Relationship between the dietary inflammation index and hypertension in American children and adolescents: findings from the national health and nutrition examination survey 1999–2018

Abstract This study aimed to examine the relationship between the dietary inflammatory index (DII) and hypertension in children and adolescents using data from the National Health and Nutrition Examination Survey (NHANES) conducted between 1999 and 2018. The analysis included 18,460 participants age...

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Main Authors: Lanfei Du, Jinxia Hao, Kai Yu, Peihong Su, Jie Pu, Zhiguo Tang, Fuqiang Liu, Jie Zhou
Format: Article
Language:English
Published: BMC 2025-02-01
Series:BMC Cardiovascular Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12872-025-04515-z
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author Lanfei Du
Jinxia Hao
Kai Yu
Peihong Su
Jie Pu
Zhiguo Tang
Fuqiang Liu
Jie Zhou
author_facet Lanfei Du
Jinxia Hao
Kai Yu
Peihong Su
Jie Pu
Zhiguo Tang
Fuqiang Liu
Jie Zhou
author_sort Lanfei Du
collection DOAJ
description Abstract This study aimed to examine the relationship between the dietary inflammatory index (DII) and hypertension in children and adolescents using data from the National Health and Nutrition Examination Survey (NHANES) conducted between 1999 and 2018. The analysis included 18,460 participants aged 8 to 17 years, with 2,070 diagnosed with youth hypertension, defined as blood pressure above the 95th percentile for their age and gender. Dietary information was collected to calculate the DII, which was initially treated as a continuous variable and later categorized into tertiles. Multivariable weighted logistic regression and restricted cubic spline (RCS) analyses were conducted to explore the association between DII and youth hypertension. The results revealed a positive relationship between higher DII scores and increased likelihood of hypertension in youth, with both regression and RCS analyses showing a linear positive correlation after adjusting for potential confounders. The findings suggest that managing dietary inflammation may be an important strategy for preventing hypertension in children and adolescents.
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issn 1471-2261
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publishDate 2025-02-01
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series BMC Cardiovascular Disorders
spelling doaj-art-2dfd50afbdd74c539144dfcc474c24f92025-02-09T12:11:11ZengBMCBMC Cardiovascular Disorders1471-22612025-02-0125111010.1186/s12872-025-04515-zRelationship between the dietary inflammation index and hypertension in American children and adolescents: findings from the national health and nutrition examination survey 1999–2018Lanfei Du0Jinxia Hao1Kai Yu2Peihong Su3Jie Pu4Zhiguo Tang5Fuqiang Liu6Jie Zhou7Department of Cardiology, Chencang Hospital of Baoji CityDepartment of Internal Medicine, Xi’an Jiaotong University HospitalDepartment of Cardiology, Pucheng County HospitalShaanxi Provincial Key Laboratory of Ischemic Cardiovascular Disease, Institute of Basic and Translational Medicine, Xi’an Medical UniversityDepartment of Cardiology, Shaanxi Provincial People’s HospitalDepartment of Cardiology, Shaanxi Provincial People’s HospitalDepartment of Cardiology, Shaanxi Provincial People’s HospitalDepartment of Cardiology, Chencang Hospital of Baoji CityAbstract This study aimed to examine the relationship between the dietary inflammatory index (DII) and hypertension in children and adolescents using data from the National Health and Nutrition Examination Survey (NHANES) conducted between 1999 and 2018. The analysis included 18,460 participants aged 8 to 17 years, with 2,070 diagnosed with youth hypertension, defined as blood pressure above the 95th percentile for their age and gender. Dietary information was collected to calculate the DII, which was initially treated as a continuous variable and later categorized into tertiles. Multivariable weighted logistic regression and restricted cubic spline (RCS) analyses were conducted to explore the association between DII and youth hypertension. The results revealed a positive relationship between higher DII scores and increased likelihood of hypertension in youth, with both regression and RCS analyses showing a linear positive correlation after adjusting for potential confounders. The findings suggest that managing dietary inflammation may be an important strategy for preventing hypertension in children and adolescents.https://doi.org/10.1186/s12872-025-04515-zDIIHypertensionAdolescentsCross-sectional studyNHANES
spellingShingle Lanfei Du
Jinxia Hao
Kai Yu
Peihong Su
Jie Pu
Zhiguo Tang
Fuqiang Liu
Jie Zhou
Relationship between the dietary inflammation index and hypertension in American children and adolescents: findings from the national health and nutrition examination survey 1999–2018
BMC Cardiovascular Disorders
DII
Hypertension
Adolescents
Cross-sectional study
NHANES
title Relationship between the dietary inflammation index and hypertension in American children and adolescents: findings from the national health and nutrition examination survey 1999–2018
title_full Relationship between the dietary inflammation index and hypertension in American children and adolescents: findings from the national health and nutrition examination survey 1999–2018
title_fullStr Relationship between the dietary inflammation index and hypertension in American children and adolescents: findings from the national health and nutrition examination survey 1999–2018
title_full_unstemmed Relationship between the dietary inflammation index and hypertension in American children and adolescents: findings from the national health and nutrition examination survey 1999–2018
title_short Relationship between the dietary inflammation index and hypertension in American children and adolescents: findings from the national health and nutrition examination survey 1999–2018
title_sort relationship between the dietary inflammation index and hypertension in american children and adolescents findings from the national health and nutrition examination survey 1999 2018
topic DII
Hypertension
Adolescents
Cross-sectional study
NHANES
url https://doi.org/10.1186/s12872-025-04515-z
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