Dietary inflammatory index related to knee osteoarthritis symptomatology
DOI:
https://doi.org/10.5281/Keywords:
Signs and Symptoms, Osteoarthritis, Mexico, Dietary Inflammatory Index, Western DieAbstract
Background: Proinflammatory diet contributes to greater symptomatology in patients with knee osteoarthritis (KOA); however, in Mexico there seems to be no evidence of the dietary inflammatory role, being a country with high prevalence of overweight and obesity with an inclination towards a Western diet.
Objective: To analyze the relationship between dietary inflammatory index (DII) and KOA symptomatology in Mexican patients.
Material and methods: Analytical cross-sectional study in 100 patients aged 40 to 70 years. Pain, stiffness, and functionality were evaluated with the Western Ontario and McMaster Universities Arthritis Index (WOMAC) and the DII was calculated from the semi-quantitative food consumption frequency questionnaire (QFCFQ). For its analysis, linear regression was calculated.
Results: DII was significantly associated with pain (p = 0.001, R² = 0.118), functionality (p = 0.003, R² = 0.087) and WOMAC score (p = 0.001, R² = 0.099). In the second linear regression model with the dependent variable functionality, waist circumference (WC) was adjusted obtaining an R² = 0.144 and higher significance p = 0.001.
Conclusions: Proinflammatory DII was related to greater pain, lower functionality and a high WOMAC score, which is why the anti-inflammatory diet could be considered as a support for the treatment of the patient with KOA.
Downloads
References
Loeser RF, Goldring SR, Scanzello CR, et al. Osteoarthritis: A disease of the joint as an organ. Arthritis & Rheumatism. 2012;64(6):1697-707. doi: 10.1002/art.34453.
Guerrero Romero L, Heredia Elvar JR, Peña García-Orea G. Osteoartritis/Artrosis: Una Enfermedad de Etiología Multifactorial. Disponible en: https://g-se.com/osteoartritis-artrosis-una-enfermedad-de-etiologia-multifactorial-2322-sa-l59dfbbb471edb.
Espinosa Morales R, Alcántar Ramírez J, Arce Salinas C, et al. Reunión multidisciplinaria de expertos para el diagnóstico y tratamiento de la osteoartritis. Actualización basada en evidencias. Med Int Mex. 2018;34(3):443-76. doi: https://doi.org/10.24245/mim.v34i3.1433.
Collins KH, Lenz KL, Pollitt EN, et al. Adipose tissue is a critical regulator of osteoarthritis. Proc Natl Acad Sci USA. 2021;118(1):e2021096118. doi: 10.1073/pnas.2021096118.
Berenbaum F, Wallace IJ, Lieberman DE, et al. Modern-day environmental factors in the pathogenesis of osteoarthritis. Nature Reviews Rheumatology. 2018;14(11):674-81. doi: https://doi.org/10.1038/s41584-018-0073-x.
Galbete C, Kröger J, Jannasch F, et al. Nordic diet, Mediterranean diet, and the risk of chronic diseases: the EPIC-Potsdam study. BMC Med. 2018;16(1):99. doi: 10.1186/s12916-018-1082-y.
Cooper I, Brukner P, Devlin BL, et al. An anti-inflammatory diet intervention for knee osteoarthritis: a feasibility study. BMC Musculoskelet Disord. 2022;23(1):47. doi: 10.1186/s12891-022-05003-7.
Nicola Veronese, Ai Koyanagi, Stubbs B, et al. Mediterranean diet and knee osteoarthritis outcomes: A longitudinal cohort study. Clinical Nutrition. 2019;38(6):2735-9. doi: 10.1016/j.clnu.2018.11.032.
Zheng S, Wu F, Winzenberg T, et al. The cross-sectional and longitudinal associations of dietary patterns with knee symptoms and MRI detected structure in patients with knee osteoarthritis. Osteoarthritis and Cartilage. 2021;29(4):527-35. doi: 10.1016/j.joca.2020.12.023.
Sadeghi A, Zarrinjooiee G, Mousavi SN, et al. Effects of a Mediterranean Diet Compared with the Low-Fat Diet on Patients with Knee Osteoarthritis: A Randomized Feeding Trial. International Journal of Clinical Practice. 2022:1-7. doi: 10.1155/2022/7275192.
Han HS, Chang CB, Lee DC, et al. Relationship between total fruit and vegetable intake and self-reported knee pain in older adults. J Nutr Health Aging. 2017;21(7):750-8. doi: 10.1007/s12603-016-0842-7.
Du C, Smith A, Avalos M, et al. Blueberries Improve Pain, Gait Performance, and Inflammation in Individuals with Symptomatic Knee Osteoarthritis. Nutrients. 2019;11(2):290. doi: 10.3390/nu11020290.
Strath LJ, Jones CD, Philip George A, et al. The Effect of Low-Carbohydrate and Low-Fat Diets on Pain in Individuals with Knee Osteoarthritis. Pain Medicine. 2020;21(1):150-60. doi: 10.1093/pm/pnz022.
