Frontiers in Nutrition,
Год журнала:
2025,
Номер
12
Опубликована: Апрель 16, 2025
Background
Frailty
is
a
prevalent
geriatric
syndrome
marked
by
diminished
physiological
reserves
and
heightened
vulnerability
to
stressors,
leading
adverse
health
outcomes
imposing
significant
economic
burdens
on
healthcare
systems.
Methods
This
study
investigates
the
relationship
between
Dietary
Index
for
Gut
Microbiota
(DI-GM)
risk
of
frailty
in
middle-aged
older
adults,
using
data
from
National
Health
Nutrition
Examination
Survey
(NHANES)
collected
2007
2018.
Weighted
logistic
regression,
subgroup
analysis,
restricted
cubic
splines
(RCS)
were
performed
evaluate
DI-GM
risk.
Additionally,
mediation
analysis
was
conducted
investigate
influence
relevant
inflammatory
parameters
complete
blood
count,
including
leukocyte
neutrophil
lymphocyte
ratio
(NLR),
systemic
response
index
(SIRI),
elucidate
how
may
onset
progression
frailty.
Results
In
this
cross-sectional
8,695
participants
with
mean
age
65.56
years,
3,173
individuals
classified
as
frail.
After
adjusting
all
covariates,
inverse
observed
Quartile
revealed
that
highest
quartile
had
significantly
lower
odds
compared
those
lowest
(OR:
0.80,
95%
CI:
0.65–0.99,
p
=
0.04).
Trend
analyses
across
models
demonstrated
consistent
higher
quartiles
(
<
0.0001
crude
model;
0.001
Model
1;
0.04
2).
Subgroup
confirmed
stability
impact
various
subgroups.
RCS
showed
decreased
linearly
increasing
levels.
Mediation
indicated
effects
NLR,
SIRI,
proportions
5.7,
7.9,
4.4,
5.5%,
respectively
(all
0.001).
Conclusion
The
levels
are
inversely
associated
frailty,
part
association
mediated
parameters.
Frontiers in Nutrition,
Год журнала:
2025,
Номер
12
Опубликована: Янв. 17, 2025
The
dietary
index
for
gut
microbiota.
DI-GM
is
an
innovative
metric
designed
to
capture
the
diversity
of
microbiome,
yet
its
association
with
constipation
remains
unstudied.
In
this
cross-sectional
study,
11,405
adults
aged
20
and
older
were
selected
from
National
Health
Nutrition
Examination
Survey
2005-2010
sample.
Constipation
was
defined
as
fewer
than
three
defecation
frequencies
per
week
using
bowel
health
questionnaire
(BHQ).
Fewer
movements
considered
by
Bowel
Questionnaire
derived
recall
data,
including
avocado,
broccoli,
chickpeas,
coffee,
cranberries,
fermented
dairy,
fiber,
green
tea,
soybean
whole
grains
beneficial
elements,
red
meat,
processed
refined
grains,
high
fat
detrimental
components.
Multivariable
weighted
logistic
employed
investigate
constipation.
Secondary
analyses
included
subgroup
analyses,
restricted
cubic
spline
(RCS),
multiple
imputation.
A
higher
microbiota
score
associated
a
lower
prevalence
(DI-GM:
OR
=
0.82,
95%
CI
0.75,
0.90;
score:
0.77,
0.67,
0.89).
After
grouping
DI-GM,
in
fully
adjusted
model,
participants
≥
6
significantly
negatively
correlated
both
(OR
0.48,
0.33,
0.71).
RCS
indicated
non-linear
relationship
between
Subgroup
age,
sex
common
complications
showed
no
statistically
significant
interactions
(p
>
0.05).
newly
proposed
inversely
related
When
treating
patients
constipation,
it
necessary
clinicians
provide
timely
effective
interventions
incorporating
avoid
further
deterioration
condition.
Frontiers in Nutrition,
Год журнала:
2025,
Номер
12
Опубликована: Янв. 22, 2025
Objectives
The
global
prevalence
of
diabetes
is
continuously
rising,
and
the
gut
microbiota
closely
associated
with
it.
