The Link Between Higher Dietary Inflammatory Index, Systemic Immune-Inflammation Index Score, and Chronic Kidney Disease Risk
- My Renal Rehab
- 6 days ago
- 4 min read
Chronic Kidney Disease (CKD) is increasingly recognized as a major health issue, affecting around 10% of the global population. This condition leads to serious health complications and rising mortality rates if not properly managed. Recent studies show that lifestyle choices, especially diet and activity, can significantly impact the risk of developing CKD. More specifically, researchers are looking at the Dietary Inflammatory Index (DII) and the Systemic Immune-Inflammation Index (SII) score to understand how inflammation can increase CKD risk.
Let’s explore how higher levels of dietary inflammation and systemic immune-inflammation indices correlate with chronic kidney disease.
Understanding the Dietary Inflammatory Index
The Dietary Inflammatory Index (DII) helps evaluate the inflammatory potential of what we eat. It considers various components of our diet, including macronutrients like fats and carbohydrates, micronutrients like vitamins and minerals, and food items that either encourage or inhibit inflammation.
Evidence shows that diets high in processed foods, sugars, and dairy products can produce higher DII scores. For instance, a study indicated that individuals consuming a diet predominantly made up of fast food can have a DII score increase of up to 30% compared to those adhering to an anti-inflammatory diet filled with fruits, vegetables, whole grains, and healthy fats. A higher DII score suggests that an individual’s intake may contribute to inflammation, potentially leading to serious health issues, including CKD.
The inflammation provoked by poor dietary choices can disrupt metabolic functions and negatively impact kidney health.

The Systemic Immune-Inflammation Index Score Explained
Similar to the DII, the Systemic Immune-Inflammation Index (SII) score evaluates levels of inflammation within the body, using clinical measures such as platelet, lymphocyte, and neutrophil counts. This score assesses an individual’s immune state.
A higher SII score reflects a heightened state of systemic inflammation. Research links elevated SII scores with increased risk of chronic diseases, including CKD. A study found that individuals with SII scores in the top 25% had a 50% higher likelihood of developing renal impairment over five years compared to those with lower scores.
By examining how dietary choices and immune responses interact, we can better understand the risk factors associated with chronic kidney disease.
The Connection Between Inflammation and CKD
Numerous studies have established that chronic low-grade inflammation significantly contributes to the progression of CKD. Indeed, inflammatory processes can damage kidney structures, harming their function over time. For example, one study revealed that individuals with higher DII and SII scores experienced 20-30% faster declines in kidney function compared to those with lower scores.
This connection underlines the importance of monitoring dietary intake and systemic inflammatory markers as part of assessing personal risk for kidney health. Strategies to manage inflammation may be vital in preventing CKD or slowing its progression.

Nutritional Strategies to Lower Inflammatory Indices
To mitigate the risk of CKD, individuals should consider several dietary strategies to lower their DII and SII scores. Important approaches include:
Incorporating Anti-Inflammatory Foods: Opt for foods high in omega-3 fatty acids, such as fatty fish like salmon, walnuts, and chia seeds. Additionally, colorful fruits and vegetables—like berries, broccoli, and kale—are rich in antioxidants and essential nutrients.
Choosing Whole Grains: Replace refined grains with whole grains like brown rice, quinoa, and oats. These foods are not only high in fiber, which may help fight inflammation, but they can also improve overall digestion and health.
Avoiding Highly Processed Foods: Limit consumption of fast foods, sugary snacks, and soda. A study found that those who reduce their intake of these items can lower their DII score by 15-20% within weeks.
Adopting these dietary changes can significantly improve overall health and lower chronic kidney disease risk.
Implications for Health Care Professionals
Healthcare professionals play a critical role in promoting awareness about the dietary links to inflammation and chronic kidney disease. They can provide patients with valuable information on dietary adjustments that can help manage their inflammatory indices.
Encouraging patients to adopt a balanced diet rich in whole foods, monitor their health markers, and engage in routine physical activity can lead to better management of their health. Personalized dietary plans can be particularly effective in addressing the unique needs of patients who are at risk for CKD.

Final Thoughts
The strong connection between a higher Dietary Inflammatory Index and Systemic Immune-Inflammation Index score with increased risk of chronic kidney disease underscores the critical role of diet in health management. Understanding how food choices affect inflammation can empower individuals to take proactive steps toward reducing their CKD risk.
Eating more nutritious foods while minimizing inflammatory triggers supports kidney health and contributes to overall well-being. By making informed dietary choices, we can collectively foster a healthier future.
As research in this area evolves, it is essential for individuals and healthcare providers to stay current and make health-conscious decisions. This proactive approach can help safeguard kidney function and lessen the burden of chronic diseases like CKD.
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