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Associations of different dietary patterns, bone mineral density, and fracture risk among elderly women: the China Osteoporosis Prevalence Study

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Pubmed体系：
作者：
Zhao Nan[1,2] ; Yin Xiangjun[3] ; Chen Lin[4] ; Tang Shunyu[3] ; Lin Hua[5] ; Cui Lu[3] ; Jin Xiaolan[6] ; Xie Zhongjian[7] ; Jiang Ning[8] ; Cui Lijia[2] ; Yu Wei[9] ; Cummings Steven R[10] ; Wang Linhong[11] ; Xia Weibo[2] ;
机构： [1]Institute of Clinical Medicine, National Infrastructures for Translational Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, China. [2]Department of Endocrinology, Key Laboratory of Endocrinology, National Commission of Health, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. [3]Division of Elderly Health, National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China. [4]Department of Wound Repair and Rehabilitation Medicine, State Key Laboratory of Trauma, Burns and Combined Injury, Daping Hospital, Army Medical University, Chongqing, China. [5]Department of Orthopaedics, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, Jiangsu, China. [6]Department of Endocrinology, Chengdu Military General Hospital, Chengdu, Sichuan, China. [7]Hunan Provincial Key Laboratory of Metabolic Bone Diseases, National Clinical Research Center for Metabolic Diseases, Department of Metabolism and Endocrinology, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China. [8]Clinical Cancer Center, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. [9]Department of Radiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. [10]San Francisco Coordinating Center, California Pacific Medical Center Research Institute, San Francisco, CA, United States. [11]National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
出处：
DOI： 10.3389/fendo.2024.1378158
ISSN：

关键词： dietary pattern bone mineral density fracture Chinese elderly women

摘要：
Despite the fact that China amounts to one-fifth of the world's population, has a higher proportion of the elderly, and has a higher prevalence of osteoporosis and fracture, limited studies have investigated the association between dietary patterns and bone mineral density (BMD) as well as fracture risk among the elderly Chinese population. We aimed to investigate the association between different dietary patterns and BMD as well as the risk of fractures, and this association may vary between elderly women and men.Building upon the China Osteoporosis Prevalence Study, we included 17,489 subjects aged ≥40 years old randomly sampled across 44 counties/districts of 11 provinces or municipalities in China who completed a food frequency questionnaire. BMD was measured by dual x-ray absorptiometry. Vertebral fracture was defined based on lateral spine radiographs using the semi-quantitative technique of Genant.A diet rich in "carnivorous", "vegetarian", "dairy, fruit, and egg" was significantly associated with higher BMD at total hip (TH), femoral neck (FN), and lumbar spine 1-4 (L1-4). Yet, a diet rich in "beverage and fried food" was associated with a lower BMD at the FN and L1-4. High quartiles of the carnivorous diet were associated with 34%-39% reduced risk of clinical fracture in the past 5 years and vertebral fracture. Stronger associations were observed among women. Sensitivity analysis among postmenopausal women presented even stronger positive associations between carnivorous and vegetarian diets and high BMD, as well as between carnivorous diet and reduced risk of fractures.Our study suggested that a diet rich in meat, vegetables, and dairy, fruit, and eggs might be associated with greater BMD and a lower fracture risk, while beverage and fried foods may be associated with a lower BMD at L1-4, especially among elderly women. These findings are relevant to provide recommendations on dietary nutrition regarding the elderly population at high risk of osteoporosis and fractures, especially postmenopausal women.Copyright © 2024 Zhao, Yin, Chen, Tang, Lin, Cui, Jin, Xie, Jiang, Cui, Yu, Cummings, Wang and Xia.

基金：
The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This work was supported by the Chinese Central Government Key Project of Public Health Program([2018]8), the Chinese Red Cross Foundation, and the CAMS Innovation Fund for Medical Sciences (CIFMS, 2021- 1-I2M-002). The funding organizations had no role in data collection, analysis, or interpretation; study design; patient recruitment; or any aspect pertinent to the study; or approval of the manuscript; and decision to submit the manuscript for publication
语种：
外文
PubmedID：
中科院(CAS)分区：
出版当年[2023]版：
大类 | 2 区 医学
小类 | 2 区 内分泌学与代谢
最新[2023]版：
大类 | 2 区 医学
小类 | 2 区 内分泌学与代谢
第一作者：
第一作者机构： [1]Institute of Clinical Medicine, National Infrastructures for Translational Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, China. [2]Department of Endocrinology, Key Laboratory of Endocrinology, National Commission of Health, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
共同第一作者：
通讯作者：
推荐引用方式(GB/T 7714)：
Zhao Nan,Yin Xiangjun,Chen Lin,et al.Associations of different dietary patterns, bone mineral density, and fracture risk among elderly women: the China Osteoporosis Prevalence Study[J].Frontiers In Endocrinology.2024,15:1378158.doi:10.3389/fendo.2024.1378158.
APA：
Zhao Nan,Yin Xiangjun,Chen Lin,Tang Shunyu,Lin Hua...&Xia Weibo.(2024).Associations of different dietary patterns, bone mineral density, and fracture risk among elderly women: the China Osteoporosis Prevalence Study.Frontiers In Endocrinology,15,
MLA：
Zhao Nan,et al."Associations of different dietary patterns, bone mineral density, and fracture risk among elderly women: the China Osteoporosis Prevalence Study".Frontiers In Endocrinology 15.(2024):1378158

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