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. 2023 Mar 23;14:1131802. doi: 10.3389/fpsyt.2023.1131802

Table 4.

Risk of depression by quartile of DII or E-DII stratified according to quartiles of HOMA-IR.

Model 1 Model 2
OR (95% CI) OR (95% CI)
Quartiles of DII
0.03 ≤ HOMA-IR < 1.46
Q1 Reference
Q2 1.51 (0.69–3.33) 1.16 (0.53–2.57)
Q3 3.15 (1.59–6.23) 1.80 (0.87–3.75)
Q4 5.07 (2.67–9.62) 2.48 (1.15–5.36)
1.46 ≤ HOMA-IR < 2.42
Q1 Reference
Q2 1.19 (0.68–2.08) 0.94 (0.49–1.79)
Q3 1.63 (0.74–3.58) 1.22 (0.47–3.14)
Q4 4.04 (2.21–7.38) 2.36 (1.13–4.90)
2.42 ≤ HOMA-IR < 4.20
Q1 Reference
Q2 0.81 (0.39–1.71) 0.77 (0.35–1.73)
Q3 1.07 (0.51–2.24) 1.10 (0.43–2.79)
Q4 1.82 (0.87–3.81) 1.80 (0.71–4.55)
HOMA-IR ≥ 4.20
Q1 Reference
Q2 0.96 (0.54–1.70) 0.86 (0.48–1.55)
Q3 1.81 (1.06–3.08) 1.53 (0.81–2.90)
Q4 1.67 (1.01–2.77) 1.17 (0.54–2.54)
P a interaction 0.862 0.661
Quartiles of E-DII
0.03 ≤ HOMA-IR < 1.46
Q1 Reference
Q2 1.74 (0.82–3.67) 1.16 (0.53–2.53)
Q3 2.00 (0.96–4.18) 1.23 (0.55–2.76)
Q4 2.86 (1.43–5.73) 1.43 (0.68–3.00)
1.46 ≤ HOMA-IR < 2.42
Q1 Reference
Q2 1.64 (0.71–3.78) 1.68 (0.86–3.32)
Q3 1.46 (0.61–3.49) 1.34 (0.65–2.79)
Q4 2.41 (1.03–5.61) 2.04 (1.03–4.02)
2.42 ≤ HOMA-IR < 4.20
Q1 Reference
Q2 0.50 (0.26–0.97) 0.46 (0.22–0.94)
Q3 1.12 (0.56–2.24) 0.97 (0.46–2.06)
Q4 2.17 (1.14–4.14) 1.54 (0.72–3.31)
HOMA-IR ≥ 4.20
Q1 Reference
Q2 1.36 (0.76–2.44) 1.23 (0.66–2.28)
Q3 1.43 (0.81–2.52) 1.40 (0.75–2.62)
Q4 1.40 (0.80–2.43) 1.29 (0.70–2.37)
P b interaction 0.536 0.629

Q1, first quartile; Q2, second quartile; Q3, third quartile; Q4, fourth quartile; OR, odds ratio; CI, confidence interval; E-DII, energy-adjusted dietary inflammatory index; DII, dietary inflammatory index; HOMA-IR, homeostatic model assessment for insulin resistance. Painteraction is the value of interaction between DII and HOMA-IR on depression; Pbinteraction is the value of interaction between E-DII and HOMA-IR on depression; E-DII is empirical dietary inflammatory index; Model 1: Did not adjust any covariates; Model 2: Adjusted for gender, education, race, marital status, age, PIR, CVD, DM, hypertension, BMI, WC, energy intake, alcohol use, and serum cotinine.