ArticleFrontiers in nutrition2025
Performance of cohort-adapted dietary and lifestyle inflammation scores among Hispanic adults.
Article in Frontiers in nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Dietary and lifestyle inflammation scores (DIS/LIS) were created to assess their contributions to systemic inflammation; however, there is little understanding of their validity in Hispanic adults. Objective: This study aims to utilize DIS and LIS in the Boston Puerto Rican Health Study (BPRHS), as previously published, and create cohort-adapted scores. Adapted scores were validated in The Puerto Rico Observational Study of Psychosocial, Environmental, and Chronic disease Trends (PROSPECT). Methods: This cross-sectional analysis assessed diet from a food-frequency questionnaire, self-reported lifestyle information, and inflammation from fasted blood. Published food and lifestyle groups were used to create DIS-1 and LIS-1. Cohort-adapted food and lifestyle groups were used to create DIS-2 and LIS-2 in the BPRHS ( Results: In BPRHS, DIS-1 showed a 1.07 (95% CI: 1.01, 1.15) times greater odds of a high inflammation BMS with each 1-unit increase in the DIS-1 and a 2.86 (95% CI: 2.14, 3.56) times greater odds of a high BMS with each 1-unit increase in the LIS-1. In PROSPECT, LIS-1 showed a 2.91 (95% CI: 2.33, 3.67) times greater odds of high hsCRP with each 1-unit increase in LIS-1; results were similar in linear analyses. DIS-3 was characterized by three factors. In BPRHS, high (quintile 5) vs. low (quintile 1) adherence to factor 1 (healthy diet) showed a 0.57 (95% CI: 0.35, 0.92) times lower odds of high BMS. DIS-3 was not associated with high hsCRP in PROSPECT. Conclusion: Predetermined lifestyle inflammation scores were associated with inflammation in this population, but dietary inflammation scores were inconsistent in their association with inflammation. Cohort-specific adaptation did not improve the scores' association with inflammatory status. Further work is needed to understand the role of diet in the development of inflammation in these populations of Hispanic adults.
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