The Relationship between Dietary Patterns and Bone Mineral Density of 476 Middle-Aged and Aged People
Background: To investigate the relationship between different dietary patterns and the levels of bone mineral density (BMD) in middle-aged and aged people, and to provide references for the nutritional prevention of osteoporosis.
Methods: A total of 476 residents aged 45 yr or more in Qiqihar City were enrolled from Aug 2018 to Feb 2019. They took a Food Frequency Questionnaire for dietary survey. Their dietary patterns were analyzed using the factor analysis method, and BMD were detected using ultrasound bone densitometer, to explore the relationship between different dietary patterns and BMD levels.
Results: Four dietary patterns were obtained in the survey: relatively balanced, oil-salt, milk-tuber, and aquatic. Among them, the prevalence of osteoporosis reached 21.8%. High-level relatively balanced dietary pattern (OR=0.588, 95%CI= 0.363-0.951) and high-level dairy-potato food dietary pattern (OR=0.668, 95%CI= 0.370-0.983) were associated with lower risk of osteoporosis.
Conclusion: A balanced diet and a high intake of dairy-potato food dietary pattern were associated with a lower prevalence of osteoporosis. It is recommended that middle-aged and aged people should have a balanced diet with more dairy products and potatoes to protect bone health.
2. Lorenc R, Gluszko P, Franek E, et al (2017). Guidelines for the diagnosis and man-agement of osteoporosis in Poland: Up-date 2017. Endokrynol Pol, 68(5): 604-609.
3. Lunde A, Tell GS, Pedersen AB, et al (2019). The role of comorbidity in mortality after hip fracture: a nationwide norwegian study of 38, 126 women with hip fracture matched to a general-population compar-isoncohort. Am J Epidemiol, 188(2): 398-407.
4. Kanis JA, Burlet N, Cooper C, et al (2008). European guidance for the diagnosis and management of osteoporosis in post-menopausal women. Osteoporos Int, 19(4): 399-428.
5. Muschitz C, Feichtinger X, Haschka J, et al (2017). Diagnosis and treatment of Paget's disease of bone : a clinical practice guideline. Wien Med Wochenschr, 167(1-2): 18-24.
6. Amer M, Noor S, Kashif SM, Nazir SUR, Ghazanfar T, Yousaf S (2021). Evaluation of Disease Related Knowledge in Patients of Osteoporosis: An Observational Study. Altern Ther Health Med, 27(S1): 97-103.
7. Shin YH, Hong J, Kim HS, et al (2020). Os-teoporosis care after distal radius fracture reduces subsequent hip or spine frac-tures: a 4-year longitudinal study. Osteopo-ros Int, 31(8): 1471-1476.
8. Wang W, Wang ZP, Huang CY, et al (2019). The neuropeptide vasoactive intestinal peptide levels in serum are inversely relat-ed to disease severity of postmenopausal osteoporosis: a cross-sectional study. Genet Test Mol Biomarkers, 23(7): 480-486.
9. Jiang M, Wang T, Yan X, et al(2019). A Novel Rhein Derivative Modulates Bone Formation and Resorption and Amelio-rates Estrogen-Dependent Bone Loss. J Bone Miner Res, 34(2): 361-374.
10. McCabe LR, Irwin R, Tekalur A, et al(2019). Exercise prevents high fat diet-induced bone loss, marrow adiposity and dysbio-sis in male mice. Bone, 118: 20-31.
11. Chen X, Wang Z, Duan N, et al (2018). Os-teoblast-osteoclast interactions. Connect Tissue Res, 59(2): 99-107.
12. Park S, Kang S, Kim DS (2020). Severe cal-cium deficiency increased visceral fat ac-cumulation, down-regulating genes asso-ciated with fat oxidation, and increased insulin resistance while elevating serumparathyroid hormone in estrogen-deficient rats. Nutr Res, 73: 48-57.
13. Watson NA, Dyer KA, Buckley JD, et al (2018). Comparison of two low-fat diets, differing in protein and carbohydrate, on psychological wellbeing in adults with obesity and type 2 diabetes: a randomised clinical trial. Nutr J, 17(1): 62.
14. Lorentzon M, Branco J, Brandi ML, et al (2019). Algorithm for the use of bio-chemical markers of bone turnover in the diagnosis, assessment and follow-up of treatment for osteoporosis. Adv Ther, 36(10): 2811-2824.
15. Benetou V, Orfanos P, Pettersson- Kymmer U, et al (2013). Mediterranean diet and in-cidence of hip fractures in a European cohort. Osteoporos Int, 24(5): 1587-1598.
16. Palomeras-Vilches P, Vinals-Mayolas V, Bou-Mias B, et al (2019). Adherence to the mediterranean diet and bone fracture risk in middle-aged women: A case con-trol study. Nutrients, 11(10): 2508.
|Issue||Vol 50 No 10 (2021)|
|Dietary pattern Bone mineral density China|
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