Obesity

Dietary Inflammatory Index and Mediterranean Diet Score are associated with systemic inflammation in women with lipedema

Int J Obes (Lond)Published Cross-sectional study

Authors' conclusion

A pro-inflammatory diet, as reflected by higher DII, is associated with increased systemic inflammation in lipedema. These findings highlight the potential role of anti-inflammatory dietary patterns, particularly the Mediterranean diet, as part of non-pharmacological strategies for managing inflammation in lipedema. These findings suggest that while dietary inflammatory potential influences systemic inflammation, its relationship with pain and quality of life remains unclear and warrants further interventional studies.

Study context

Population
Women with stage 2–3 lipedema and body mass index (BMI) 30–40 kg/m²
Participants
60 women
Outcome
Association of DII and MDS with inflammatory biomarkers (TNF-α, IL-6)

Main finding

As reported in the abstract

Dietary Inflammatory Index (DII) score positively associated with elevated TNF-α and IL-6 concentration
p < 0.001

Observational data: associations, not effects.

Further findings

Pain (Visual Analog Scale (VAS)) and quality of life (SF-12)

No significant associations between DII or Mediterranean diet scores (MDS) and pain (VAS) or quality of life (SF-12) scores
Mental component scores slightly higher with moderate vs higher DII levels

Age and disease duration

Age and disease duration not significant in any model

Original publication

Dietary Inflammatory Index and Mediterranean Diet Score are associated with systemic inflammation in women with lipedema. Int J Obes (Lond). Published 27 November 2025. doi:10.1038/s41366-025-01960-w

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