Compared to the lowest tertile of DII, participants in the highest tertile were more likely to be female, have a BMI of 30 or above, have an educational level of high school or below, be non-Hispanic Black, drinkers, have a PIR < 3, engage in moderate physical activity, have hypertension, diabetes, lower plasma albumin levels, and higher RDW levels. Here, ALB is linked to diabetes mellitus.