Construct validation of the Dietary Inflammatory Index among African Americans (original) (raw)
Abstract
Objective
Chronic inflammation is linked to many chronic conditions. One of the strongest modulators of chronic inflammation is diet. The Dietary Inflammatory Index (DII) measures dietary inflammatory potential and has been validated previously, but not among African Americans (AAs).
Design
Cross-sectional analysis using baseline data from the Healthy Eating and Active Living in the Spirit (HEALS) intervention study.
Setting
Baseline data collection occurred between 2009 and 2012 in or near Columbia, SC.
Participants
African-American churchgoers.
Measurements
Baseline data collection included c-reactive protein (CRP) and interleukin-6 from blood draws, anthropometric measures, and numerous questionnaires. The questionnaires included a food frequency questionnaire which was used for DII calculation. The main analyses were performed using quantile regression.
Results
Subjects in the highest DII quartile (i.e., more pro-inflammatory) were younger, more likely to be married, and had less education and greater BMI. Individuals in DII quartile 4 had statistically significantly greater CRP at the 75th and 90th percentiles of CRP versus those in quartile 1 (i.e., more anti-inflammatory).
Conclusion
Construct validation provides support for using the DII in research among AA populations. Future research should explore avenues to promote more anti-inflammatory diets, with use of the DII, among AA populations to reduce risk of chronic disease.
Access this article
Subscribe and save
- Get 10 units per month
- Download Article/Chapter or eBook
- 1 Unit = 1 Article or 1 Chapter
- Cancel anytime Subscribe now
Buy Now
Price excludes VAT (USA)
Tax calculation will be finalised during checkout.
Instant access to the full article PDF.
Similar content being viewed by others
References
- Libby P. Inflammatory mechanisms: the molecular basis of inflammation and disease. Nutrition reviews. 2007;65:S140–6.
Article PubMed Google Scholar - Ahluwalia N, Andreeva VA, Kesse-Guyot E, Hercberg S. Dietary patterns, inflammation and the metabolic syndrome. Diabetes & metabolism. 2013;39:99–110.
Article CAS Google Scholar - Shivappa N, Steck SE, Hurley TG, Hussey JR, Hebert JR. Designing and developing a literature-derived, population-based dietary inflammatory index. Public health nutrition. 2014;17:1689–96.
Article PubMed Google Scholar - Shivappa N, Steck SE, Hurley TG, Hussey JR, Ma Y, Ockene IS, et al. A population-based dietary inflammatory index predicts levels of C-reactive protein in the Seasonal Variation of Blood Cholesterol Study (SEASONS). Public health nutrition. 2014;17:1825–33.
Article PubMed Google Scholar - Wirth MD, Burch J, Shivappa N, Violanti JM, Burchfiel CM, Fekedulegn D, et al. Association of a dietary inflammatory index with inflammatory indices and metabolic syndrome among police officers. Journal of occupational and environmental medicine /American College of Occupational and Environmental Medicine. 2014;56:986–9.
Article PubMed Central Google Scholar - Tabung FK, Steck SE, Ma Y, Liese AD, Zhang J, Caan B, et al. The association between dietary inflammatory index and risk of colorectal cancer among postmenopausal women: results from the Women’s Health Initiative. Cancer causes & control: CCC. 2015;26:399–408.
Article PubMed Google Scholar - Shivappa N, Prizment AE, Blair CK, Jacobs DR, Jr., Steck SE, Hebert JR. Dietary inflammatory index and risk of colorectal cancer in the Iowa Women’s Health Study. Cancer epidemiology, biomarkers & prevention: a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology. 2014;23:2383–92.
Article CAS Google Scholar - Wirth MD, Shivappa N, Steck SE, Hurley TG, Hebert JR. The dietary inflammatory index is associated with colorectal cancer in the National Institutes of Health-American Association of Retired Persons Diet and Health Study. The British journal of nutrition. 2015;113:1819–27.
Article CAS PubMed PubMed Central Google Scholar - Shivappa N, Bosetti C, Zucchetto A, Serraino D, La Vecchia C, Hebert JR. Dietary inflammatory index and risk of pancreatic cancer in an Italian case-control study. The British journal of nutrition. 2014:1–7.
Google Scholar - Shivappa N, Jackson MD, Bennett F, Hebert JR. Increased Dietary Inflammatory Index (DII) Is Associated With Increased Risk of Prostate Cancer in Jamaican Men. Nutrition and cancer. 2015;67:941–8.
Article CAS PubMed PubMed Central Google Scholar - Shivappa N, Zucchetto A, Serraino D, Rossi M, La Vecchia C, Hebert JR. Dietary inflammatory index and risk of esophageal squamous cell cancer in a case-control study from Italy. Cancer causes & control: CCC. 2015.
Google Scholar - Maisonneuve P, Shivappa N, Hebert JR, Bellomi M, Rampinelli C, Bertolotti R, et al. Dietary inflammatory index and risk of lung cancer and other respiratory conditions among heavy smokers in the COSMOS screening study. European journal of nutrition. 2015.
Google Scholar - Garcia-Arellano A, Ramallal R, Ruiz-Canela M, Salas-Salvado J, Corella D, Shivappa N, et al. Dietary Inflammatory Index and Incidence of Cardiovascular Disease in the PREDIMED Study. Nutrients. 2015;7:4124–38.
