Association of Dietary Inflammatory Index with Serum IL-6, IL-10, and CRP Concentration during Pregnancy

妊娠期间饮食炎症指数与血清 IL-6、IL-10 和 CRP 浓度的关系

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作者:Joanna Pieczyńska, Sylwia Płaczkowska, Lilla Pawlik-Sobecka, Izabela Kokot, Rafał Sozański, Halina Grajeta

Background

The mother's diet has a direct impact on fetal development and pregnancy, and can also be important in the course of the body's inflammatory response. An anti-inflammatory diet can be a promising way to counter an excessive inflammatory response in pregnancy.

Conclusion

The anti-inflammatory potential of a pregnant woman's diet increases slightly with pregnancy development; however, its value has no permanent significant association with the level of CRP, IL-6, and IL-10.

Objective

The aim of the study was to examine the association between the dietary inflammatory index (DII) and the pregnant women's serum interleukin 6 (IL-6) and 10 (IL-10) and C-reactive protein (CRP) concentration in the course of normal and complicated pregnancy. Research

Procedures

The study included 45 Polish pregnant women recruited to the study. The DII, a literature-based dietary index to assess the inflammatory properties of diet, was estimated based on a seven-day 24-h recall and an food frequency questionnaire (FFQ) in each trimester of pregnancy. At the same time as the nutritional interviews, blood samples were collected for the determination of IL-6, IL-10, and CRP concentrations. The studied group was divided into subgroups with normal and complicated pregnancy and depending on the DII median.

Results

With the development of pregnancy, the DII score slightly decreased in subsequent trimesters: -1.78 in the first trimester, -2.43 in the second trimester, and -2.71 in the third trimester (p = 0.092). Independent of the trimester of pregnancy and the occurrence of pregnancy complications, the DII score did not affect the differences in the serum concentrations of IL-6, IL-10, and CRP, with the exception of CRP level in the second trimester in women with complicated pregnancy (subgroup with DII < median had a lower CRP level than subgroup with DII > median). In the first and third trimesters, there was a weak but significant positive correlation between the DII score and CRP concentration. During the second trimester, in the group with normal pregnancy and DII below the median, a significant negative correlation between the DII score and the serum IL-6 and IL-10 concentration was noted as well as in the third trimester for IL-6.

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