Dietary
Index
for
Gut
Microbiota
(DI-GM)
assesses
impact
diet
on
microbiota,
but
its
association
risk
remains
unclear.
This
study
aims
to
investigate
between
DI-GM
analyze
mediating
roles
phenotypic
age
body
mass
index
(BMI).
Methods
Utilizing
data
from
National
Health
nutrition
examination
survey
(NHANES)
1999–2018,
we
included
17,444
adults
aged
20
years
older.
(score
range:
0–13)
was
calculated
based
dietary
recall.
Diabetes
diagnosed
laboratory
results
self-reported
information.
Multivariable
logistic
regression
used
diabetes,
adjusting
relevant
covariates.
Mediation
analysis
evaluated
BMI.
Results
After
confounders,
higher
scores
were
significantly
a
lower
(OR
=
0.93,
95%
CI
0.90–0.96,
p
<
0.001).
Compared
group
0–3,
those
5
0.76,
0.67–0.86)
≥
6
0.77,
0.68–0.88)
had
reduced
risk.
Phenotypic
BMI
accounted
41.02
25.57%
respectively.
Conclusion
Higher
are
partially
mediated
through
Frontiers in Nutrition,
Год журнала:
2025,
Номер
12
Опубликована: Март 19, 2025
Introduction
This
study
explore
the
association
between
dietary
index
for
gut
microbiota
(DI-GM)
and
prevalence
of
chronic
kidney
disease
(CKD).
Method
A
cross-sectional
participants
aged
≥20
years
using
data
drawn
from
NHANES
(2007–2018).
DI-GM
is
comprised
14
components
(10
beneficial
4
unfavorable).
CKD
diagnosis
based
on
urine
albumin-to-creatinine
ratio
(uACR)
estimated
glomerular
filtration
rate
(eGFR).
Logistic
regression
models
were
employed
to
evaluate
relationship
while
controlling
various
covariates.
Additionally,
a
spline
smooth
analysis
was
performed.
Subgroup
interaction
analyses
conducted
investigate
whether
any
factors
modified
this
relationship.
Results
total
28,843
eligible
study,
whom
5,461
diagnosed
with
CKD,
23,382
not.
Patients
exhibited
significantly
lower
scores
compared
healthy
individuals.
negative
observed
across
all
models,
being
more
pronounced
in
individuals
greater
than
5
those
≤3.
Beneficial
components,
such
as
fiber,
whole
grains,
coffee,
identified
protective
factors.
Moreover,
sex
make
an
effect
relationship,
stronger
effects
noted
women.
Conclusion
Higher
correlate
reduced
prevalence,
appears
be
women
men.
These
findings
suggest
that
enhancing
health
through
diet
may
serve
viable
strategy
prevention
management
particular
attention
sex-based
differences
prevention.
Frontiers in Medicine,
Год журнала:
2025,
Номер
11
Опубликована: Янв. 8, 2025
This
study
aimed
to
evaluate
the
health-related
quality
of
life
(HRQoL)
in
ankylosing
spondylitis
(AS)
patients
Chaoshan
region
and
identify
factors
influencing
ASAS
Health
Index
(ASAS-HI)
enhance
comprehensive
AS
treatment
strategies.
A
survey
ASAS-HI
was
conducted
on
82
from
rheumatology
outpatient
department
First
Affiliated
Hospital
Shantou
University
Medical
College.
The
Bath
Ankylosing
Spondylitis
Global
Score
(BAS-G)
assessed
overall
health
status,
Quality
Life
Questionnaire
(AS-QOL)
evaluated
life,
Disease
Activity
(BASDAI)
measured
disease
activity,
Functional
(BASFI)
functional
difficulties.
Inflammatory
markers
patient
data
were
collected,
univariate/multivariate
logistic
regression
analyses
used
explore
ASAS-HI.
mean
score
3.52
±
3.12.
positively
correlated
with
BASDAI
(r
=
0.478,
p
<
0.001),
ASDAS-CRP
0.406,
BASFI
0.338,
0.002),
BAS-G
0.335,
0.002).
