{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T05:14:03Z","timestamp":1783314843982,"version":"3.54.6"},"reference-count":33,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,1,25]],"date-time":"2026-01-25T00:00:00Z","timestamp":1769299200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,25]],"date-time":"2026-01-25T00:00:00Z","timestamp":1769299200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aspenjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Parenter Enteral Nutr"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Traditional dietary measures, which reflect overall dietary health, provide limited insight into gut microbiota. We hypothesize that a higher dietary index for gut microbiota is associated with decreased incidence of advanced cardiovascular\u2010kidney\u2010metabolic syndrome and aim to investigate this association.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We analyzed data from the 2007 to 2020 National Health and Nutrition Examination Survey to conduct a cross\u2010sectional study of United States adults. The dietary index for gut microbiota was derived by quantifying and scoring 14 dietary components from the dietary recall interviews, while cardiovascular\u2010kidney\u2010metabolic syndrome was evaluated in accordance with the guidelines issued by the American Heart Association. The relationship between the dietary index for gut microbiota and advanced cardiovascular\u2010kidney\u2010metabolic syndrome was assessed using weighted logistic regression, restricted cubic splines, subgroup, and sensitivity analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 14,406 cardiovascular\u2010kidney\u2010metabolic syndrome participants were included, with 9782 classified as non\u2010advanced and 4624 as advanced. After adjusting for potential covariates, both logistic regression and restricted cubic splines revealed a significant negative correlation between the dietary index for gut microbiota and advanced cardiovascular\u2010kidney\u2010metabolic syndrome, with an adjusted odds ratio of 0.57 (95% confidence interval: 0.50, 0.65) for the fourth quartile in comparison to the reference group, which was strengthened in individuals with higher education and non\u2010smokers (both\n                      <jats:italic>P<\/jats:italic>\n                      for interaction &lt;0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A higher dietary index for gut microbiota is associated with decreased incidence of advanced cardiovascular\u2010kidney\u2010metabolic syndrome. Additional prospective cohort studies are required to validate these findings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jpen.70056","type":"journal-article","created":{"date-parts":[[2026,1,25]],"date-time":"2026-01-25T09:35:55Z","timestamp":1769333755000},"page":"440-447","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Association between the dietary index for gut microbiota and advanced cardiovascular\u2010kidney\u2010metabolic syndrome among United States adults: A cross\u2010sectional study"],"prefix":"10.1002","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-0251-6894","authenticated-orcid":false,"given":"Xin","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, The Second People's Hospital of Changzhou The Third Affiliated Hospital of Nanjing Medical University Changzhou 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