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15% overall, while the rate in the highest DII tertile was 13.28 and 8.60% in the lowest DII tertile (P less then 0.0001). The participants with CKD tended to have higher PTH levels compared with their counterparts (61.23 ± 45.62 vs. 41.80 ± 19.16 pg/ml, P less then 0.0001). A positive association between DII scores and PTH was observed (β = 0.46, 95% CI 0.25, 0.66, P ≤ 0.0001), and higher DII was associated with an increased risk of HP (OR = 1.05, 95% CI 1.02, 1.08, P = 0.0023). The results from subgroup analysis indicated that this a