Association between dietary inflammatory index and Parkinson's disease from National Health and Nutrition Examination Survey (2003-2018): a cross-sectional study

Zhaohao Zeng; Yanmei Cen; Lu Wang; Xiaoguang Luo

doi:10.3389/fnins.2023.1203979

Association between dietary inflammatory index and Parkinson's disease from National Health and Nutrition Examination Survey (2003-2018): a cross-sectional study

Front Neurosci. 2023 Jul 20:17:1203979. doi: 10.3389/fnins.2023.1203979. eCollection 2023.

Authors

Zhaohao Zeng^{1

2

3}, Yanmei Cen², Lu Wang⁴, Xiaoguang Luo^{1

3}

Affiliations

¹ Department of Neurology, Shenzhen People's Hospital, The Second Clinical Medical College, The First Affiliated Hospital, Jinan University, Southern University of Science and Technology, Shenzhen, Guangdong, China.
² The First Clinical Medical College of Jinan University, Guangzhou, Guangdong, China.
³ The Guangdong Provincial Clinical Research Center for Geriatrics, Shenzhen Clinical Research Center for Geriatrics, Shenzhen People's Hospital (The Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Xiaogan, Hubei, China.
⁴ Department of Neurology, The Central Hospital of Xiaogan, Xiaogan, Hubei, China.

Abstract

Objected: To explore the association between Parkinson's disease (PD) and dietary inflammatory index (DII) scores in adults over 40 years old in the US.

Method: Data were collected from the National Health and Nutrition Examination Survey (NHANES) conducted from 2003 to 2018. A total of 21,994 participants were included in the study. A weighted univariate and multivariable logistic regression analysis was performed to investigate the association between the DII and PD, in which continuous variables or categorical variables grouped by tertiles was used. The relationship between DII and PD has been further investigated using propensity score matching (PSM) and a subgroup analysis stratified based on DII and PD characteristics. Moreover, restricted cubic spline (RCS) analysis was conducted to examine whether there was a nonlinear association between DII and PD.

Results: A total of 21,994 participants were obtained for statistical analysis, made up of 263 patients with PD and 21,731 participants without PD. Univariate and multivariable logistics regression analysis showed DII to be positively associated with PD before and after matching. Subgroup analysis revealed a statistical difference in non-Hispanic whites, but RCS analysis suggested that there was no nonlinear relationship between the DII and PD.

Conclusion: For participants over 40 years of age, higher DII scores were positively correlated with PD. In addition, these results support the ability of diet to be used as an intervention strategy for managing PD.

Keywords: National Health and Nutrition Examination Survey; Parkinson’s disease; diet; dietary inflammatory index; nutrition.