Keywords
dietary inflammatory index; inflammation; physical activity; athletes
Document Type
Article
Abstract
Inflammation is the body's response to tissue damage and infection. Prolonged inflammation can increase the risk of non-communicable diseases, including cardiovascular disease. Some factors that can trigger inflammation are dietary patterns, high physical activity, and body composition. This study examined the correlation between dietary inflammatory index (DII), physical activity, body composition, and high sensitivity C-reactive protein (hs-CRP) levels. It examined differences in characteristics based on gender. This study was a cross-sectional design of 55 adolescent athletes at the Student Sports Education and Training Center in Central Java. The exclusion criteria were an athlete who had a physical injury (did not participate in training) and a smoker. The DII score was calculated based on the dietary pattern using SQFFQ, anthropometric data (weight, height, and nutritional status based on BMI/age), body composition (body fat percentage, fat mass, and fat-free mass) using the BIA tool, physical activity data for the last seven days using IPAQ and hs-CRP levels using the FIA method. Our result showed that the DII score was significantly correlated with hs-CRP (p=0.013). There was no correlation between physical activity, body composition, and anthropometry with hs-CRP levels (p>0.05). There were differences in body height, body weight, body fat percentage, and fat-free mass between males and females (p<0.001). The diet of athletes had anti-inflammatory potential (83.6%), as evidenced by the intake of vitamins and minerals, and athletes had low hs-CRP levels <1 mg/L (85.5%), indicating that no inflammation occurred. Future longitudinal research is needed with a large population of adolescent athletes to explain the role of anti-inflammatory and pro-inflammatory diets on the incidence of inflammation and measure physical exercise in athletes to reduce inflammatory bias.
Page Range
114-124
Issue
2
Volume
12
Digital Object Identifier (DOI)
10.21831/jk.v12i2.73072
DOI Link
http://dx.doi.org/10.21831/jk.v12i2.73072
Recommended Citation
Widyastuti, T., Susanto, H., Noer, E. R., Muniroh, M., & Widyastiti, N. S. (2024). Dietary inflammatory index, physical activity, body composition, and high sensitivity c-reactive protein levels in adolescent athletes in Central Java. Jurnal Keolahragaan, 12(2), 114-124. https://doi.org/10.21831/jk.v12i2.73072
References
Ackland, T. R., Lohman, T. G., Sundgot-Borgen, J., Maughan, R. J., Meyer, N. L., Stewart, A. D., & Müller, W. (2012). Current status of body composition assessment in sport. Sports Medicine, 42(3), 227–249. https://doi.org/10.2165/11597140-000000000-00000
Aguiar, S. S., Sousa, C. V., Deus, L. A., Rosa, T. S., Sales, M. M., Neves, R. V. P., Barbosa, L. P., Santos, P. A., Campbell, C. S., & Simões, H. G. (2020). Oxidative stress, inflammatory cytokines, and body composition of master athletes: The interplay. Experimental Gerontology, 130, 110806. https://doi.org/10.1016/j.exger.2019.110806
Baranauskas, M., Stukas, R., Tubelis, L., Žagminas, K., Šurkienė, G., Švedas, E., Giedraitis, V. R., Dobrovolskij, V., & Abaravičius, J. A. (2015). Nutritional habits among high-performance endurance athletes. Medicina, 51(6), 351–362. https://doi.org/10.1016/j.medici.2015.11.004
Bermon, S., Castell, L., Calder, P., Bishop, N., Blomstrand, E., Mooren, F., Kruger, K., Kavazis, A., Quandry, J., Senchina, D., Nieman, D., Gleeson, M., Pyne, D., Kitic, C., Close, G., Larson-Meyer, D., Marcos, A., Myedani, S., Wu, D., & Nagatomi, R. (2017). Consensus statement on immunonutrition and exercise. Exerc Immunol Rev, 23, 8–50.
