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膳食炎症指数与血清C反应蛋白关联性的Meta分析

马润泽 巴合古·依明尼亚孜 顾园申 赵辉 阿娜尔·高少 余文慧 戴江红

马润泽, 巴合古·依明尼亚孜, 顾园申, 赵辉, 阿娜尔·高少, 余文慧, 戴江红. 膳食炎症指数与血清C反应蛋白关联性的Meta分析[J]. 中华疾病控制杂志, 2024, 28(9): 1104-1111. doi: 10.16462/j.cnki.zhjbkz.2024.09.017
引用本文: 马润泽, 巴合古·依明尼亚孜, 顾园申, 赵辉, 阿娜尔·高少, 余文慧, 戴江红. 膳食炎症指数与血清C反应蛋白关联性的Meta分析[J]. 中华疾病控制杂志, 2024, 28(9): 1104-1111. doi: 10.16462/j.cnki.zhjbkz.2024.09.017
MA Runze, BAHEGU Yimingniyazi, GU Yuanshen, ZHAO Hui, ANAER Gaoshao, YU Wenhui, DAI Jianghong. Association between dietary inflammation index and serum C reactive protein level: a Meta-analysis[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(9): 1104-1111. doi: 10.16462/j.cnki.zhjbkz.2024.09.017
Citation: MA Runze, BAHEGU Yimingniyazi, GU Yuanshen, ZHAO Hui, ANAER Gaoshao, YU Wenhui, DAI Jianghong. Association between dietary inflammation index and serum C reactive protein level: a Meta-analysis[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(9): 1104-1111. doi: 10.16462/j.cnki.zhjbkz.2024.09.017

膳食炎症指数与血清C反应蛋白关联性的Meta分析

doi: 10.16462/j.cnki.zhjbkz.2024.09.017
基金项目: 

国家自然科学基金 82360662

国家自然科学基金 82160640

科技创新团队“天山创新团队”项目 2022TSYCTD0013

详细信息
    通讯作者:

    戴江红,E-mail: epi102@sina.com

  • 中图分类号: R151;R181

Association between dietary inflammation index and serum C reactive protein level: a Meta-analysis

Funds: 

National Natural Science Foundation of China 82360662

National Natural Science Foundation of China 82160640

Scientific and Technological Innovation Team "Tianshan Innovation Team" Project 2022TSYCTD0013

More Information
  • 摘要:   目的  系统评价膳食炎症指数(dietary inflammatory index, DII)与血清C反应蛋白(C-reactive protein, CRP)的关联性。  方法  检索PubMed、Web of Science和EMBASE数据库,收集有关DII与CRP关联性研究资料,检索时限从建库至2023年10月1日。由两名独立研究者进行文献筛选、数据提取、质量评价,采用R 4.2.2软件进行统计分析,并利用亚组分析、Meta回归分析探索异质性来源。  结果  共纳入20项研究,其中包括15项横断面研究、1项病例对照研究、3项队列研究、1项随机对照试验,累计纳入研究对象59 953例。Meta回归分析结果显示,DII与血清CRP水平相关(OR=1.205, 95% CI: 1.101~1.319)。通过基于研究类型、年龄分布、样本量、DII与膳食调查方法的亚组分析后,I2降低(P>0.1)。  结论  DII与血清CRP水平相关。研究类型、年龄分布、样本量、DII与膳食调查方法的不同可能是影响各研究间异质性的主要因素。
  • 图  1  研究纳入流程图

    Figure  1.  Research into the flow chart

    图  2  膳食炎症指数与血清C反应蛋白关联性的森林图

    Figure  2.  Forest plot of association between dietary inflammation index and serum C-reactive protein

    图  3  漏斗图与填补漏斗图

    A,漏斗图;B,填补漏斗图。

    Figure  3.  Funnel plot and funnel plot after filling

    A, funnel plot; B, funnel plot after filling.

    表  1  纳入研究的基本特征与质量评价

    Table  1.   Research basic information and quality evaluation

    第一作者
    First author
    年份
    Year
    研究类型
    Type of study
    样本量
    Sample size
    人群
    Participants
    年龄/岁
    Age/years
    膳食调查方法
    Dietary survey methods
    质量
    Quantity
    Lazarou[12] 2010 横断面研究
    Cross-sectional study
    83 儿童
    Children
    9.2±1.7 食物频率问卷
    Food frequency questionnaire

    High
    Shivappa[13] 2014 队列研究
    Cohort study
    641 成年人
    Adult
    20~70 24 h膳食回顾调查
    24 h dietary record

    High
    Wirth MD[14] 2014 横断面研究
    Cross-sectional study
    447 警察
    Policemen
    42.4±8.5 食物频率问卷
    Food frequency questionnaire

    High
    Shivappa[15] 2015 队列研究
    Cohort study
    2 524 成年人 35~55 食物频率问卷
    Food frequency questionnaire

    High
    Wirth[16] 2017 横断面研究
    Cross-sectional study
    329 非洲裔美国人
    African American
    54.8±11.4 食物频率问卷
    Food frequency questionnaire

    High
    Shivappa[17] 2017 横断面研究
    Cross-sectional study
    7 215 成年人
    Adult
    >19 24 h膳食回顾调查
    24 h dietary record

