{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T05:49:09Z","timestamp":1791611349895,"version":"4.3.4"},"reference-count":27,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T00:00:00Z","timestamp":1791504000000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Food Science &amp; Nutrition"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Dietary inflammatory potential has been associated with prevalent continence problems, but cross\u2010population comparability and prospective associations remain uncertain. We examined these questions in three population studies. Repeated cross\u2010sectional analyses of the National Health and Nutrition Examination Survey (NHANES) 2005\u20132010 related a 25\u2010component Dietary Inflammatory Index (DII) to monthly mucus, liquid, or solid leakage. A 15\u2010component DII enabled a partially harmonized comparison with the English Longitudinal Study of Aging (ELSA). The Chinese Longitudinal Healthy Longevity Survey (CLHLS) 2008\u20132018 used a 13\u2010food directional score and combined urinary and bowel continence impairment. Analyses included logistic regression, splines, repeated measures, and sensitivity checks for dietary measurement, weighting, and missing covariates. Among 13,385 NHANES participants, each DII unit was associated with prevalent leakage (odds ratio 1.075, 95% confidence interval 1.029\u20131.124), with similar estimates across survey periods. Concurrent estimates were 1.136 (1.066\u20131.210) per 15\u2010component DII unit in ELSA and 1.440 (1.135\u20131.828) per score standard deviation in CLHLS. Combined weighting in ELSA and cognitive adjustment in CLHLS attenuated the estimates, with intervals including the null. Cumulative incident estimates were 0.974 (0.902\u20131.051) in ELSA and 1.044 (0.920\u20131.184) in CLHLS, using the respective exposure units. Concurrent associations were observed in the main analyses, but baseline scores showed no clear associations with incident outcomes. Dietary measurement differences, symptom\u2010related dietary changes, and functional or socioeconomic confounding limit interpretation. These findings extend cross\u2010sectional evidence without establishing that lowering dietary inflammatory potential prevents continence\u2010related symptoms.<\/jats:p>","DOI":"10.1002\/fsn3.72477","type":"journal-article","created":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T05:01:49Z","timestamp":1791608509000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Dietary Inflammatory Potential and Continence\u2010Related Symptoms: Cross\u2010Sectional and Longitudinal Analyses of Three Population Studies"],"prefix":"10.1002","volume":"14","author":[{"given":"Mengmeng","family":"Jiang","sequence":"first","affiliation":[{"name":"Department of Gastroenterology The Affiliated Huaian No. 1 People's Hospital of Nanjing Medical University  Huai'an China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mengshi","family":"Zhong","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology The Affiliated Huaian No. 1 People's Hospital of Nanjing Medical University  Huai'an China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology The Affiliated Huaian No. 1 People's Hospital of Nanjing Medical University  Huai'an China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jialing","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology The Affiliated Huaian No. 1 People's Hospital of Nanjing Medical University  Huai'an China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4761-0407","authenticated-orcid":false,"given":"Honggang","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology The Affiliated Huaian No. 1 People's Hospital of Nanjing Medical University  Huai'an China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,9]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/SPV.0000000000000702"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ueg2.12213"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41572\u2010022\u201000381\u20107"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/nur.21616"},{"key":"e_1_2_12_6_1","unstructured":"Center for Healthy Aging and Development Studies.2020.\u201cThe Chinese Longitudinal Healthy Longevity Survey: Longitudinal Data (1998\u20132018) (Version 2.1) [Data Set].\u201d Peking University Open Research Data Platform.https:\/\/doi.org\/10.18170\/DVN\/WBO7LK."},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/sim.3841"},{"key":"e_1_2_12_8_1","unstructured":"English Longitudinal Study of Ageing. n.d.\u2010a.\u201cEthical 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