Burini, R. C., Anderson, E., Durstine, J. L., & Carson, J. A. (2020). Inflammation, physical activity, and chronic disease: An evolutionary perspective. Sports Medicine and Health Science, 2(1), 1–6. https://doi.org/10.1016/j.smhs.2020.03.004
Campa, F., Toselli, S., Mazzilli, M., Gobbo, L. A., & Coratella, G. (2021). Assessment of body composition in athletes: A narrative review of available methods with special reference to quantitative and qualitative bioimpedance analysis. Nutrients, 13(5), 1620. https://doi.org/10.3390/nu13051620
Cavicchia, P. P., Steck, S. E., Hurley, T. G., Hussey, J. R., Ma, Y., Ockene, I. S., & Hébert, J. R. (2009). A new dietary inflammatory index predicts interval changes in serum high-sensitivity C-reactive protein. The Journal of Nutrition, 139(12), 2365–2372. https://doi.org/10.3945/jn.109.114025
Cheng, A. J., Jude, B., & Lanner, J. T. (2020). Intramuscular mechanisms of overtraining. Redox Biology, 35, 101480. https://doi.org/10.1016/j.redox.2020.101480
Dhingra, R., Gona, P., Nam, B.-H., D’Agostino, R. B., Wilson, P. W. F., Benjamin, E. J., & O’Donnell, C. J. (2007). C-reactive protein, inflammatory conditions, and cardiovascular disease risk. The American Journal of Medicine, 120(12), 1054–1062. https://doi.org/10.1016/j.amjmed.2007.08.037
Dhuli, K., Naureen, Z., Medori, M. C., Fioretti, F., Caruso, P., Perrone, M. A., Nodari, S., Manganotti, P., Xhufi, S., Bushati, M., Bozo, D., Connelly, S. T., Herbst, K. L., & Bertelli, M. (2022). Physical activity for health. Journal of Preventive Medicine and Hygiene, 63(2 Suppl 3), E150–E159. https://doi.org/10.15167/2421-4248/jpmh2022.63.2S3.2756
Dunn, S. L., Vera, D. L., Weaver, K. F., & Garcia, J. V. (2021). Relationships between inflammatory and metabolic markers, exercise, and body composition in young individuals. Journal of Clinical and Translational Research, 7(3), 289–296.
Ertek, S., & Cicero, A. (2012). Impact of physical activity on inflammation: Effects on cardiovascular disease risk and other inflammatory conditions. Archives of Medical Science, 5, 794–804. https://doi.org/10.5114/aoms.2012.31614
Etchison, W. C., Bloodgood, E. A., Minton, C. P., Thompson, N. J., Collins, M. A., Hunter, S. C., & Dai, H. (2011). Body mass index and percentage of body fat as indicators for obesity in an adolescent athletic population. Sports Health, 3(3), 249–252. https://doi.org/10.1177/1941738111404655
Griffiths, A., Matu, J., Whyte, E., Akin-Nibosun, P., Clifford, T., Stevenson, E., & Shannon, O. M. (2022). The Mediterranean dietary pattern for optimising health and performance in competitive athletes: A narrative review. British Journal of Nutrition, 128(7), 1285–1298. https://doi.org/10.1017/S0007114521003202
Han, J. M., & Levings, M. K. (2013). Immune regulation in obesity-associated adipose inflammation. Journal of Immunology, 191(2), 527–532. https://doi.org/10.4049/jimmunol.1301035
Handayani, N., Jamil, M. D., & Palupi, I. R. (2020). Faktor gizi dan prestasi belajar siswa sekolah menengah kejuruan. Ghidza: Jurnal Gizi dan Kesehatan, 4(1), 69–78. https://doi.org/10.22487/ghidza.v4i1.57
Hart, M. J., Torres, S. J., McNaughton, S. A., & Milte, C. M. (2021). A dietary inflammatory index and associations with C-reactive protein in a general adult population. European Journal of Nutrition, 60(7), 4093–4106. https://doi.org/10.1007/s00394-021-02573-5
Hébert, J. R., Shivappa, N., Wirth, M. D., Hussey, J. R., & Hurley, T. G. (2019). Perspective: The dietary inflammatory index (DII)—Lessons learned, improvements made, and future directions. Advances in Nutrition, 10(2), 185–195. https://doi.org/10.1093/advances/nmy071
Helvacı, G., Uçar, A., Çelebi, M. M., Çetinkaya, H., & Gündüz, A. Z. (2023). Effect of a Mediterranean-style diet on exercise performance and lactate elimination in adolescent athletes. Nutrition Research and Practice, 17(4), 762. https://doi.org/10.4162/nrp.2023.17.4.762
