TNF and Insulin resistance: In addition, in line with our results, a recent study that examined the relationship between dietary quality, assessed by DASH-S, and cardiometabolic health biomarkers, concluded that a higher DASH-S was significantly associated with lower BMI, WC, TNF-α, IL-6, white blood count (WBC) and plasminogen activator inhibitor-1 (PAI-1) concentrations, and reduced insulin resistance [48].