    High
    Julia[18] 2017 队列研究
    Cohort study
    1 980 成年人
    Adult
    35~60 24 h膳食回顾调查
    24 h dietary record

    Middle
    Shin D[19] 2017 横断面研究
    Cross-sectional study
    561 孕妇
    Maternal
    27.5±1.4 24 h膳食回顾调查
    24 h dietary record

    High
    Na[20] 2018 横断面研究
    Cross-sectional study
    28 086 成年人
    Adult
    40~79 24 h膳食回顾调查
    24 h dietary record

    High
    Almeida-de-Souza[21] 2018 横断面研究
    Cross-sectional study
    329 青少年
    Adolescents
    12~18 食物频率问卷
    Food frequency questionnaire

    High
    Ren[22] 2018 横断面研究
    Cross-sectional study
    1 086 成年人
    Adult
    >19 24 h膳食回顾调查
    24 h dietary record

    Middle
    Shivappa[23] 2019 横断面研究
    Cross-sectional study
    5 292 成年人
    Adult
    >19 24 h膳食回顾调查
    24 h dietary record

    High
    Turner-McGrievy[24] 2019 随机对照临床试验
    Randomized controlled trial
    98 成年人
    Adult
    ≥21 24 h膳食回顾调查
    24 h dietary record

    High
    Shin[25] 2019 横断面研究
    Cross-sectional study
    3 014 成年人
    Adult
    >19 24 h膳食回顾调查
    24 h dietary record

    Middle
    Yang[26] 2020 横断面研究
    Cross-sectional study
    2 898 孕妇
    Maternal
    28.34±3.12 24 h膳食回顾调查
    24 h dietary record

    High
    Suzuki[27] 2020 横断面研究
    Cross-sectional study
    1 176 成年人
    Adult
    >19 食物频率问卷
    Food frequency questionnaire

    Middle
    Yang[28] 2020 横断面研究
    Cross-sectional study
    307 成年人
    Adult
    >19 称重法
    Weighing

    Middle
    Son[29] 2021 病例对照研究
    Case-control study
    1 254 老年人
    The elderly
    74.6±5.5 简易自记膳食法
    Brief-type self-administered diet history questionnaire

    Middle
    Malcomson[30] 2021 横断面研究
    Cross-sectional study
    75 成年人
    Adult
    >19 食物频率问卷
    Food frequency questionnaire

    Middle
    Hart[31] 2021 横断面研究
    Cross-sectional study
    2 558 成年人
    Adult
    >19 24 h膳食回顾调查
    24 h dietary record

    High
    下载: 导出CSV

    表  2  纳入研究的亚组分析与Meta回归分析

    Table  2.   Subgroup analysis of included studies and Meta-regression analysis

    亚组
    Subgroup
    研究数量
    Number of study
    OR值 value
    (95% CI)
    异质性检验
    Heterogeneity test
    Meta回归分析
    Meta-regression analysis
    I2/% P值 value
    研究设计类型 Type of study 0.288
       横断面研究 Cross-sectional 15 1.252(1.116~1.405) 99 < 0.001
       病例对照研究 Case-control 1 1.170(1.131~1.211)
       队列研究 Cohort 3 1.051(0.971~1.138) 51 0.130
       随机对照试验 randomized controlled trial 1 1.490(0.931~2.384)
    年龄分布/岁 Age distribution/years 0.628
       <19 2 1.260(1.041~1.524) 0 0.390
       ≥19 18 1.205(1.101~1.319) 99 < 0.001
    性别分布 Gender distribution 0.848
       全人群 Whole crowd 18 1.208(1.100~1.325) 99 < 0.001
       女性 Female 2 1.279(0.672~2.435) 77 0.040
    样本量 Sample size < 0.001
       <100 3 1.560(1.139~2.138) 91 < 0.001
       100~<1 000 6 1.193(1.034~1.376) 54 0.050
       ≥1 000 11 1.100(1.052~1.151) 91 < 0.001
    DII 0.847
       DII 17 1.205(1.101~1.363) 99 < 0.001
       E-DII 2 1.155(1.111~1.200) 31 < 0.230
       C-DII 1 1.231(1.010~1.500)
    血清炎症指标 Serum inflammatory markers 0.868
       CRP 10 1.221(1.101~1.319) 98 < 0.001
       hs-CRP 10 1.128(1.067~1.193) 92 < 0.001
    膳食调查方法 Dietary survey method 0.147
       食物频率 Food frequency 7 1.368(1.098~1.703) 96 < 0.001
       24 h膳食回顾24 h dietary record 11 1.107(1.079~1.135) 20 0.260
       其他 Other 2 1.086(0.940~1.254) 99 < 0.001
    注:DII,膳食炎症指数;E-DII,能量调整膳食炎症指数;C-DII,儿童膳食炎症指数;CRP,C反应蛋白;hs-CRP,超敏C反应蛋白。
    Note: DII, dietary inflammation index; E-DII, energy-adjusted dietary inflammation index; C-DII, children′s dietary inflammation index; CRP, C-reactive protein; hs-CRP, high sensitivity C-reactive protein.
    下载: 导出CSV
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出版历程
  • 收稿日期:  2024-04-03
  • 修回日期:  2024-07-25
  • 网络出版日期:  2024-10-24
  • 刊出日期:  2024-09-10

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