Evidence map›Paper›PMID 40672428›Full record

ReviewFrontiers in nutrition2025

Association of the dietary inflammation index with frailty in middle-aged and older adults: a systematic review and meta-analysis.

Shu-Min Zhu, Ping Chang, Zhen Wang, Bei Yang, Hong-Fang Ye

Abstract readReview
In one paragraph

Review in Frontiers in nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Shu-Min ZhuDepartment of Nursing, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
Ping ChangDepartment of Nursing, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
Zhen WangSchool of Nursing, Nanjing University of Chinese Medicine, Nanjing, China.
Bei YangSchool of Nursing, Nanjing University of Chinese Medicine, Nanjing, China.
Hong-Fang YeDepartment of Nursing, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Low-grade of chronic inflammation is a signature of the aging and physiologic frailty may be related to a dysfunctional homeostasis between pro- and anti-inflammatory systems mediated by diverse determinants, including dietary constituents that produce a wide range of biologically active substances, which are important modulators of inflammation in the organism. The Dietary Inflammation Index (DII), a quantitative measure of diet-associated inflammation, has been widely used in studies of a variety of chronic inflammation-related diseases, but the correlation between the DII and frailty has not been uniformly determined. Method: We searched multiple databases, including CNKI, Wanfang, VIP, Chinese Biomedical Literature Database, PubMed, Embase, Scopus, and Web of Science, to identify studies in English and Chinese examining the association between the dietary inflammatory index and frailty risk. Literature was searched from the time of database construction to January 2025. Two standardized scales were employed for quality assessment: NOS for longitudinal studies and AHRQ tools for cross-sectional research. Sensitivity analyses and publication bias tests were performed using Stata 15.0, and meta-analyses were performed using RevMan 5.3 to calculate the combined odds ratio (OR) and its 95% confidence interval (CI) to assess the DII in correlation with pre-frailty and frailty. Results: The meta-analysis examined 15 studies involving a total of 42,130 study participants. The combined results showed that individuals were at increased risk of both frailty [OR = 1.47, 95%CI (1.28, 1.69), Conclusions: Available evidence suggests that high pro-inflammatory diets may be associated with an increased risk of frailty, and that dietary strategies that lower the DII could play a role in reducing frailty incidence among older and middle-aged groups.

Indexed as

dietdietary inflammation indexfrailtyinflammationsmeta-analysismiddle-aged and older adults

Identifiers

PMID40672428
PMCPMC12263374

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.