Deans' stroke musings: Non-linear relationship between the dietary inflammatory index and stroke risk in metabolically healthy obese individuals: an analysis of NHANES 1999-2023 data

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Monday, July 7, 2025

Non-linear relationship between the dietary inflammatory index and stroke risk in metabolically healthy obese individuals: an analysis of NHANES 1999-2023 data

Didn't your competent? doctor create a protocol on this years ago? NO? So, you don't have a functioning stroke doctor, do you?

You can estimate yours here:

Dietary inflammatory index calculator

Unless you think your doctor knows how to do this.

dietary inflammatory index (5 posts to Aril 2016)

Non-linear relationship between the dietary inflammatory index and stroke risk in metabolically healthy obese individuals: an analysis of NHANES 1999-2023 data

Background Studies on the relationship between the dietary inflammatory index (DII) and stroke risk in metabolically healthy obese (MHO) individuals are limited. This study aimed to explore the association between DII and stroke risk in MHO individuals, using data from the National Health and Nutrition Examination Survey (NHANES) 1999-2023. Methods We performed a cross-sectional analysis of the NHANES, including 9872 MHO adults—defined as having a body mass index (BMI) ≥ 30 kg/m ² and no more than three metabolic abnormalities. Dietary intake was collected through 24-h recalls and weighted by the corresponding inflammatory effect coefficients, the sum of these weighted values yielded each participant’s DII score. Stroke status was ascertained from self-reported physician diagnosis recorded in the same survey cycle. Survey-weighted logistic regression and restricted cubic splines evaluated the DII–stroke association, while model performance was quantified with the area under the receiver operating characteristic (ROC) curve and decision-curve analysis (DCA). Results A significant non-linear relationship was observed between DII and stroke risk. Below a DII score of 2.0, each 1-unit increase in DII was associated with a 32% higher stroke risk (OR: 1.32, 95% CI: 1.04–1.66; p = 0.02). Above this threshold, each 1-unit increase in DII was associated with a 38% reduction in stroke risk (OR: 0.62, 95% CI: 0.44–0.89; p = 0.01). The model’s predictive performance showed an AUC of 0.801 for the fully adjusted model. Conclusion This study demonstrated a non-linear relationship between DII and stroke risk in MHO individuals, with a threshold effect at DII = 2.0. The DII may serve as a valuable predictor of stroke risk and guide dietary interventions in this population.