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Dietary Inflammatory Index and Dietary Energy Density Are Associated With Menopausal Symptoms in Postmenopausal Women: A Cross-Sectional Study Publisher Pubmed



Aslani Z1, 2 ; Abshirini M1, 2 ; Heidaribeni M3 ; Siassi F1 ; Qorbani M4, 5 ; Shivappa N6, 7, 8 ; Hebert JR6, 7, 8 ; Soleymani M1, 2 ; Sotoudeh G1
Authors
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Authors Affiliations
  1. 1. Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Students' Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran
  4. 4. Non-communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran
  5. 5. Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Department of Epidemiology and Biostatistics, University of South Carolina, Columbia, SC, United States
  7. 7. Cancer Prevention and Control Program, University of South Carolina, Columbia, SC, United States
  8. 8. Connecting Health Innovations, LLC, Columbia, SC, United States

Source: Menopause Published:2020


Abstract

Objectives:No previous study has evaluated the association of the dietary inflammatory index (DII) and dietary energy density (DED) with menopausal symptoms and its subclasses in postmenopausal women. The aim of this study was to evaluate the association of DII score and DED with menopausal symptoms and its subtypes in Iranian postmenopausal women.Methods:This cross-sectional study was conducted on 393 postmenopausal women who attended health centers in the south of Tehran, Iran. The DII score was calculated using dietary factors obtained by a validated food frequency questionnaire. DED was defined as average daily energy intake (kcal) per gram of food. The Menopause Rating Scale questionnaire was used to evaluate the menopausal symptoms. The total Menopause Rating Scale score (TMRSS) was the sum of the somatic score (SS), psychological score (PS), and urogenital score. Linear regression analysis was used to assess the association of the DII score and DED with menopausal symptoms.Results:After adjusting for covariates, participants in the highest tertile of DII score had greater SS compared to those in the lowest tertile (βDIIt3vs1= 0.032, 95% confidence interval (CI): 0.004-0.068, P = 0.04). No significant relationship was found between DII score and PS, urogenital score or TMRSS. Furthermore, higher DED was associated with greater SS (βDIIt3vs1= 0.071, 95% CI: 0.028-0.115, P = 0.001), PS (βDIIt3vs1= 0.065, 95% CI: 0.012-0.121, P = 0.01) and TMRSS (βDIIt3vs1= 0.053, 95% CI: 0.017-0.088, P = 0.004).Conclusion:A proinflammatory diet was associated with higher menopause-specific somatic symptoms and higher DED was positively associated with menopausal symptoms. © 2020 Lippincott Williams and Wilkins. All rights reserved.
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