Evidence map›Paper›PMID 41895834›Full record

ArticleAsia Pacific journal of clinical nutrition2026

Dietary inflammatory index and unfavorable dietary patterns associated with ischemic stroke in China.

Qunli Xu, Qianyi Chen, Yiyu Zhuang, Lanlan Zhou, Lanjun Shen, Tingting Li, Zhefang Hu, Ronghua Zhang, Danting Su, Lijun Feng

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In one paragraph

Article in Asia Pacific journal of clinical nutrition, 2026. 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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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Qunli Xu *Nursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Qianyi Chen *Department of Clinical Nutrition, Sir Run Run Shaw Hospital, Zhejiang University, Hangzhou, China.
Yiyu ZhuangNursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Lanlan ZhouNursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Lanjun ShenNursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Tingting LiNursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Zhefang HuDepartment of Clinical Nutrition, Sir Run Run Shaw Hospital, Zhejiang University, Hangzhou, China.
Ronghua ZhangZhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China.
Danting SuZhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China. Email: dtsu@ cdc.zj.cn.
Lijun FengDepartment of Clinical Nutrition, Sir Run Run Shaw Hospital, Zhejiang University, Hangzhou, China. Email: 3191030@zju.edu.cn.

Funding

The General Research Program of Medical and Hygiene from the Health and Family Planning Commission in Zhejiang Province 2024KY1144The National Health Commission Research Fund of China WKJ-ZJ-2304
6 · The paper itself

Abstract

BACKGROUND AND

objectivesThe dietary inflammatory potential, assessed by the Dietary Inflammatory Index (DII), may influence ischemic stroke (IS) risk, but evidence from high-incidence regions in China remains limited. This study aimed to investigate the associations among dietary patterns, the DII, and IS in Eastern China. METHODS AND STUDY

designIn a hospital-based case-control study in Zhejiang, China, 223 IS patients and 510 age- and sex-matched controls completed a validated food frequency questionnaire. DII scores were calculated, and dietary patterns were derived using factor analysis. Multivariate logistic regression models were used to calculate odds ratios and 95% confidence intervals (CIs).

resultsA "Jiangnan red-sauce and heavy oil" pattern, characterized by high intake of refined grains, salted vegetables, processed meats, and fats, was associated with higher DII scores and an increased IS risk (OR = 1.85; 95% CI: 1.74-2.51; top versus bottom tertile). Conversely, a "Traditional Chinese" pattern, rich in whole grains, vegetables, fruits, and legumes, was correlated with lower DII scores and a potentially reduced IS risk (OR = 0.85; 95% CI: 0.76-0.94).

conclusionsThe findings suggest that pro-inflammatory diets were associated with a high likelihood of IS, while anti-inflammatory patterns, such as the Traditional Chinese diet, may be protective. The findings may also provide insights for dietary prevention strategies in the high-risk populations, pending confirmation from prospective studies.

Indexed as

DietInflammationIschemic StrokeStrokeAgedCase-Control StudiesChinaFemaleHumansMaleMiddle AgedRisk Factorscase-control studydietary inflammatory indexdietary patternsischemic strokerisk

Identifiers

PMID41895834
PMCPMC13012827

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