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Association of dietary patterns of American adults with bone mineral density and fracture
| Content Provider | Scilit |
|---|---|
| Author | Mazidi, Mohsen Kengne, Andre Pascal Vatanparast, Hassan |
| Copyright Year | 2018 |
| Description | Objective: In a representative sample of US adults, we investigated the associations of nutrient patterns (NP) with bone mineral density (BMD) and fractures.Design: Cross-sectional.Setting: US community-based National Health and Nutrition Examination Survey (NHANES).Subjects: Participants with measured data on dietary intake and BMD from 2005 to 2010 were included. Principal components analysis was used to identify NP. BMD was measured using dual-energy X-ray absorptiometry. ANCOVA, adjusted logistic and linear regression models were employed, accounting for the complex survey design and sample weights.Results: We included a total of 18 318 participants, with 47·0 % (n 8607) being men. The mean age was 45·8 years with no sex difference. Three NP emerged, explaining 55·9 % of the variance in nutrient consumption. Multivariable-adjusted linear regressions revealed significant inverse associations between the ‘high-energy’ NP (rich in carbohydrates and sugar, total fat and saturated fat) and total femur, femoral neck, trochanter and intertrochanter BMD (β coefficient: −0·029, −0·025, −0·034 and −0·021, respectively, all P<0·001), while there were significant associations between the ‘nutrient-dense’ NP (rich in vitamins, minerals and fibre) and ‘healthy fat’ NP (high dietary PUFA and MUFA) and BMD at total femur, femoral neck, trochanter and intertrochanter (all P<0·001). In adjusted logistic regression models, the odds of hip, wrist or spine fractures did not vary significantly across NP quartiles.Conclusions: Nutrient-dense and healthy fat NP are associated with higher BMD at various bone sites, while the high-energy NP is inversely associated with BMD measures. |
| Related Links | https://www.cambridge.org/core/services/aop-cambridge-core/content/view/FB50375E83FDF943AB6AD4F6B7E4033A/S1368980018000939a.pdf/div-class-title-association-of-dietary-patterns-of-american-adults-with-bone-mineral-density-and-fracture-div.pdf |
| Ending Page | 2423 |
| Page Count | 7 |
| Starting Page | 2417 |
| ISSN | 13689800 |
| e-ISSN | 14752727 |
| DOI | 10.1017/s1368980018000939 |
| Journal | Public Health Nutrition |
| Issue Number | 13 |
| Volume Number | 21 |
| Language | English |
| Publisher | Cambridge University Press (CUP) |
| Publisher Date | 2018-09-01 |
| Access Restriction | Open |
| Subject Keyword | Public Health Nutrition Nutrition and Dietetics Dietary Patterns Bone Mineral Density |
| Content Type | Text |
| Resource Type | Article |
| Subject | Nutrition and Dietetics Public Health, Environmental and Occupational Health |
