Association of dietary patterns of American adults with bone mineral density and fracture

Public Health Nutrition
Mohsen MazidiHassan Vatanparast

Abstract

In a representative sample of US adults, we investigated the associations of nutrient patterns (NP) with bone mineral density (BMD) and fractures. Cross-sectional. US community-based National Health and Nutrition Examination Survey (NHANES). 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. 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 dieta...Continue Reading

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Citations

Jun 28, 2018·The British Journal of Nutrition·Mohsen MazidiAndre P Kengne
Jul 18, 2018·Scientific Reports·Mohsen MazidiAndre Pascal Kengne
Sep 3, 2020·Nutrients·Eva Warensjö Lemming, Liisa Byberg
Nov 11, 2018·International Journal of Environmental Research and Public Health·Jerzy GębskiMarta Plichta
Jun 11, 2020·Nutrients·Alicja Ewa RatajczakIwona Krela-Kaźmierczak
Jul 22, 2018·Lipids in Health and Disease·Mohsen MazidiMaciej Banach
Oct 24, 2019·Nutrients·Marzena Jezewska-ZychowiczMałgorzata Kosicka-Gębska
Dec 3, 2021·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·Yonggang FanHuafeng Zhang

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