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Dietary Inflammatory Index and Incidence of Cardiovascular Disease in the PREDIMED Study.
Nutrients. 2015 May 29; 7(6):4124-38.N

Abstract

Previous studies have reported an association between a more pro-inflammatory diet profile and various chronic metabolic diseases. The Dietary Inflammatory Index (DII) was used to assess the inflammatory potential of nutrients and foods in the context of a dietary pattern. We prospectively examined the association between the DII and the incidence of cardiovascular disease (CVD: myocardial infarction, stroke or cardiovascular death) in the PREDIMED (Prevención con Dieta Mediterránea) study including 7216 high-risk participants. The DII was computed based on a validated 137-item food frequency questionnaire. Multivariate-adjusted hazard ratios (HR) and 95% confidence intervals of CVD risk were computed across quartiles of the DII where the lowest (most anti-inflammatory) quartile is the referent. Risk increased across the quartiles (i.e., with increasing inflammatory potential): HR(quartile2) = 1.42 (95%CI = 0.97-2.09); HR(quartile3) = 1.85 (1.27-2.71); and HR(quartile4) = 1.73 (1.15-2.60). When fit as continuous the multiple-adjusted hazard ratio for each additional standard deviation of the DII was 1.22 (1.06-1.40). Our results provide direct prospective evidence that a pro-inflammatory diet is associated with a higher risk of cardiovascular clinical events.

