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Dietary inflammation index (DII) and energy-dietary inflammation index (E-DII) have not been evaluated together with constipation. Therefore, this study was conducted to further observe the relationship between DII and E-DII and constipation in American adults.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Data were extracted from the National Health and Nutrition Examination Survey (NHANES) for 12,400 adults aged 20\u00a0years and older between 2005 and 2010. DII and E-DII were obtained by employing data from the two 24-h dietary recall of the participants. Constipation was defined and categorized using the Bristol Stool Form Scale.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>In the logistic regression model, the relationship between DII and E-DII and constipation remained positive after adjusting for confounding factors (odds ratio [<jats:italic>OR<\/jats:italic>]\u2009=\u20091.13; 95% confidence interval [<jats:italic>CI<\/jats:italic>]: 1.07\u20131.20 in DII logistic regression model III; odds ratio [<jats:italic>OR<\/jats:italic>]\u2009=\u20091.09; 95% confidence interval [<jats:italic>CI<\/jats:italic>]: 1.03\u20131.17 in E-DII logistic regression model III). Constipation was more common in quartile 4 (DII: 2.87\u20145.09; E-DII: 1.78\u20148.95) than in quartile 1 (DII: -5.11\u20140.25; E-DII: -2.60\u20140.11) (<jats:italic>OR<\/jats:italic>\u2009=\u20091.79, 95% <jats:italic>CI<\/jats:italic>: 1.30\u20132.47 in DII and <jats:italic>OR<\/jats:italic>\u2009=\u20091.75, 95% <jats:italic>CI<\/jats:italic>: 1.25\u20132.46 in E-DII for all participants; <jats:italic>OR<\/jats:italic>\u2009=\u20092.04, 95% <jats:italic>CI<\/jats:italic>: 1.39\u20133.00 in DII <jats:italic>OR<\/jats:italic>\u2009=\u20092.20, 95% <jats:italic>CI<\/jats:italic>: 1.39\u20133.47 in E-DII for males; <jats:italic>OR<\/jats:italic>\u2009=\u20091.86, 95% <jats:italic>CI<\/jats:italic>: 1.08\u20133.22 and <jats:italic>OR<\/jats:italic>\u2009=\u20091.80, 95% <jats:italic>CI<\/jats:italic>: 1.06\u20133.06 for females). These results were confirmed using multiple imputations.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>The findings of this study show that a high DII and E-DII were associated with an increased incidence of constipation among US adults.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12876-024-03307-7","type":"journal-article","created":{"date-parts":[[2024,7,26]],"date-time":"2024-07-26T19:01:41Z","timestamp":1722020501000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Association between dietary inflammatory index and energy-adjusted dietary inflammatory index and constipation in US adults"],"prefix":"10.1186","volume":"24","author":[{"given":"Xuelian","family":"Zhao","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaoyu","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Longfang","family":"Quan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,7,25]]},"reference":[{"issue":"5","key":"3307_CR1","doi-asserted-by":"publisher","first-page":"1262","DOI":"10.1053\/j.gastro.2019.12.021","volume":"158","author":"OS Palsson","year":"2020","unstructured":"Palsson OS, Whitehead W, T\u00f6rnblom H, et al. 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