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Abstract
This study investigated the cross-sectional association between an anti-inflammatory and anti-oxidant dietary pattern and diabetes in the national diet and nutrition survey (NDNS) rolling programme years 1–4. A total of 1531 survey members provided dietary data. Reduced Rank Regression (RRR) was used to derive an anti-inflammatory and anti-oxidant dietary pattern. Serum C-reactive protein (CRP) and plasma carotenoids were selected as response variables and markers of inflammation and antioxidant status, respectively. Overall, 52 survey members had diabetes. The derived anti-inflammatory and anti-oxidant dietary pattern was inversely related to CRP and positively to carotenoids. It was associated with lower odds of diabetes (multivariate adjusted OR for highest compared with lowest quintile: 0.17; 95%CI: 0.04–0.73; p for linear trend = 0.013). In conclusion, an anti-inflammatory and anti-oxidant dietary pattern is inversely related to diabetes. Further research is required to understand the overall framework within which foods and nutrients interact to affect metabolic pathways related to diabetes risk.
Acknowledgements
The authors would like to thank the Operations Team at NatCen and all interviewers involved for the collection of data; statisticians Dr Adrian Mander and Mark Chatfield for contributions to the survey design; and Melanie Farron-Wilson and Mary Day at the Department of Health for contributions to food composition issues. We also thank all the participants of the survey for providing their dietary information.
Disclosure statement
The authors declare no conflict of interest.
Funding information
The NDNS survey was funded by the Department of Health, the Food Standards Agency and Diabetes UK.