Hunter, S. K., Angdi, S. S., Bhargava, A., Harper, J., Hirschberg, A. L., Levine, B. D., Moreau, K. L., Nokoff, N. J., Stachenfeld, N. S., & Bermin, S. (2023). The biological basis of sex differences in athletic performance: Consensus statement for the American College of Sports Medicine. Medicine & Science in Sports & Exercise, 55(12), 2328–2360. https://doi.org/10.1249/MSS.0000000000003300
Jagim, A. R., Jones, M. T., Askow, A. T., Luedke, J., Erickson, J. L., Fields, J. B., & Kerksick, C. M. (2023). Sex differences in resting metabolic rate among athletes and association with body composition parameters: A follow-up investigation. Journal of Functional Morphology and Kinesiology, 8(3), 109. https://doi.org/10.3390/jfmk8030109
Jahangiri, Z., Gholamnezhad, Z., Hosseini, M., Beheshti, F., & Kasraie, N. (2019). The effects of moderate exercise and overtraining on learning and memory, hippocampal inflammatory cytokine levels, and brain oxidative stress markers in rats. Journal of Physiological Sciences, 69(6), 993–1004. https://doi.org/10.1007/s12576-019-00719-z
Kasper, A. M., Langan-Evans, C., Hudson, J. F., Brownlee, T. E., Harper, L. D., Naughton, R. J., Morton, J. P., & Close, G. L. (2021). Come back skinfolds, all is forgiven: A narrative review of the efficacy of common body composition methods in applied sports practice. Nutrients, 1(4), 1075. https://doi.org/10.3390/nu13041075
Khera, A., McGuire, D. K., Murphy, S. A., Stanek, H. G., Das, S. R., Vongpatanasin, W., Wians, F. H., Grundy, S. M., & de Lemos, J. A. (2005). Race and gender differences in C-reactive protein levels. Journal of the American College of Cardiology, 46(3), 464–469. https://doi.org/10.1016/j.jacc.2005.04.051
Kotemori, A., Sawada, N., Iwasaki, M., Yamaji, T., Shivappa, N., Hebert, J. R., Ishihara, J., Inoue, M., & Tsugane, S. (2021). Dietary inflammatory index is associated with inflammation in Japanese men. Frontiers in Nutrition, 8. https://doi.org/10.3389/fnut.2021.604296
Leão, C., Silva, A. F., Badicu, G., Clemente, F. M., Carvutto, R., Greco, G., Cataldi, S., & Fischetti, F. (2022). Body composition interactions with physical fitness: A cross-sectional study in youth soccer players. International Journal of Environmental Research and Public Health, 19(6), 3598. https://doi.org/10.3390/ijerph19063598
Lee, E. C., Fragala, M. S., Kavouras, S. A., Queen, R. M., Pryor, J. L., & Casa, D. J. (2017). Biomarkers in sports and exercise: Tracking health, performance, and recovery in athletes. Journal of Strength and Conditioning Research, 31(10), 2920–2937. https://doi.org/10.1519/JSC.0000000000002122
Ley, S. H., Sun, Q., Willett, W. C., Eliassen, A. H., Wu, K., Pan, A., Grodstein, F., & Hu, F. B. (2014). Associations between red meat intake and biomarkers of inflammation and glucose metabolism in women. The American Journal of Clinical Nutrition, 99(2), 352–360. https://doi.org/10.3945/ajcn.113.075663
Luti, S., Modesti, A., & Modesti, P. A. (2020). Inflammation, peripheral signals and redox homeostasis in athletes who practice different sports. Antioxidants, 9(11), 1065. https://doi.org/10.3390/antiox9111065
Macek, P., Terek-Derszniak, M., Zak, M., Biskup, M., Ciepiela, P., Krol, H., Smok-Kalwat, J., & Gozdz, S. (2019). WHO recommendations on physical activity versus compliance rate within a specific urban population as assessed through IPAQ survey: A cross-sectional cohort study. BMJ Open, 9(6), e028334. https://doi.org/10.1136/bmjopen-2018-028334
Mansour, G. Ben, Kacem, A., Ishak, M., Grélot, L., & Ftaiti, F. (2021). The effect of body composition on strength and power in male and female students. BMC Sports Science, Medicine and Rehabilitation, 13(1), 150. https://doi.org/10.1186/s13102-021-00376-z
Marx, W., Veronese, N., Kelly, J. T., Smith, L., Hockey, M., Collins, S., Trakman, G. L., Hoare, E., Teasdale, S. B., Wade, A., Lane, M., Aslam, H., Davis, J. A., O’Neil, A., Shivappa, N., Hebert, J. R., Blekkenhorst, L. C., Berk, M., Segasby, T., & Jacka, F. (2021). The Dietary Inflammatory Index and human health: An umbrella review of meta-analyses of observational studies. Advances in Nutrition, 12(5), 1681–1690. https://doi.org/10.1093/advances/nmab037
Muhammad. (2023). Molecular aspects of sports nutrition. Gadjah Mada University Press.
