemic inflammation, the dietary inflammatory index (DII TM ) has recently been devised to assess the overall inflammatory potential of an individual’s diet. The primary objective of this study was to assess the association of the DII with common carotid artery–intima-media thickness (CCA–IMT) and carotid plaques. To substantiate the clinical importance of these findings we assessed the relationship of DII score with atherosclerotic vascular disease (ASVD)-related mortality, ischaemic cerebrovascular disease (CVA)-related mortality and ischaemic heart disease (IHD)-related mortality more. The study was conducted in Western Australian women aged over 70 years (n 1304). Dietary data derived from a validated FFQ (completed at baseline) were used to calculate a DII score for each individual. In multivariable-adjusted models, DII scores were associated with sub-clinical atherosclerosis: a 1 sd (2·13 units) higher DII score was associated with a 0·013-mm higher mean CCA–IMT (P=0·016) and a 0·016-mm higher maximum CCA–IMT (P=0·008), measured at 36 months. No relationship was seen between DII score and carotid plaque severity. There were 269 deaths during follow-up. High DII scores were positively associated with ASVD-related death (per sd, hazard ratio (HR): 1·36; 95 % CI 1·15, 1·60), CVA-related death (per sd, HR: 1·30; 95 % CI 1·00, 1·69) and IHD-related death (per sd, HR: 1·40; 95 % CI 1·13, 1·75). These results support the hypothesis that a pro-inflammatory diet increases systemic inflammation leading to development and progression of atherosclerosis and eventual ASVD-related death.

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