Association of dietary inflammatory index with gynecological cancers in NHANES 2011–2018

ObjectiveThis study aimed to analyze the association between the Dietary Inflammatory Index (DII) and the risk of gynecological cancers using data collected from the National Health and Nutrition Examination Survey (NHANES) between 2011 and 2018.MethodsThe data for this study were obtained from NHAN...

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Main Authors: Chen Chen, Mengyu Zheng, Xing Dong, Pei Zhang, Zhuo Bao, Yushan Cao, Yixuan Liu, Jinxiang Yan, Yongzhen Guo, Xianxu Zeng
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-05-01
Series:Frontiers in Nutrition
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Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2025.1560987/full
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author Chen Chen
Chen Chen
Mengyu Zheng
Mengyu Zheng
Xing Dong
Xing Dong
Pei Zhang
Pei Zhang
Zhuo Bao
Zhuo Bao
Yushan Cao
Yushan Cao
Yixuan Liu
Yixuan Liu
Jinxiang Yan
Jinxiang Yan
Yongzhen Guo
Yongzhen Guo
Xianxu Zeng
Xianxu Zeng
author_facet Chen Chen
Chen Chen
Mengyu Zheng
Mengyu Zheng
Xing Dong
Xing Dong
Pei Zhang
Pei Zhang
Zhuo Bao
Zhuo Bao
Yushan Cao
Yushan Cao
Yixuan Liu
Yixuan Liu
Jinxiang Yan
Jinxiang Yan
Yongzhen Guo
Yongzhen Guo
Xianxu Zeng
Xianxu Zeng
author_sort Chen Chen
collection DOAJ
description ObjectiveThis study aimed to analyze the association between the Dietary Inflammatory Index (DII) and the risk of gynecological cancers using data collected from the National Health and Nutrition Examination Survey (NHANES) between 2011 and 2018.MethodsThe data for this study were obtained from NHANES, conducted between 2011 and 2018, and included a total of 8,380 women. To examine the association between the Dietary Inflammatory Index and gynecological cancers, weighted multivariable logistic regression analyses were performed, using DII both as a continuous variable and as a categorical variable divided into tertiles. Subgroup analyses stratified by DII and gynecological cancer characteristics were conducted to further explore this association. Additionally, restricted cubic spline (RCS) analysis was applied to evaluate potential non-linear relationships between DII and gynecological cancer risk.ResultsAmong the 8,380 women included in the analysis, the mean age was 47.02 (SD: 16.91) years, and 196 participants self-reported a diagnosis of gynecological cancer. In fully adjusted models, DII was significantly positively associated with the prevalence of gynecological cancer, whether analyzed as a continuous variable (OR = 1.15, 95% CI: 1.00–1.33, p = 0.046) or as a categorical variable (highest tertile compared to the lowest tertile: OR = 2.14, 95% CI: 1.14–4.04, p = 0.021, p for trend = 0.021). Restricted cubic spline analysis confirmed a linear relationship between DII and gynecological cancer risk (p for non-linear association = 0.1984). Subgroup analyses revealed a significant interaction effect with smoking status (p for interaction = 0.037).ConclusionOur findings suggest that higher DII scores are positively associated with an increased risk of gynecological cancer. These results contribute to the existing literature and underscore the need for further validation through larger prospective cohort studies.
