The original DII was the first attempt to quantify the overall effect of diet on inflammatory potential(8 (link)). At that time 2700 articles published through 2007 were screened, and 929 were read and scored in formulating the index(10 (link)). In the original DII, literature review-based scores were multiplied by individuals’ actual intakes of food parameters, with no attempt to relate to any external standard of intake. While on the face appearing to be assumption-free, this approach is sensitive to the units of measurement. For example, μg and mg differ by three orders of magnitude and some parameters, such as vitamin A and β-carotene, had to be divided by 100 and others, such as n-3 and n-6 fatty acids, multiplied by 10 in order to place them in a ‘reasonable’ range so as not to over- or underestimate their influence on the overall score.
The new DII is improved in a number of ways. First, an improved scoring system has been applied to the forty-five ‘food parameters’, consisting of whole foods, nutrients and other bioactive compounds derived from a much larger literature review. Second, eleven food consumption data sets from around the world were identified that represent a range of human dietary intakes that serve as the ‘referent’ population database to provide comparative consumption data for these forty-five food parameters(11 –23 ). Third, a percentile scoring system was devised that serves as the actual values against which individuals’ intakes are multiplied in order to derive each individual's DII score.
The new DII is improved in a number of ways. First, an improved scoring system has been applied to the forty-five ‘food parameters’, consisting of whole foods, nutrients and other bioactive compounds derived from a much larger literature review. Second, eleven food consumption data sets from around the world were identified that represent a range of human dietary intakes that serve as the ‘referent’ population database to provide comparative consumption data for these forty-five food parameters(11 –23 ). Third, a percentile scoring system was devised that serves as the actual values against which individuals’ intakes are multiplied in order to derive each individual's DII score.