Patients
ASDAS-ESR
≥
2.1,
spinal
tenderness
had
significantly
higher
scores
than
others
(p
0.001).
Spinal
radiographic
grading
identified
as
key
factors.
is
impacted
by
activity
limitations.
Early
assessment
crucial
for
optimizing
management
patients.
Frontiers in Nutrition,
Год журнала:
2025,
Номер
12
Опубликована: Март 13, 2025
Background
Previous
studies
have
highlighted
the
effects
of
diet
and
gut
microbiota
on
incidence
kidney
stones,
dietary
index
for
(DI-GM)
is
a
new
that
accurately
represents
variety
microbiota.
The
current
study
intends
to
examine
potential
correlation
between
DI-GM
stones.
Methods
Data
from
2007–2018
National
Health
Nutrition
Examination
Survey
(NHANES)
were
employed
in
this
cross-sectional
study.
history
stones
was
assessed
using
conditions
questionnaire.
In
order
multivariate
logistic
regression
implemented.
Additionally,
smoothed
curve
fitting,
subgroup
analyses,
sensitivity
analyses
conducted.
Results
investigation
encompassed
total
21,587
participants.
After
adjusting
all
covariates,
we
found
negatively
related
(OR
=
0.96,
95%
CI
0.93–0.98,
p
0.0021).
Compared
those
lowest
quartile,
participants
highest
quartile
had
lower
prevalence
0.86,
0.75–0.98,
0.0252).
fitting
revealed
linearly
associated
with
results
proved
robustness
main
analyses.
Conclusion
A
negative
supported
by
evidence
presented
This
finding
emphasizes
benefits
structure
according
reducing
Further
research
should
validate
discovery
employing
longitudinal
studies.
Frontiers in Immunology,
Год журнала:
2025,
Номер
16
Опубликована: Март 21, 2025
Background
Dietary
Index
of
Gut
Microbiota
(DI-GM)
is
a
newly
proposed
comprehensive
metric
for
assessing
dietary
quality
in
relation
to
gut
microbiota
composition.
Alterations
muscle
structure
are
closely
linked
DNA
methylation-based
biological
age
assessments
and
individual
patterns.
However,
systematic
investigation
the
interrelationships
among
DI-GM,
age,
sarcopenia
remains
lacking.
We
hypothesize
that
consuming
foods
beneficial
may
help
mitigate
risk
by
slowing
aging
process.
Methods
This
study
analyzed
data
from
NHANES
2007–2018.
DI-GM
was
calculated
using
two
24-hour
recall
datasets.
Sarcopenia
assessed
via
dual-energy
X-ray
absorptiometry
(DXA).
The
association
between
evaluated
multivariate
logistic
regression,
subgroup
analysis,
restricted
cubic
splines.
also
investigated
potential
mediating
effects
three
indicators:
Klemera-Doubal
Method
(KDM),
PhenoAge,
Homeostatic
Dysregulation
(HD).
Results
An
increase
score
significantly
associated
with
reduced
(OR:
0.87,
95%
CI:
0.82–0.94).The
lower
highest
quartile
group
(Q3)
0.25,
0.11–0.58).
age-related
indicators
(KDM,
PA,
HD)
partially
mediated
sarcopenia,
PhenoAge
showing
mediation
proportion
at
30.6%.
Conclusion
A
higher
sarcopenia.
HD,
KDM
demonstrated
significant
effects,
proportion.
Frontiers in Nutrition,
Год журнала:
2025,
Номер
12
Опубликована: Март 21, 2025
Background
Gut
microbiota
is
reported
to
be
related
the
onset
of
insulin
resistance
(IR)
and
type
2
diabetes
mellitus
(T2DM).
The
dietary
index
for
gut
(DI-GM)
a
novel
reflecting
diversity.
We
aimed
evaluate
association
DI-GM
with
T2DM
IR.
Methods
This
cross-sectional
research
comprised
10,600
participants
aged
≥20
from
National
Health
Nutrition
Examination
Survey
(NHANES)
2007–2018.
employed
weighted
multivariable
linear
logistic
regression
models
examine
correlation
Linear
or
nonlinear
relationships
were
examined
by
restricted
cubic
spline
(RCS)
regression.
