Table 3.

Multivariable adjusted hazard ratio (HR) and 95% CI of all-cause, cardiovascular, and cancer mortality according to the DII tertile categories in Metabolically Healthy Overweight/Obese (MHO) and Metabolically Unhealthy Overweight/Obese (MUO) phenotypes in NHANES III follow up study, 1988–1994, followed up for death until December 31, 2011.

	Metabolically Healthy Overweight/Obese (MHO) phenotype					Metabolically Unhealthy Overweight/Obese (MUO) phenotype
	DII tertile 1	DII tertile 2	DII tertile 3	P trend	HR for a 1 SD increase in DII	DII tertile 1	DII tertile 2	DII tertile 3	P trend	HR for a 1 SD increase in DII
No. of participants	570	611	634			674	634	610
No. of person years	10398	11086	11478			11407	10315	9732
Deaths from all causes, n	73	80	93			188	213	221
	1.00 (ref.)	0.78 (0.56–1.11)	0.77 (0.50–1.20)	0.27	0.93 (0.76–1.13)	1.00 (ref.)	1.41 (1.15–1.73)	1.44 (1.11–1.86)	0.008	1.08 (0.99–1.18)
CVD Deaths, n	18	20	29			55	61	69
	1.00 (ref.)	0.84 (0.32–2.18)	1.05 (0.56–1.98)	0.75	1.11 (0.79–1.55)	1.00 (ref.)	2.48 (1.79–3.44)	3.29 (2.01–5.37)	<0.001	1.40 (1.18–1.66)
* Cancer Deaths, n	21	20	14			46	53	55
	1.00 (ref.)	0.86 (0.43–1.70)	0.42 (0.13–1.34)	0.12	0.75 (0.50–1.13)	1.00 (ref.)	1.20 (0.80–1.78)	1.26 (0.76–2.08)	0.35	1.05 (0.85–1.30)

Data are presented as hazard ratio (95% confidence interval).

Abbreviations: DII, dietary inflammatory index; CVD, cardiovascular disease.

Multivariable adjusted hazard ratio is adjusted for age, sex, race/ethnicity(non-Hispanic white, non-Hispanic black, or others), educational attainment(<12 years, 12 years, or >12 years of education), income[low (poverty income ratio (PIR) ≤ 1.3), middle (1.3<PIR ≤ 3.5), and high (PIR>3.5)], smoking status(never, former, and current), level of physical activity(inactive, insufficient activity, recommended activity), and body mass index.

^*Those who had a history of skin cancer were additionally excluded.