Table 4.
N 5 | N 10 | Total FLAIR lesion volume | Juxtacortical FLAIR lesion volume | Periventricular FLAIR lesion volume | ||||
---|---|---|---|---|---|---|---|---|
aβ* (95% CI) | P | aβ* (95% CI) | P | aβ* (95% CI) | P | |||
All participants | ||||||||
DII ScoreContinuous form | 115 | 118 | 0.36 (−0.17, 0.90) | 0.18 | −0.00 (−0.05, 0.05) | 0.98 | 0.40 (−0.33, 1.13) | 0.28 |
DII ScoreCategorical form | ||||||||
−2.176 to 0.241 | 33 | 35 | ||||||
0.242 to 1.864 | 29 | 38 | 0.46 (−0.90, 1.81) | 0.51 | −0.05 (−0.20, 0.10) | 0.53 | 0.07 (−1.79, 1.92) | 0.94 |
1.865 to 2.682 | 29 | 27 | 0.89 (−0.73, 2.51) | 0.28 | −0.04 (−0.21, 0.13) | 0.64 | 1.24 (−1.03, 3.51) | 0.28 |
>2.682 | 24 | 18 | 1.18 (−0.67, 3.03) | 0.21 | −0.07 (−0.25, 0.11) | 0.43 | 1.68 (−0.94, 4.31) | 0.21 |
Test for trend: | 0.21 | 0.49 | 0.13 | |||||
E-DII ScoreContinuous | 115 | 118 | 0.07 (−0.23, 0.36) | 0.64 | 0.00 (−0.03, 0.03) | 0.90 | 0.10 (−0.28, 0.49) | 0.61 |
E-DII ScoreCategorical form | ||||||||
−3.150 to −5.710 | 37 | 37 | ||||||
−5.711 to 0.713 | 27 | 28 | −0.20 (−1.33, 0.92) | 0.72 | −0.01 (−0.13, 0.11) | 0.88 | −0.49 (−1.94, 0.96) | 0.51 |
0.714 to 1.834 | 22 | 27 | −0.01 (−1.23, 1.22) | 0.99 | −0.06 (−0.18, 0.07) | 0.38 | 0.23 (−1.38, 1.84) | 0.78 |
>1.834 | 29 | 26 | −0.02 (−1.37, 1.32) | 0.97 | −0.03 (−0.17, 0.10) | 0.64 | 0.36 (−1.39, 2.11) | 0.69 |
Test for trend: | 0.99 | 0.54 | 0.60 | |||||
Limited to those with the same scanner | ||||||||
DII ScoreContinuous form | 128 | 123 | 0.43 (−0.08 to 0.94) | 0.10 | −0.01 (−0.04 to 0.03) | 0.76 | 0.37 (−0.38 to 1.11) | 0.33 |
DII ScoreCategorical form | ||||||||
−2.176 to 0.241 | 29 | 26 | ||||||
0.242 to 1.864 | 37 | 28 | 0.60 (−0.74 to 1.94) | 0.38 | −0.02 (−0.14 to 0.11) | 0.78 | 0.12 (−1.93 to 2.17) | 0.91 |
1.865 to 2.682 | 23 | 29 | 0.72 (−0.81 to 2.24) | 0.36 | −0.04 (−0.18 to 0.09) | 0.56 | 0.89 (−1.52 to 3.29) | 0.47 |
>2.682 | 39 | 40 | 1.58 (−0.26 to 3.42) | 0.09 | −0.06 (−0.20 to 0.08) | 0.40 | 1.75 (−1.04 to 4.55) | 0.22 |
Test for trend: | 0.09 | 0.31 | 0.14 | |||||
E-DII ScoreContinuous form | 128 | 123 | 0.20 (−0.12 to 0.51) | 0.22 | 0.00 (−0.02 to 0.03) | 0.72 | 0.16 (−0.27 to 0.59) | 0.47 |
E-DII ScoreCategorical form | ||||||||
−3.150 to −5.710 | 37 | 26 | ||||||
−5.711 to 0.713 | 33 | 39 | 0.41 (−0.73 to 1.54) | 0.48 | 0.02 (−0.08 to 0.13) | 0.66 | −0.17 (−1.78 to 1.45) | 0.84 |
0.714 to 1.834 | 26 | 27 | 0.66 (−0.58 to 1.89) | 0.30 | −0.01 (−0.12 to 0.10) | 0.83 | 0.59 (−1.19 to 2.38) | 0.52 |
>1.834 | 32 | 31 | 0.71 (−0.67 to 2.09) | 0.31 | −0.00 (−0.12 to 0.12) | 0.95 | 0.66 (−1.28 to 2.59) | 0.51 |
Test for trend: | 0.33 | 0.83 | 0.43 | |||||
Limited to those with a classic FDE | ||||||||
DII ScoreContinuous form | 136 | 126 | 0.60 (0.02 to 1.17) | 0.04 | 0.01 (−0.04 to 0.07) | 0.59 | 0.77 (−0.09 to 1.62) | 0.08 |
DII ScoreCategorical form | ||||||||
