ArticleFrontiers in public health2026
Body mass index mediates the association between children's dietary inflammatory index and obstructive sleep apnea-hypopnea syndrome in children: a cross-sectional study.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The Children's Dietary Inflammatory Index (C-DII) is associated with elevated body mass index (BMI), a major risk factor for pediatric obstructive sleep apnea-hypopnea syndrome (OSAHS). However, the interrelationships between pro-inflammatory diets, BMI, and OSAHS severity in children remain unclear. This study aimed to examine the association between C-DII and OSAHS severity and assess whether BMI statistically explained the association. Methods: This cross-sectional study involved 297 children diagnosed with OSAHS. Dietary intake was assessed using a 3-day 24-h dietary recall (including two weekdays and one weekend) to calculate the C-DII scores. All participants underwent polysomnography to determine the obstructive apnea-hypopnea index (OAHI) as an indicator of OSAHS severity. Multiple linear regression analyses evaluated the association between C-DII tertiles (T1 as reference compared to T2 and T3) and OAHI, adjusting for key sociodemographic and clinical covariates. A mediation analysis using the PROCESS macro quantified the proportion of the association statistically attributable to BMI. Results: After covariate adjustment, the highest C-DII tertile (T3, pro-inflammatory diet) had a significantly higher OAHI vs. the lowest tertile (T1) (β = 2.04, 95% CI: 0.07-4.01, Conclusions: A pro-inflammatory diet (higher C-DII score) is associated with more severe pediatric OSAHS. This association was largely statistically explained by BMI. Causality cannot be inferred from this cross-sectional study. These findings support integrating dietary and weight strategies in pediatric OSAHS care. Nonetheless, longitudinal studies are needed to clarify diet-specific effects beyond weight control.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.