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Dietary Inflammatory Index Is a Better Determinant of Quality of Life Compared to Obesity Status in Patients With Hemodialysis Publisher Pubmed



Yaseri M1 ; Alipoor E2 ; Hafizi N3 ; Maghsoudinasab S1 ; Shivappa N4, 5 ; Hebert JR4, 5 ; Hosseinzadehattar MJ3, 6
Authors
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Authors Affiliations
  1. 1. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Nutrition, School of Public Health, Iran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Clinical Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Epidemiology and Biostatistics and the Cancer Prevention and Control Program, University of South Carolina, Columbia, SC, United States
  5. 5. Department of Nutrition, Connecting Health Innovations, LLC, Columbia, SC, United States
  6. 6. Cardiac Primary Prevention Research Center (CPPRC), Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran

Source: Journal of Renal Nutrition Published:2021


Abstract

Objectives: This study aimed to investigate the relationships among obesity, anthropometries, and the dietary inflammatory index (DII) with different aspects of quality of life (QoL) in patients undergoing hemodialysis. Design and Methods: In 83 patients representing a range of body weights, QoL (based on short form 36), DII (extracted from dietary recalls), malnutrition-inflammation score, and anthropometric measurements were assessed. Results: Obese patients had lower physical health score (mean difference [MD] 9.1, 95% confidence interval [CI] 0.3-17.8, P =.04), physical functioning (MD 10.5, 95% CI 0.7-20.2, P =.04), and bodily pain scores (MD 16.0, 95% CI 3.6-28.4, P =.01) than normal weight group. Patients with abdominal obesity and those with the highest body fat percentage had also lower QoL in many aspects, irrespective of body mass index. The physical (MD 13.2, 95% CI 2.05-24.3, P =.02) and mental (MD 18.4, 95% CI 7.51-29.2, P =.001) health scores, and physical functioning (MD 13.5, 95% CI 1.8-25.2, P =.02), role-physical (MD 25.8, 95% CI 3.0-48.6, P =.03), role-emotional (MD 22.1, 95% CI 5.4-52.8, P =.02), vitality (MD 18.4, 95% CI 7.6-29.3, P =.001), mental health (MD 11.7, 95% CI 3.06-20.4, P =.009), and social functioning (MD 14.2, 95% CI 1.13-27.2, P =.03) were considerably lower in patients with the highest versus the lowest DII. QoL did not differ between normal-weight and obese patients with low DII (P =.26), and between normal-weight and obese patients with high DII (P =.13). Obese patients with low DII also had better QoL than normal-weight subjects with high DII scores. Conclusions: A diet with higher proinflammatory potential was associated with decreased QoL, irrespective of obesity status. Adherence to a low-DII diet might protect against some obesity-associated complications, a finding that needs further investigations. © 2020 National Kidney Foundation, Inc.
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