Muhammad, H., Van Baak, M., Mariman, E., Sulistyoningrum, D., Huriyati, E., Lee, Y., & Wan Muda, W. (2019). Dietary inflammatory index score and its association with body weight, blood pressure, lipid profile, and leptin in Indonesian adults. Nutrients, 11(1), 148. https://doi.org/10.3390/nu11010148
Pahwa, R., Goyal, A., & Jialal, I. (2023). Chronic inflammation. NCBI Books. https://www.ncbi.nlm.nih.gov/books/NBK493173/
Passos, B. N., Lima, M. C., Sierra, A. P. R., Oliveira, R. A., Maciel, J. F. S., Manoel, R., Rogante, J. I., Pesquero, J. B., & Cury-Boaventura, M. F. (2019). Association of daily dietary intake and inflammation induced by marathon race. Mediators of Inflammation, 1–8. https://doi.org/10.1155/2019/1537274
Rombaldi, A. J., Pellanda, L. C., Bielemann, R. M., Gigante, D. P., Hallal, P. C., & Horta, B. L. (2015). Cross-sectional and prospective associations between physical activity and C-reactive protein in males. PLOS ONE, 10(5), e0125984. https://doi.org/10.1371/journal.pone.0125984
Sadeghipour, H. R., Rahnama, A., Salesi, M., Rahnama, N., & Mojtahedi, H. (2010). Relationship between C-reactive protein and physical fitness, physical activity, obesity, and selected cardiovascular risk factors in schoolchildren. International Journal of Preventive Medicine, 1(4), 242–246.
Shahinfar, H., Payandeh, N., Torabynasab, K., Shahavandi, M., Mohammadpour, S., Babaei, N., Ebaditabar, M., Djafarian, K., & Shab-Bidar, S. (2023). The combined association of dietary inflammatory index and resting metabolic rate on cardiorespiratory fitness in adults. Journal of Health, Population and Nutrition, 42(1), 68. https://doi.org/10.1186/s41043-023-00413-2
Shivappa, N., Hébert, J. R., Rietzschel, E. R., De Buyzere, M. L., Langlois, M., Debruyne, E., Marcos, A., & Huybrechts, I. (2015). Associations between dietary inflammatory index and inflammatory markers in the Asklepios Study. British Journal of Nutrition, 113(4), 665–671. https://doi.org/10.1017/S000711451400395X
Shivappa, N., Steck, S. E., Hurley, T. G., Hussey, J. R., & Hébert, J. R. (2014). Designing and developing a literature-derived, population-based dietary inflammatory index. Public Health Nutrition, 17(8), 1689–1696. https://doi.org/10.1017/S1368980013002115
Sundgot-Borgen, J., Meyer, N. L., Lohman, T. G., Ackland, T. R., Maughan, R. J., Stewart, A. D., & Müller, W. (2013). How to minimize the health risks to athletes who compete in weight-sensitive sports: Review and position statement on behalf of the Ad Hoc Research Working Group on Body Composition, Health and Performance, under the auspices of the IOC Medical Commission. British Journal of Sports Medicine, 47(16), 1012–1022. https://doi.org/10.1136/bjsports-2013-092966
Torstveit, M. K., & Sundgot-Borgen, J. (2012). Are under- and overweight female elite athletes thin and fat? A controlled study. Medicine & Science in Sports & Exercise, 44(5), 949–957. https://doi.org/10.1249/MSS.0b013e31823fe4ef
Tsoupras, A., Lordan, R., & Zabetakis, I. (2018). Inflammation, not cholesterol, is a cause of chronic disease. Nutrients, 10(5), 604. https://doi.org/10.3390/nu10050604
Wijaya, A., Anwar, R., Adnani, Q. E. S., Susiarno, H., Arya, I. F. D., & Setiawan, I. (2024). How physical exercises ameliorate dysmenorrhea in adolescence. Jurnal Keolahragaan, 12(1), 40–49. https://doi.org/10.21831/jk.v12i1.72075
Wood, A. D., Strachan, A. A., Thies, F., Aucott, L. S., Reid, D. M., Hardcastle, A. C., Mavroeidi, A., Simpson, W. G., Duthie, G. G., & Macdonald, H. M. (2014). Patterns of dietary intake and serum carotenoid and tocopherol status are associated with biomarkers of chronic low-grade systemic inflammation and cardiovascular risk. British Journal of Nutrition, 112(8), 1341–1352. https://doi.org/10.1017/S0007114514001962
Zarzour, W., Dehneh, N., & Rajab, M. (2017). High-sensitive C-reactive protein levels in a group of Syrian university male students and its associations with smoking, physical activity, anthropometric measurements, and some hematologic inflammation biomarkers. International Journal of Inflammation, 2017, 1–11. https://doi.org/10.1155/2017/7326527