Authors+Show Affiliations

Department of Emergency, Complejo Hospitalario de Navarra, Servicio Navarro de Salud, Pamplona 31008, Spain. raulramallal@hotmail.com. The PREDIMED (Prevención con Dieta Mediterránea) Research Network (RD 06/0045), Instituto de Salud Carlos III, Madrid 28029, Spain. raulramallal@hotmail.com. Centro de Investigación Biomédica en Epidemiología y Salud Pública, Madrid 28029, Spain. raulramallal@hotmail.com. Department of Preventive Medicine and Public Health, School of Medicine, University of Navarra, Pamplona 31008, Spain. raulramallal@hotmail.com.Department of Preventive Medicine and Public Health, School of Medicine, University of Navarra, Pamplona 31008, Spain. raulramallal@hotmail.com. Department of Cardiology, Complejo Hospitalario de Navarra, Servicio Navarro de Salud, Pamplona 31008, Spain. raulramallal@hotmail.com.The PREDIMED (Prevención con Dieta Mediterránea) Research Network (RD 06/0045), Instituto de Salud Carlos III, Madrid 28029, Spain. raulramallal@hotmail.com. Centro de Investigación Biomédica en Epidemiología y Salud Pública, Madrid 28029, Spain. raulramallal@hotmail.com. Department of Preventive Medicine and Public Health, School of Medicine, University of Navarra, Pamplona 31008, Spain. raulramallal@hotmail.com.The PREDIMED (Prevención con Dieta Mediterránea) Research Network (RD 06/0045), Instituto de Salud Carlos III, Madrid 28029, Spain. jordi.salas@urv.cat. Centro de Investigación Biomédica en Epidemiología y Salud Pública, Madrid 28029, Spain. jordi.salas@urv.cat. Human Nutrition Department, Hospital Universitari Sant Joan, Institut d'Investigació Sanitaria Pere Virgili, Universitat Rovira i Virgili, Reus 43201, Spain. jordi.salas@urv.cat.Centro de Investigación Biomédica en Epidemiología y Salud Pública, Madrid 28029, Spain. dolores.corella@uv.es. Department of Preventive Medicine, University of Valencia, Valencia 46071, Spain. dolores.corella@uv.es.South Carolina Statewide Cancer Prevention and Control Program, University of South Carolina, Columbia, SC, 29208 USA. shivappa@email.sc.edu.Centro de Investigación Biomédica en Epidemiología y Salud Pública, Madrid 28029, Spain. HSchoeder@imim.es. Cardiovascular and Nutrition Research Group, Institut de Recerca Hospital del Mar, Barcelona 08003, Spain. HSchoeder@imim.es.South Carolina Statewide Cancer Prevention and Control Program, University of South Carolina, Columbia, SC, 29208 USA. JHEBERT@mailbox.sc.edu.Centro de Investigación Biomédica en Epidemiología y Salud Pública, Madrid 28029, Spain. EROS@clinic.ub.es. Lipid Clinic, Department of Endocrinology and Nutrition, Institut d'Investigacions Biomèdiques August Pi i Sunyer, Hospital Clinic, University of Barcelona, Barcelona 08036, Spain. EROS@clinic.ub.es.The PREDIMED (Prevención con Dieta Mediterránea) Research Network (RD 06/0045), Instituto de Salud Carlos III, Madrid 28029, Spain. egomezgracia@uma.es. Centro de Investigación Biomédica en Epidemiología y Salud Pública, Madrid 28029, Spain. egomezgracia@uma.es. Department of Preventive Medicine, University of Malaga, Malaga 29010, Spain. egomezgracia@uma.es.The PREDIMED (Prevención con Dieta Mediterránea) Research Network (RD 06/0045), Instituto de Salud Carlos III, Madrid 28029, Spain. restruch@clinic.ub.es. Centro de Investigación Biomédica en Epidemiología y Salud Pública, Madrid 28029, Spain. restruch@clinic.ub.es. Department of Internal Medicine Institut d'Investigacions Biomèdiques August Pi i Sunyer, Hospital Clinic, University of Barcelona, Barcelona 08036, Spain. restruch@clinic.ub.es.Centro de Investigación Biomédica en Epidemiología y Salud Pública, Madrid 28029, Spain. jlapetra@ono.com. Department of Family Medicine, Primary Care Division of Seville, San Pablo Health Center, Seville 41007, Spain. jlapetra@ono.com.The PREDIMED (Prevención con Dieta Mediterránea) Research Network (RD 06/0045), Instituto de Salud Carlos III, Madrid 28029, Spain. raulramallal@hotmail.com. Centro de Investigación Biomédica en Epidemiología y Salud Pública, Madrid 28029, Spain. raulramallal@hotmail.com. Department of Cardiology, University Hospital of Alava, Vitoria 01009, Spain. raulramallal@hotmail.com.Centro de Investigación Biomédica en Epidemiología y Salud Pública, Madrid 28029, Spain. miquelfiol@yahoo.es. Institute of Health Sciences (IUNICS), University of Balearic Islands, and Hospital Son Espases, Palma de Mallorca 07120, Spain. miquelfiol@yahoo.es.The PREDIMED (Prevención con Dieta Mediterránea) Research Network (RD 06/0045), Instituto de Salud Carlos III, Madrid 28029, Spain. agarare@gmail.com. Centro de Investigación Biomédica en Epidemiología y Salud Pública, Madrid 28029, Spain. agarare@gmail.com. Research Institut of Biomedical and Health Sciences, University of Las Palmas de Gran Canaria, Las Palmas 35001, Spain. agarare@gmail.com.The PREDIMED (Prevención con Dieta Mediterránea) Research Network (RD 06/0045), Instituto de Salud Carlos III, Madrid 28029, Spain. xpinto@bellvitgehospital.cat. Centro de Investigación Biomédica en Epidemiología y Salud Pública, Madrid 28029, Spain. xpinto@bellvitgehospital.cat. Lipids and Vascular Risk Unit, Internal Medicine, Hospital Universitario de Bellvitge, Hospitalet de Llobregat, Barcelona 08907, Spain. xpinto@bellvitgehospital.cat.The PREDIMED (Prevención con Dieta Mediterránea) Research Network (RD 06/0045), Instituto de Salud Carlos III, Madrid 28029, Spain. nancy.babio@urv.cat. Centro de Investigación Biomédica en Epidemiología y Salud Pública, Madrid 28029, Spain. nancy.babio@urv.cat. Human Nutrition Department, Hospital Universitari Sant Joan, Institut d'Investigació Sanitaria Pere Virgili, Universitat Rovira i Virgili, Reus 43201, Spain. nancy.babio@urv.cat.Centro de Investigación Biomédica en Epidemiología y Salud Pública, Madrid 28029, Spain. arraez@uv.es. Department of Preventive Medicine, University of Valencia, Valencia 46071, Spain. arraez@uv.es.Centro de Investigación Biomédica en Epidemiología y Salud Pública, Madrid 28029, Spain. miquelfiol@yahoo.es. Cardiovascular and Nutrition Research Group, Institut de Recerca Hospital del Mar, Barcelona 08003, Spain. miquelfiol@yahoo.es.The PREDIMED (Prevención con Dieta Mediterránea) Research Network (RD 06/0045), Instituto de Salud Carlos III, Madrid 28029, Spain. jalfmtz@unav.es. Centro de Investigación Biomédica en Epidemiología y Salud Pública, Madrid 28029, Spain. jalfmtz@unav.es. Department of Physiology and Nutrition, University of Navarra, Pamplona 31008, Spain. jalfmtz@unav.es.The PREDIMED (Prevención con Dieta Mediterránea) Research Network (RD 06/0045), Instituto de Salud Carlos III, Madrid 28029, Spain. raulramallal@hotmail.com. Centro de Investigación Biomédica en Epidemiología y Salud Pública, Madrid 28029, Spain. raulramallal@hotmail.com. Department of Preventive Medicine and Public Health, School of Medicine, University of Navarra, Pamplona 31008, Spain. raulramallal@hotmail.com.Department of Emergency, Complejo Hospitalario de Navarra, Servicio Navarro de Salud, Pamplona 31008, Spain. agarare@gmail.com.

