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. 2023 May 6;29(8):1012–1023. doi: 10.1177/13524585231167739

Table 4.

The association between the Diet inflammatory indices (habitual intake in the previous 12 months) at 5- and 10-year reviews and total fluid-attenuated inversion recovery (FLAIR) lesion volume, juxtacortical FLAIR lesion volume and periventricular FLAIR lesion volume at the 5- and 10-year reviews, AusLong Study, 2003–present.

N 5 N 10 Total FLAIR lesion volume Juxtacortical FLAIR lesion volume Periventricular FLAIR lesion volume
* (95% CI) P * (95% CI) P * (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.