{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T16:59:07Z","timestamp":1771865947033,"version":"3.50.1"},"reference-count":83,"publisher":"Georg Thieme Verlag KG","issue":"08","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Exp Clin Endocrinol Diabetes"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective This study focused on the association of the Dietary\n                    Inflammatory Index (DII) with the risk of gestational diabetes mellitus (GDM)\n                    using data from the National Health and Nutrition Examination Survey\n                    (NHANES).<\/jats:p><jats:p>\n          Methods Data from two cycles of NHANES (2007\u20132010) were analyzed. Weighted\n                    logistic regression models were constructed to explore the relationship between\n                    DII and GDM. Stratified and subgroup analyses with adjustment for confounding\n                    factors were carried out to explore the association between DII and GDM.\n                    Mediation analysis was conducted to investigate potential mediating factors.<\/jats:p><jats:p>\n          Results A total of 1,421 samples were analyzed. Based on the weighted\n                    logistic regression model, a strong positive association was observed between\n                    DII score and GDM risk (OR: 1.14, 95%CI: 1.02\u20131.26, P&lt;0.01),\n                    suggesting that a pro-inflammatory diet could considerably increase the\n                    likelihood of GDM occurrence. This positive association was particularly\n                    significant in populations who consume alcohol (OR:1.17, 95%CI: 1.03\u20131.34,\n                        P&lt;0.01) and have a body mass index&gt;30 kg\/m\u00b2 (OR: 1.18, 95% CI:\n                    1.01\u20131.38, P&lt;0.05). Mediation analysis indicated that the white blood\n                    cell count mediated the association between DII and GDM, with an indirect effect\n                    of 0.000828 (95% CI: 0.000226\u20130.001347, P=0.001) and a mediation\n                    proportion of 8.01%. Specifically, the neutrophil count as a component\n                    contributed to this mediation effect (0.000774, 95% CI: 0.00014\u20130.001063,\n                        P=0.001), with a mediation proportion of 7.59%.<\/jats:p><jats:p>\n          Conclusion A pro-inflammatory diet in women elevates the likelihood of GDM\n                    occurrence. An anti-inflammatory dietary pattern may be a protective\n                    intervention for GDM.<\/jats:p>","DOI":"10.1055\/a-2293-7983","type":"journal-article","created":{"date-parts":[[2024,4,25]],"date-time":"2024-04-25T22:49:32Z","timestamp":1714085372000},"page":"453-462","source":"Crossref","is-referenced-by-count":6,"title":["Association Analysis of Dietary Inflammatory Index and Gestational\n                    Diabetes Mellitus: Based on National Health and Nutrition Examination Survey\n                    Database"],"prefix":"10.1055","volume":"132","author":[{"given":"Yamin","family":"Zeng","sequence":"additional","affiliation":[{"name":"Department of Obstetric, The First People&apos;s Hospital of\n                    Xiaoshan District, Xiaoshan District, Hangzhou, Zhejiang, 311200,\n                    China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yina","family":"Piao","sequence":"additional","affiliation":[{"name":"Department of Obstetric, The First People&apos;s Hospital of\n                    Xiaoshan District, Xiaoshan District, Hangzhou, Zhejiang, 311200,\n                    China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,4,25]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1007\/s00508-023-02181-9","article-title":"Gestational diabetes mellitus (Update 2023)","volume":"135","author":"A Kautzky-Willer","year":"2023","journal-title":"Wien Klin Wochenschr"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"628","DOI":"10.3803\/EnM.2020.948","article-title":"The clinical characteristics of gestational diabetes mellitus in Korea: A\n                    National Health Information Database Study","volume":"36","author":"K S Kim","year":"2021","journal-title":"Endocrinol Metab (Seoul)"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1111\/1753-0407.12558","article-title":"Interactions 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