Pub Type(s)

Journal Article
Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

26035241

Citation

Garcia-Arellano, Ana, et al. "Dietary Inflammatory Index and Incidence of Cardiovascular Disease in the PREDIMED Study." Nutrients, vol. 7, no. 6, 2015, pp. 4124-38.
Garcia-Arellano A, Ramallal R, Ruiz-Canela M, et al. Dietary Inflammatory Index and Incidence of Cardiovascular Disease in the PREDIMED Study. Nutrients. 2015;7(6):4124-38.
Garcia-Arellano, A., Ramallal, R., Ruiz-Canela, M., Salas-Salvadó, J., Corella, D., Shivappa, N., Schröder, H., Hébert, J. R., Ros, E., Gómez-Garcia, E., Estruch, R., Lapetra, J., Arós, F., Fiol, M., Serra-Majem, L., Pintó, X., Babio, N., González, J. I., Fitó, M., ... Martínez-González, M. A. (2015). Dietary Inflammatory Index and Incidence of Cardiovascular Disease in the PREDIMED Study. Nutrients, 7(6), 4124-38. https://doi.org/10.3390/nu7064124
Garcia-Arellano A, et al. Dietary Inflammatory Index and Incidence of Cardiovascular Disease in the PREDIMED Study. Nutrients. 2015 May 29;7(6):4124-38. PubMed PMID: 26035241.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dietary Inflammatory Index and Incidence of Cardiovascular Disease in the PREDIMED Study. AU - Garcia-Arellano,Ana, AU - Ramallal,Raul, AU - Ruiz-Canela,Miguel, AU - Salas-Salvadó,Jordi, AU - Corella,Dolores, AU - Shivappa,Nitin, AU - Schröder,Helmut, AU - Hébert,James R, AU - Ros,Emilio, AU - Gómez-Garcia,Enrique, AU - Estruch,Ramon, AU - Lapetra,José, AU - Arós,Fernando, AU - Fiol,Miquel, AU - Serra-Majem,Lluis, AU - Pintó,Xavier, AU - Babio,Nancy, AU - González,José I, AU - Fitó,Montse, AU - Martínez,J Alfredo, AU - Martínez-González,Miguel A, AU - ,, Y1 - 2015/05/29/ PY - 2015/03/12/received PY - 2015/05/11/revised PY - 2015/05/18/accepted PY - 2015/6/3/entrez PY - 2015/6/4/pubmed PY - 2016/5/4/medline KW - PREDIMED KW - cardiovascular disease KW - dietary inflammatory index KW - inflammation SP - 4124 EP - 38 JF - Nutrients JO - Nutrients VL - 7 IS - 6 N2 - Previous studies have reported an association between a more pro-inflammatory diet profile and various chronic metabolic diseases. The Dietary Inflammatory Index (DII) was used to assess the inflammatory potential of nutrients and foods in the context of a dietary pattern. We prospectively examined the association between the DII and the incidence of cardiovascular disease (CVD: myocardial infarction, stroke or cardiovascular death) in the PREDIMED (Prevención con Dieta Mediterránea) study including 7216 high-risk participants. The DII was computed based on a validated 137-item food frequency questionnaire. Multivariate-adjusted hazard ratios (HR) and 95% confidence intervals of CVD risk were computed across quartiles of the DII where the lowest (most anti-inflammatory) quartile is the referent. Risk increased across the quartiles (i.e., with increasing inflammatory potential): HR(quartile2) = 1.42 (95%CI = 0.97-2.09); HR(quartile3) = 1.85 (1.27-2.71); and HR(quartile4) = 1.73 (1.15-2.60). When fit as continuous the multiple-adjusted hazard ratio for each additional standard deviation of the DII was 1.22 (1.06-1.40). Our results provide direct prospective evidence that a pro-inflammatory diet is associated with a higher risk of cardiovascular clinical events. SN - 2072-6643 UR - https://www.unboundmedicine.com/medline/citation/26035241/Dietary_Inflammatory_Index_and_Incidence_of_Cardiovascular_Disease_in_the_PREDIMED_Study_ DB - PRIME DP - Unbound Medicine ER -