Infammation is considered a key mechanism leading to obesity. Dietary patterns and certain food items infuence infammation. Few studies have investigated the contribution of major dietary patterns to biological measures of infammation. Therefore, the present study aimed to examine the associations of diferent dietary patterns with dietary infammatory index (DII), systemic infammation, and insulin resistance (IR) in the apparently healthy obese. In this cross-sectional study, 151 abdominally obese subjects were recruited from the Northwest of Iran. Dietary intake, demographic data, anthropometric indices, and physical activity (PA) was assessed. DII scores were calculated based on a validated 168-item food frequency questionnaire (FFQ). Three dietary patterns were identifed, using principal component analysis. Basal blood samples were collected to determine biochemical parameters. Linear regression test with adjusted beta estimates was applied for data analysis. Three dietary patterns were extracted as Healthy, Western, and Traditional. Body mass index (BMI) (p< 0.01) and fat mass (p< 0.001) were directly associated with the Western dietary pattern. Conversely, serum lipopolysaccharide-binding protein (LBP) (b= − 0.1, p< 0.04) was negatively associated with Healthy dietary pattern, after controlling for confounders. The Traditional pattern was found to be inversely related to DII (b= − 0.3, p< 0.001). The association was also reveresed between Traditional pattern and IR (Odds Ratio: 0.3 (95% Confdence Interval 0.1–0.9)). The results suggested that the Western dietary pattern was related to higher BMI and fat mass. In addition, the Healthy pattern was associated with decreased levels of LBP. Adherence to the Traditional dietary pattern was inversely related to DII as well as IR.
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Published in Scientific Reports, Volume 11, Issue 7515, 2021.
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Saghafi-Asl, M., Mirmajidi, S., Asghari Jafarabadi, M., Vahid, F., Shivappa, N., Hébert, J. R., & Ebrahimzadeh Attari, V. (2021). The association of dietary patterns with dietary inflammatory index, systemic inflammation, and insulin resistance, in apparently healthy individuals with obesity. Scientific Reports, 11(1). https://doi.org/10.1038/s41598-021-86993-7