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spelling doaj-art-6d4cf6cc42d24be49f95f8f1365539062025-08-20T02:15:29ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2025-05-011210.3389/fnut.2025.15609871560987Association of dietary inflammatory index with gynecological cancers in NHANES 2011–2018Chen Chen0Chen Chen1Mengyu Zheng2Mengyu Zheng3Xing Dong4Xing Dong5Pei Zhang6Pei Zhang7Zhuo Bao8Zhuo Bao9Yushan Cao10Yushan Cao11Yixuan Liu12Yixuan Liu13Jinxiang Yan14Jinxiang Yan15Yongzhen Guo16Yongzhen Guo17Xianxu Zeng18Xianxu Zeng19Department of Pathology, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaZhengzhou Key Laboratory of Gynecological Disease’s Early Diagnosis, Zhengzhou, ChinaDepartment of Pathology, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaZhengzhou Key Laboratory of Gynecological Disease’s Early Diagnosis, Zhengzhou, ChinaDepartment of Pathology, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaZhengzhou Key Laboratory of Gynecological Disease’s Early Diagnosis, Zhengzhou, ChinaDepartment of Pathology, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaZhengzhou Key Laboratory of Gynecological Disease’s Early Diagnosis, Zhengzhou, ChinaDepartment of Pathology, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaZhengzhou Key Laboratory of Gynecological Disease’s Early Diagnosis, Zhengzhou, ChinaDepartment of Pathology, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaZhengzhou Key Laboratory of Gynecological Disease’s Early Diagnosis, Zhengzhou, ChinaDepartment of Pathology, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaZhengzhou Key Laboratory of Gynecological Disease’s Early Diagnosis, Zhengzhou, ChinaDepartment of Pathology, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaZhengzhou Key Laboratory of Gynecological Disease’s Early Diagnosis, Zhengzhou, ChinaDepartment of Pathology, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaZhengzhou Key Laboratory of Gynecological Disease’s Early Diagnosis, Zhengzhou, ChinaDepartment of Pathology, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaZhengzhou Key Laboratory of Gynecological Disease’s Early Diagnosis, Zhengzhou, ChinaObjectiveThis study aimed to analyze the association between the Dietary Inflammatory Index (DII) and the risk of gynecological cancers using data collected from the National Health and Nutrition Examination Survey (NHANES) between 2011 and 2018.MethodsThe data for this study were obtained from NHANES, conducted between 2011 and 2018, and included a total of 8,380 women. To examine the association between the Dietary Inflammatory Index and gynecological cancers, weighted multivariable logistic regression analyses were performed, using DII both as a continuous variable and as a categorical variable divided into tertiles. Subgroup analyses stratified by DII and gynecological cancer characteristics were conducted to further explore this association. Additionally, restricted cubic spline (RCS) analysis was applied to evaluate potential non-linear relationships between DII and gynecological cancer risk.ResultsAmong the 8,380 women included in the analysis, the mean age was 47.02 (SD: 16.91) years, and 196 participants self-reported a diagnosis of gynecological cancer. In fully adjusted models, DII was significantly positively associated with the prevalence of gynecological cancer, whether analyzed as a continuous variable (OR = 1.15, 95% CI: 1.00–1.33, p = 0.046) or as a categorical variable (highest tertile compared to the lowest tertile: OR = 2.14, 95% CI: 1.14–4.04, p = 0.021, p for trend = 0.021). Restricted cubic spline analysis confirmed a linear relationship between DII and gynecological cancer risk (p for non-linear association = 0.1984). Subgroup analyses revealed a significant interaction effect with smoking status (p for interaction = 0.037).ConclusionOur findings suggest that higher DII scores are positively associated with an increased risk of gynecological cancer. These results contribute to the existing literature and underscore the need for further validation through larger prospective cohort studies.https://www.frontiersin.org/articles/10.3389/fnut.2025.1560987/fulldietary inflammatory index (DII)gynecological cancers (GC)NHANES (National Health and Nutrition Examination Survey)RCSsmoking
spellingShingle Chen Chen
Chen Chen
Mengyu Zheng
Mengyu Zheng
Xing Dong
Xing Dong
Pei Zhang
Pei Zhang
Zhuo Bao
Zhuo Bao
Yushan Cao
Yushan Cao
Yixuan Liu
Yixuan Liu
Jinxiang Yan
Jinxiang Yan
Yongzhen Guo
Yongzhen Guo
Xianxu Zeng
Xianxu Zeng
Association of dietary inflammatory index with gynecological cancers in NHANES 2011–2018
Frontiers in Nutrition
dietary inflammatory index (DII)
gynecological cancers (GC)
NHANES (National Health and Nutrition Examination Survey)
RCS
smoking
title Association of dietary inflammatory index with gynecological cancers in NHANES 2011–2018
title_full Association of dietary inflammatory index with gynecological cancers in NHANES 2011–2018
title_fullStr Association of dietary inflammatory index with gynecological cancers in NHANES 2011–2018
title_full_unstemmed Association of dietary inflammatory index with gynecological cancers in NHANES 2011–2018
title_short Association of dietary inflammatory index with gynecological cancers in NHANES 2011–2018
title_sort association of dietary inflammatory index with gynecological cancers in nhanes 2011 2018
topic dietary inflammatory index (DII)
gynecological cancers (GC)
NHANES (National Health and Nutrition Examination Survey)
RCS
smoking
url https://www.frontiersin.org/articles/10.3389/fnut.2025.1560987/full
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