Article PubMed PubMed Central Google Scholar - Garcia-Calzon S, Zalba G, Ruiz-Canela M, Shivappa N, Hebert JR, Martinez JA, et al. Dietary inflammatory index and telomere length in subjects with a high cardiovascular disease risk from the PREDIMED-NAVARRA study: cross-sectional and longitudinal analyses over 5 y. The American journal of clinical nutrition. 2015;102:897–904.
Article CAS PubMed PubMed Central Google Scholar - Ruiz-Canela M, Zazpe I, Shivappa N, Hebert JR, Sanchez-Tainta A, Corella D, et al. Dietary inflammatory index and anthropometric measures of obesity in a population sample at high cardiovascular risk from the PREDIMED (PREvencion con DIeta MEDiterranea) trial. The British journal of nutrition. 2015;113:984–95.
Article CAS PubMed PubMed Central Google Scholar - Wood LG, Shivappa N, Berthon BS, Gibson PG, Hebert JR. Dietary inflammatory index is related to asthma risk, lung function and systemic inflammation in asthma. Clinical and experimental allergy: journal of the British Society for Allergy and Clinical Immunology. 2015;45:177–83.
Article CAS Google Scholar - Deng FE, Shivappa N, Tang Y, Mann JR, Hebert JR. Association between dietrelated inflammation, all-cause, all-cancer, and cardiovascular disease mortality, with special focus on prediabetics: findings from NHANES III. European journal of nutrition. 2016.
Google Scholar - Shivappa N, Steck SE, Hussey JR, Ma Y, Hebert JR. Inflammatory potential of diet and all-cause, cardiovascular, and cancer mortality in National Health and Nutrition Examination Survey III Study. European journal of nutrition. 2015.
Google Scholar - Kennedy BR. Health inequalities: promoting policy changes in utilizing transformation development by empowering African American communities in reducing health disparities. Journal of cultural diversity. 2013;20:155–62.
PubMed Google Scholar - Hebert JR, Wirth M, Davis L, Davis B, Harmon BE, Hurley TG, et al. C-reactive protein levels in African Americans: a diet and lifestyle randomized community trial. American journal of preventive medicine. 2013;45:430–40.
Article PubMed PubMed Central Google Scholar - Adams SA, Matthews CE, Ebbeling CB, Moore CG, Cunningham JE, Fulton J, et al. The effect of social desirability and social approval on self-reports of physical activity. American journal of epidemiology. 2005;161:389–98.
Article PubMed PubMed Central Google Scholar - Hebert JR, Ma Y, Clemow L, Ockene IS, Saperia G, Stanek EJ, 3rd, et al. Gender differences in social desirability and social approval bias in dietary self-report. American journal of epidemiology. 1997;146:1046–55.
Article CAS PubMed Google Scholar - Turner-McGrievy GM, Wirth MD, Shivappa N, Wingard EE, Fayad R, Wilcox S, et al. Randomization to plant-based dietary approaches leads to larger short-term improvements in Dietary Inflammatory Index scores and macronutrient intake compared with diets that contain meat. Nutrition research. 2015;35:97–106.
Article CAS PubMed Google Scholar - Lopresti AL, Hood SD, Drummond PD. A review of lifestyle factors that contribute to important pathways associated with major depression: diet, sleep and exercise. Journal of affective disorders. 2013;148:12–27.
Article PubMed Google Scholar - Tay L, Lim WS, Chan M, Ye RJ, Chong MS. The Independent Role of Inflammation in Physical Frailty among Older Adults with Mild Cognitive Impairment and Mild-to-Moderate Alzheimer’s Disease. The journal of nutrition, health & aging. 2016;20:288–99.
Article CAS Google Scholar
Author information
Authors and Affiliations
- Cancer Prevention and Control Program, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
Michael D. Wirth, N. Shivappa, L. Davis, T. G. Hurley, R. Drayton & J. R. Hébert - Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
Michael D. Wirth, N. Shivappa, A. Ortaglia, S. N. Blair & J. R. Hébert - Connecting Health Innovations, LLC, Columbia, SC, USA
Michael D. Wirth, N. Shivappa & J. R. Hébert - Department of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
S. N. Blair - Cancer Prevention and Control Program and Department of Epidemiology and Biostatistics, University of South Carolina, 915 Greene Street, Room 233, Columbia, SC, 29208, USA
Michael D. Wirth
Authors
- Michael D. Wirth
You can also search for this author inPubMed Google Scholar - N. Shivappa
You can also search for this author inPubMed Google Scholar - L. Davis
You can also search for this author inPubMed Google Scholar - T. G. Hurley
You can also search for this author inPubMed Google Scholar - A. Ortaglia
You can also search for this author inPubMed Google Scholar - R. Drayton
You can also search for this author inPubMed Google Scholar - S. N. Blair
You can also search for this author inPubMed Google Scholar - J. R. Hébert
You can also search for this author inPubMed Google Scholar
Corresponding author
Correspondence toMichael D. Wirth.
Rights and permissions
About this article
Cite this article
Wirth, M.D., Shivappa, N., Davis, L. et al. Construct validation of the Dietary Inflammatory Index among African Americans.J Nutr Health Aging 21, 487–491 (2017). https://doi.org/10.1007/s12603-016-0775-1
- Received: 29 February 2016
- Accepted: 04 May 2016
- Published: 09 July 2016
- Issue Date: May 2017
- DOI: https://doi.org/10.1007/s12603-016-0775-1