Associations between the dietary inflammatory index and urinary incontinence among women younger than 65 years

Abstract The purpose of this study was to evaluate the association between dietary inflammatory index (DII) and urinary incontinence (UI) among a representative sample of the US women. We performed a cross-sectional analysis of women younger than 65 years using the 1999 to 2016 NHANES (National Heal...

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Autores principales: Shiyu Zhang, Haiyang Bian, Shi Qiu, Boyu Cai, Kun Jin, Xiaonan Zheng, Jiakun Li, Xiang Tu, Jianzhong Ai, Lu Yang, Qiang Wei
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:95780d5a480b4943bb9f53927f3b8fb92021-12-02T13:41:43ZAssociations between the dietary inflammatory index and urinary incontinence among women younger than 65 years10.1038/s41598-021-88833-02045-2322https://doaj.org/article/95780d5a480b4943bb9f53927f3b8fb92021-04-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-88833-0https://doaj.org/toc/2045-2322Abstract The purpose of this study was to evaluate the association between dietary inflammatory index (DII) and urinary incontinence (UI) among a representative sample of the US women. We performed a cross-sectional analysis of women younger than 65 years using the 1999 to 2016 NHANES (National Health and Nutrition Examination Survey) populations. DII were calculated based on baseline dietary intake using 24-h dietary recalls. UI was determined and categorized by self-reported questions. Multivariable logistic regression models were used to assess the association between DII and UI. Stratified linear regression models were applied to test for interaction in prespecified subgroup of interest. A total of 13,441 women age between 20 and 65 years were included in the final analysis. Of these participants 3230 (24.03%) complained of urgency UI, 5276 (39.25%) complained of stress UI and 2028 (15.09%) complained of mixed UI. On multivariate analysis, analysis with DII categorized as quartiles revealed significantly increase odds of urgency UI in the most pro-inflammatory quartile compared to the most anti-inflammatory quartile (OR 1.24, 95% CI 1.07–1.44, P = 0.004 for trend) in full adjustment model. Similar results were observed in SUI (OR 1.14, 95% CI 1.00–1.30, P = 0.021 for trend) and MUI (OR 1.20, 95% CI 1.02−1.43, P = 0.022 for trend). More pro-inflammatory diets, as presented by higher DII scores are associated with an increased likelihood of UI in American women younger than 65 years. Further studies are needed to explore the possible physiological mechanism and evaluate the potential therapeutic implications.Shiyu ZhangHaiyang BianShi QiuBoyu CaiKun JinXiaonan ZhengJiakun LiXiang TuJianzhong AiLu YangQiang WeiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-5 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Shiyu Zhang
Haiyang Bian
Shi Qiu
Boyu Cai
Kun Jin
Xiaonan Zheng
Jiakun Li
Xiang Tu
Jianzhong Ai
Lu Yang
Qiang Wei
Associations between the dietary inflammatory index and urinary incontinence among women younger than 65 years
description Abstract The purpose of this study was to evaluate the association between dietary inflammatory index (DII) and urinary incontinence (UI) among a representative sample of the US women. We performed a cross-sectional analysis of women younger than 65 years using the 1999 to 2016 NHANES (National Health and Nutrition Examination Survey) populations. DII were calculated based on baseline dietary intake using 24-h dietary recalls. UI was determined and categorized by self-reported questions. Multivariable logistic regression models were used to assess the association between DII and UI. Stratified linear regression models were applied to test for interaction in prespecified subgroup of interest. A total of 13,441 women age between 20 and 65 years were included in the final analysis. Of these participants 3230 (24.03%) complained of urgency UI, 5276 (39.25%) complained of stress UI and 2028 (15.09%) complained of mixed UI. On multivariate analysis, analysis with DII categorized as quartiles revealed significantly increase odds of urgency UI in the most pro-inflammatory quartile compared to the most anti-inflammatory quartile (OR 1.24, 95% CI 1.07–1.44, P = 0.004 for trend) in full adjustment model. Similar results were observed in SUI (OR 1.14, 95% CI 1.00–1.30, P = 0.021 for trend) and MUI (OR 1.20, 95% CI 1.02−1.43, P = 0.022 for trend). More pro-inflammatory diets, as presented by higher DII scores are associated with an increased likelihood of UI in American women younger than 65 years. Further studies are needed to explore the possible physiological mechanism and evaluate the potential therapeutic implications.
format article
author Shiyu Zhang
Haiyang Bian
Shi Qiu
Boyu Cai
Kun Jin
Xiaonan Zheng
Jiakun Li
Xiang Tu
Jianzhong Ai
Lu Yang
Qiang Wei
author_facet Shiyu Zhang
Haiyang Bian
Shi Qiu
Boyu Cai
Kun Jin
Xiaonan Zheng
Jiakun Li
Xiang Tu
Jianzhong Ai
Lu Yang
Qiang Wei
author_sort Shiyu Zhang
title Associations between the dietary inflammatory index and urinary incontinence among women younger than 65 years
title_short Associations between the dietary inflammatory index and urinary incontinence among women younger than 65 years
title_full Associations between the dietary inflammatory index and urinary incontinence among women younger than 65 years
title_fullStr Associations between the dietary inflammatory index and urinary incontinence among women younger than 65 years
title_full_unstemmed Associations between the dietary inflammatory index and urinary incontinence among women younger than 65 years
title_sort associations between the dietary inflammatory index and urinary incontinence among women younger than 65 years
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/95780d5a480b4943bb9f53927f3b8fb9
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