Lyman KS, Athinarayanan SJ, McKenzie AL, et al. Continuous care intervention with carbohydrate restriction improves physical function of the knees among patients with type 2 diabetes: a non-randomized study. BMC Musculoskelet Disord. 2022;23(1):297. doi: 10.1186/s12891-022-05258-0.
Xu C, Marchand NE, Driban JB, et al. Dietary Patterns and Progression of Knee Osteoarthritis: Data from the Osteoarthritis Initiative. The American Journal of Clinical Nutrition. 2020;111(3):667-76. doi: 10.1093/ajcn/nqz333.
Shin W, Kim J. Poor diet quality is associated with self-reported knee pain in community-dwelling women aged 50 years and older. PLoS ONE. 2021;16(2):e0245630. doi: 10.1371/journal.pone.0245630.
Sekar S, Panchal SK, Ghattamaneni NK, et al. Dietary Saturated Fatty Acids Modulate Pain Behaviour in Trauma-Induced Osteoarthritis in Rats. Nutrients. 2020;12(2):509. doi: 10.3390/nu12020509.
Mat S, Jaafar MH, Sockalingam S, et al. Vitamin D deficiency is associated with ethnicity and knee pain in a multi-ethnic South-East Asian nation: Results from Malaysian Elders Longitudinal Research (MELoR). Int J Rheum Dis. 2018;21(5):930-6. doi: 10.1111/1756-185X.13279.
Shivappa N, Steck SE, Hurley TG, et al. Designing and developing a literature-derived, population-based dietary inflammatory index. Public Health Nutr. 2014;17(8):1689-96. doi: 10.1017/S1368980013002115.
Denova-Gutiérrez E, Muñoz-Aguirre P, Shivappa N, et al. Dietary Inflammatory Index and Type 2 Diabetes Mellitus in Adults: The Diabetes Mellitus Survey of Mexico City. Nutrients. 2018;10(4):385. doi: 10.3390/nu10040385.
Sasanfar B, Toorang F, Mozafari Nia M, et al. Dietary Inflammatory Index and Breast Cancer: report from a Large-Scale Case-Control Study. Nutrition and Cancer. 2022;74(5):1692-700. doi: 10.1080/01635581.2021.1957489.
Veronese N, Shivappa N, Stubbs B, et al. The relationship between the dietary inflammatory index and prevalence of radiographic symptomatic osteoarthritis: data from the Osteoarthritis Initiative. Eur J Nutr. 2019;58(1):253-60. doi: 10.1007/s00394-017-1589-6.
Shama-Levy T, Vielma-Orozco E, Heredia-Hernández O, et al. Encuesta nacional de salud y nutrición 2018-19: resultados nacionales. Disponible en: https://www.insp.mx/produccion-editorial/novedades-editoriales/ensanut-2018-nacionales.
Hernández-Avila M, Romieu I, Parra S, et al. Validity and reproducibility of a food frequency questionnaire to assess dietary intake of women living in Mexico City. Salud Publica Méx. 1998;40(2):133-40. doi: 10.1590/S0036-36341998000200005.
United States Department of Agriculture. FoodData Central. United States: USDA; 2019. Disponible en: https://fdc.nal.usda.gov/
Secretaría de Salud. Indicadores de sobrepeso y obesidad. México: Secretaría de Salud; 14 de julio de 2016. Disponible en: https://www.gob.mx/salud/articulos/indicadores-de-sobrepeso-y-obesidad?idiom=es.
López Alonso SR, Martínez Sánchez CM, Romero Cañadillas AB, et al. Propiedades métricas del cuestionario WOMAC y de una versión reducida para medir la sintomatología y la discapacidad física. Atención Primaria. 2009;41(11):613-20. doi: 10.1016/j.aprim.2009.02.005.
Craig CL, Marshall AL, Bauman AE, et al. International Physical Activity Questionnaire: 12-Country Reliability and Validity: Medicine & Science in Sports & Exercise. 2003;35(8):1381-95. doi: 10.1249/01.MSS.0000078924.61453.FB.
Toopchizadeh V, Dolatkhah N, Aghamohammadi D, et al. Dietary inflammatory index is associated with pain intensity and some components of quality of life in patients with knee osteoarthritis. BMC Res Notes. 2020;13(1):448, doi: 10.1186/s13104-020-05277-x.
Christiansen MB, Thoma LM, Master H, et al. The Association of an Increasing Waist Circumference and Risk of Incident Low Physical Function in Adults with Knee Osteoarthritis. J Rheumatol. 2020;47(10):1550-6. doi: 10.3899/jrheum.190876.
Downloads
Published
Issue
Section
License
Copyright (c) 2023 Revista Médica del Instituto Mexicano del Seguro Social

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Authors retain their copyright and grant the Revista Médica del IMSS the right of first publication. Articles are distributed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which allows sharing as long as the author and the original source are properly credited.