基于NHANES数据库的膳食炎症指数与代谢综合征患者死亡风险的研究  

Dietary Inflammation Index and Risk of Death in Patients with Metabolic Syndrome Based on NHANES Database

作　　者：罗晓升 伍贵富[1] LUO Xiao-sheng;WU Gui-fu(Department of Cardiovascular Medicine,the Eighth Affiliated Hospital of Sun Yat-sen University,Shenzhen,518033)

机构地区：[1]中山大学第八附属医院心血管内科,518033

出　　处：《岭南急诊医学杂志》2025年第1期14-17,31,共5页Lingnan Journal of Emergency Medicine

摘　　要：目的:探索膳食炎症指数(DII)与代谢综合征(MetS)患者死亡风险之间的关系。方法:本研究使用来自美国国家健康和营养调查(NHANES 2007-2016)2573名MetS患者的资料,通过构建加权Cox比例风险模型评估MetS患者DII水平与全因死亡率之间的关系。并研究DII与MetS亚组全因死亡率之间的关系。结果:在2573名MetS患者中,有398例死亡,中位随访时间101个月。在校正的加权Cox比例风险模型中DII与MetS患者全因死亡率呈正相关(HR:1.50,P值=0.028),这种关系在血压升高的患者中更为显著(HR:2.34,P值=0.005)。结论:DII与MetS患者死亡率呈正相关,促炎饮食会增加MetS患者的死亡风险。Objective:To explore the association between the Dietary Inflammation Index(DII)and the risk of death in patients with metabolic syndrome(MetS).Methods:This study utilized data from 2,573 patients with metabolic syndrome(MetS)sourced from the National Health and Nutrition Examination Survey(NHANES 2007-2016).Weighted Cox proportional hazards models were constructed to assess the relationship between the Dietary Inflammatory Index(DII)and allcause mortality in MetS patients.Furthermore,the association between DII and allcause mortality within components of MetS was investigated.Results:Among the 2,573 patients,398 deaths occurred,with a median follow‐up duration of 101 months.In the adjusted weighted Cox proportional hazards model,a positive correlation was observed between DII and all‐cause mortality in MetS patients(HR:1.50,P=0.028).This relationship was more pronounced among patients with elevated blood pressure(HR:2.34,P=0.005).Conclusion:DII positively correlates with mortality in MetS patients,indicating that a proinflammatory diet increases the risk of death in this population.

关 键 词：膳食炎症指数 代谢综合征 美国国家健康和营养调查 

分 类 号：R58[医药卫生—内分泌]