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Association between inflammatory potential of diet and markers of malnutrition in haemodialysis patients

Published online by Cambridge University Press:  09 August 2022

Arman Arab Open the ORCID record for Arman Arab [Opens in a new window] ,
Sahar Golpour-Hamedani ,
Hadi Tabibi  and
Atefeh As’habi
Arman Arab
Affiliation:
Department of Community Nutrition, School of Nutrition and Food Science, Food Security Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
Sahar Golpour-Hamedani
Affiliation:
Department of Clinical Nutrition, School of Nutrition and Food Science, Food Security Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
Hadi Tabibi
Affiliation:
Department of Clinical Nutrition & Dietetics, Faculty of Nutrition and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Atefeh As’habi*
Affiliation:
Food Safety Research Center (Salt), Semnan University of Medical Sciences, Semnan, Iran
*
*Corresponding author: Atefeh As’habi, email ashabi_nutrition@yahoo.com
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Abstract

In this study, we aimed to examine the relationship between energy-adjusted dietary inflammatory index (E-DII) and a comprehensive profile of malnutrition in Iranian haemodialysis (HD) patients. In this cross-sectional study, 291 participants on HD for at least 6 months before enrollment were included. The current dietary intakes of participants were assessed using a 4-d diet diary-assisted recall, including 2 non-dialysis days and 2 dialysis days to calculate E-DII. To determine the malnutrition status of HD patients, BMI, subjective global assessment (SGA), dialysis malnutrition score (DMS) and malnutrition inflammation score (MIS) were used. Overall, 291 HD patients comprised our study population. After controlling for potential confounders, E-DII was associated with a higher risk of malnutrition, as evidenced by SGA (OR = 2·23; 95 % CI: 1·11, 4·49), DMS (OR = 2·31; 95 % CI: 1·16, 4·60) and MIS (OR = 2·50; 95 % CI: 1·28, 4·88). No significant association was detected between E-DII and BMI either before (OR = 1·78; 95 % CI: 0·83, 3·81) or after adjustment for possible confounders (OR = 1·43; 95 % CI: 0·58, 3·54). This study showed that E-DII was significantly associated with reliable malnutrition markers including SGA, DMS and MIS in HD patients. However, further longitudinal studies are warranted to infer a cause-and-effect relationship between DII and malnutrition.

Keywords

dietary inflammatory indexInflammationMalnutritionHaemodialysisIran
Type
Research Article
Information
British Journal of Nutrition , Volume 129 , Issue 10 , 28 May 2023 , pp. 1820 - 1826
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Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of The Nutrition Society

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