−2.176 to 0.241 | 35 | 32 | ||||||
0.242 to 1.864 | 35 | 29 | 1.70 (0.34 to 3.07) | 0.01 | −0.02 (−0.16 to 0.12) | 0.76 | 1.49 (−0.33 to 3.32) | 0.11 |
1.865 to 2.682 | 29 | 28 | 2.32 (0.61 to 4.04) | 0.01 | 0.05 (−0.12 to 0.22) | 0.56 | 1.65 (−0.39 to 3.68) | 0.11 |
> 2.682 | 37 | 37 | 2.45 (0.54 to 4.36) | 0.01 | −0.01 (−0.18 to 0.15) | 0.89 | 2.89 (−0.01 to 5.79) | 0.05 |
Test for trend: | 0.06 | 0.95 | 0.09 | |||||
E-DII ScoreContinuous form | 136 | 126 | 0.06 | 0.02 (−0.02 to 0.05) | 0.32 | 0.35 (−0.04 to 0.74) | 0.08 | |
E-DII ScoreCategorical form | ||||||||
−3.150 to −5.710 | 33 | 24 | ||||||
−5.711 to 0.713 | 37 | 40 | 0.46 (−0.37 to 1.29) | 0.28 | 0.02 (−0.08 to 0.13) | 0.66 | 0.27 (−0.53 to 1.08) | 0.51 |
0.714 to 1.834 | 31 | 32 | 1.41 (0.19 to 2.63) | 0.02 | 0.02 (−0.11 to 0.15) | 0.71 | 1.52 (0.12 to 2.91) | 0.03 |
> 1.834 | 35 | 30 | 0.81 (−0.34 to 1.96) | 0.17 | 0.04 (−0.11 to 0.18) | 0.62 | 1.38 (−0.06 to 2.82) | 0.06 |
Test for trend: | 0.15 | 0.65 | 0.05 | |||||
Limited to those with the same scanner and classic FDEs | ||||||||
DII ScoreContinuous form | 80 | 77 | 0.54 (−0.01, 1.10) | 0.05 | 0.02 (−0.04, 0.07) | 0.58 | 0.74 (−0.12, 1.60) | 0.09 |
DII ScoreCategorical form | ||||||||
−2.176 to 0.241 | 20 | 18 | ||||||
0.242 to 1.864 | 21 | 19 | 1.36 (0.06, 2.66) | 0.04 | −0.03 (−0.18, 0.13) | 0.73 | 1.16 (−0.59, 2.92) | 0.19 |
1.865 to 2.682 | 16 | 15 | 1.64 (0.06, 3.22) | 0.04 | 0.04 (−0.15, 0.23) | 0.72 | 1.17 (−0.84, 3.19) | 0.25 |
>2.682 | 23 | 25 | 2.01 (0.22, 3.81) | 0.03 | −0.01 (−0.20, 0.17) | 0.88 | 2.51 (−0.25, 5.28) | 0.08 |
Test for trend: | 0.09 | 0.96 | 0.11 | |||||
E-DII ScoreContinuous form | 80 | 77 | 0.38 (0.04, 0.72) | 0.03 | 0.02 (−0.02, 0.05) | 0.36 | 0.36 (−0.04, 0.76) | 0.07 |
E-DII ScoreCategorical form | ||||||||
−3.150 to −5.710 | 22 | 16 | ||||||
−5.711 to 0.713 | 25 | 27 | 0.85 (−0.05, 1.75) | 0.06 | 0.03 (−0.09, 0.14) | 0.63 | 0.49 (−0.42, 1.40) | 0.29 |
0.714 to 1.834 | 14 | 16 | 1.29 (0.19, 2.39) | 0.02 | 0.01 (−0.11, 0.14) | 0.83 | 1.39 (0.06, 2.72) | 0.04 |
>1.834 | 19 | 18 | 1.00 (−0.14, 2.14) | 0.09 | 0.03 (−0.11, 0.18) | 0.63 | 1.47 (−0.03, 2.98) | 0.06 |
Test for trend: | 0.10 | 0.71 | 0.05 |
All models were adjusted for dietary reporting, age, sex, disease-modifying therapy intensity, and whether converted to MS (yes/no). All models were adjusted for total energy intake except E-DII models.
Transformed (Box-Cox; back-transformed) linear mixed-effects models for repeated measures were used; results were then back-transformed and presented on their original scale at the mean of model covariates N5 and N10 are the number of people in each category at the 5- and 10-year reviews, respectively. CI = confidence interval; EDII = Dietary Inflammatory Index created with energy-adjusted global database; FDE = first demyelinating event; MS = multiple sclerosis.