Additionally,
subgroup
sensitivity
analyses
performed
ensure
reliability
results.
Mediation
analysis
explored
roles
body
mass
(BMI)
inflammatory
factors
in
these
associations.
Results
Higher
inversely
associated
(OR
=
0.93,
95%CI:
0.89–0.98)
IR
0.95,
0.91–0.99)
after
adjusting
confounders.
≥
6
group
showed
significantly
lower
risks
0.74,
0.60–0.91)
0.77,
0.62–0.95).
RCS
demonstrated
relationship
between
T2DM,
as
well
was
also
correlated
risk
markers
T2DM.
that
BMI
systemic
inflammation
response
partly
mediated
IR,
while
immune-inflammation
only
Conclusion
mediating
this
association.
Frontiers in Nutrition,
Год журнала:
2025,
Номер
12
Опубликована: Март 31, 2025
The
diet-microbiota-gut-brain
axis
is
an
emerging
frontier
in
brain
health,
with
microbiota-targeted
dietary
interventions
offering
potential
benefits.
This
study
aimed
to
explore
the
association
between
recently
introduced
index
for
gut
microbiota
(DI-GM)
and
self-reported
severe
headache
or
migraine
U.S.
adults.
cross-sectional
analyzed
National
Health
Nutrition
Examination
Survey
(NHANES)
data
from
1999
2004.
Severe
was
determined
based
on
participants'
responses
question:
"Have
you
had
a
past
3
months?"
DI-GM
calculated
recall
data.
Multivariable
logistic
regression
models
were
performed
evaluate
odds
ratio
(OR)
95%
confidence
interval
(95%
CI)
migraine.
Secondary
analyses
included
restricted
cubic
splines
(RCS)
subgroup
analyses.
After
adjustments,
higher
score
BGMS
associated
lower
prevalence
of
(DI-GM:
OR
=
0.95,
CI
0.91-0.99,
p
0.011;
BGMS:
0.90,
0.85-0.96,
0.003).
RCS
showed
linear
relationship
In
two-piecewise
models,
adjusted
developing
0.90
0.85-0.97,
0.005)
participants
≥
4,
whereas
no
observed
those
<
4.
negatively
adults,
particularly
when
scores
exceeded
Frontiers in Nutrition,
Год журнала:
2025,
Номер
12
Опубликована: Март 31, 2025
Background
Given
the
global
changes
in
environmental
and
dietary
habits,
understanding
potential
impact
of
factors
diet-related
inflammation
on
skeletal
muscle
diseases,
including
sarcopenia,
is
crucial.
Investigating
these
relationships
can
aid
development
more
effective
prevention
strategies.
This
study
used
Dietary
Index
for
Gut
Microbiota
(DI-GM)
Inflammatory
(DII)
as
variables.
DI-GM
a
scoring
system
to
assess
influence
diet
health.
Additionally,
DII
quantifies
inflammatory
diet.
explores
association
between
sarcopenia
evaluates
whether
moderates
this
relationship.
Methods
conducted
cross-sectional
analysis
9,470
participants
from
2011–2018
NHANES
database.
Multivariable
logistic
regression,
restricted
cubic
splines
(RCS),
subgroup
were
employed
examine
prevalence
sarcopenia.
mediation
was
performed
investigate
associations
DII,
DI-GM,
Results
A
total
included
study,
whom
823
(7%)
had
After
adjusting
all
variables
using
multivariable
each
one-unit
increase
associated
with
15%
decrease
(OR
=
0.85,
95%
CI:
0.77,
0.94),
while
28%
1.28,
1.17,
1.41).
Furthermore,
results
remained
robust
when
divided
into
tertiles.
RCS
revealed
significant
linear
relationship
The
also
showed
that
above
robust.
Mediation
55%
mediated
by
(
P
<
0.001).
Conclusion
Adhering
recommendations
based
may
reduce
appears
mediate
relationship,
suggesting
an
anti-inflammatory
could
offer
benefits.