Associations between weight-adjusted waist index and bone mineral density: results of a nationwide survey

Zhang, Ya; Wu, H. R.; Li, Cheng; Liu, Changxiong; Liu, Mingjiang; Liu, Xiaozhu; Yin, Qiming; Li, Xianzhe; Xie, Ruijie

doi:10.1186/s12902-023-01418-y

Cited by 8 publications

(7 citation statements)

References 50 publications

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“…Lastly, the anti-inflammatory effect of flavonoids may differ between premenopausal and postmenopausal women, but we did not include this variable in the study due to its large number of missing values. [47,48]…”

Section: Discussionmentioning

confidence: 99%

Threshold effects and inflection points of flavonoid intake in dietary anti-inflammatory effects: Evidence from the NHANES

Wan,

Huang,

et al. 2023

Medicine

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Flavonoids have been shown to be beneficial in a variety of inflammatory and metabolic diseases because of their anti-inflammatory and antioxidant properties. However, previous epidemiological studies have only demonstrated a negative correlation between flavonoid intake on inflammatory markers, and the optimal intake of dietary flavonoids and subclasses in terms of dietary anti-inflammatory efficacy remains undetermined. This study was based on 3 cycles (2007–2010, 2017–2018) of the National Health and Nutrition Examination Survey and the corresponding expanded flavonoid database. Weighted multiple linear regression was used to assess linear relationships between flavonoid intake and Dietary inflammation index (DII). Smoothed curve fit and a generalized additive model were used to investigate the nonlinear relationships and threshold effects, the 2-tailed linear regression model was used to find potential inflection points. A total of 12,724 adults were included in the study. After adjusting for potential confounders, flavonoid intake was significantly associated with DII, with the strongest negative association effect for flavonols (−0.40 [−0.45, −0.35]). In subgroup analyses stratified by sex, race, age, body mass index, education levels, and diabetes, flavonol intake maintained a significant negative linear correlation with DII. In addition, we found significant nonlinear relationships (L-shaped relationships) and threshold effects between total flavonoids, flavan-3-ols, and flavanols and DII, with inflection points of 437.65 mg/days, 157.79 mg/days, and 46.36 mg/days, respectively. Our results suggest a threshold for the dietary anti-inflammatory capacity of flavonoid intake in U.S. adults.

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Section: Discussionmentioning

confidence: 99%

Threshold effects and inflection points of flavonoid intake in dietary anti-inflammatory effects: Evidence from the NHANES

Wan,

Huang,

et al. 2023

Medicine

Self Cite

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“…The statistical analyses for this study were conducted using R software, version 4.2, chosen for its sophisticated statistical features and ability to manage complex survey datasets such as NHANES. Statistical significance was established at a two-sided p -value below 0.05 [ 21 , 22 ]. This criterion was consistently applied in evaluating the significance of the links between dietary fatty acid intake and AAC, as well as in all other statistical tests in the research.…”

Section: Methodsmentioning

confidence: 99%

Associations between dietary fatty acids intake and abdominal aortic calcification: a national population-based study

Xiao,

Quan

2024

Lipids Health Dis

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Background Abdominal aortic calcification (AAC) is a crucial indicator of cardiovascular health. This study aims investigates the associations between dietary fatty acid intake and AAC. Methods In this study, a cross-sectional assessment was performed on a group of 2,897 individuals aged 40 and above, utilizing data from the NHANES. The focus was on examining dietary consumption of various fatty acids, including Saturated (SFA), Monounsaturated (MUFA), Polyunsaturated (PUFA), as well as Omega-3 and Omega-6. The evaluation of AAC was done by applying the Kauppila AAC score to results obtained from dual-energy X-ray absorptiometry scans. For statistical analysis, weighted multivariate linear and logistic regression were employed, with adjustments for variables like gender, age, ethnicity, and overall health condition. Results Participants with higher intake of SFA and PUFA showed a positive association with AAC score, while higher levels of dietary Omega-3 and Omega-6 fatty acids was connected with a negative correlation. Subgroup analyses indicated consistent associations across different sexes and age groups. The study found that an increase in SFA and PUFA intake correlated with an increase in AAC score, whereas Omega-3 and Omega-6 intake correlated with a decrease. Conclusion This study underscores the importance of dietary fatty acid composition in the prevalence of AAC and its potential implications for dietary guidelines and cardiovascular disease prevention strategies.

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“…The National Health and Nutrition Examination Survey (NHANES), facilitated by the National Center for Health Statistics (NCHS), functions as a comprehensive, cross-sectional study aimed at assessing the health and nutritional status of the U.S. civilian population [ 13 , 14 ]. Initiated in 1999, NHANES employs a diverse methodology that includes physical examinations and interviews to collect data on demographics, socioeconomic factors, and health indicators [ 15 ].…”

Section: Methodsmentioning

confidence: 99%

Association of cardiovascular health and periodontitis: a population-based study

Qu,

Zhang

2024

BMC Public Health

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Background There is a strong association between cardiovascular disease (CVD) and periodontitis. This study utilized the Life Essentials 8 (LE8) score, a composite measure of cardiovascular health (CVH), to elucidate the relationship between CVH and periodontitis. Methods Data from 8,649 nationally representative participants in the National Health and Nutrition Examination Survey (NHANES) were analyzed. The independent variable in our study was the CVH score (a higher CVH score indicates better cardiovascular health), and the dependent variable was the presence or absence of periodontitis. The association between CVH and periodontitis was investigated using weighted multivariable logistic regression models and restricted cubic spline (RCS). We controlled for potential confounders such as age, sex, race, education, and socioeconomic status to minimize bias. Results There was a negative association between the total CVH score and the odds of periodontitis. After adjusting for all covariates, a 10-point increase in total CVH score was associated with a 10% lower in the odds of periodontitis [0.90 (0.87, 0.93)]. Participants with a higher CVH had 40% lower odds of periodontitis compared with those with a lower CVH. Socioeconomic status (education and income) modified this association (P for interaction < 0.05). Conclusion Our study suggests that better cardiovascular health, as indicated by higher CVH scores, is associated with a reduced likelihood of periodontitis among US adults. The relationship between CVH and periodontitis appears to be influenced by socioeconomic status, emphasizing the need for targeted interventions in populations with lower socioeconomic status.

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Associations between weight-adjusted waist index and bone mineral density: results of a nationwide survey

Cited by 8 publications

References 50 publications

Threshold effects and inflection points of flavonoid intake in dietary anti-inflammatory effects: Evidence from the NHANES

Threshold effects and inflection points of flavonoid intake in dietary anti-inflammatory effects: Evidence from the NHANES

Associations between dietary fatty acids intake and abdominal aortic calcification: a national population-based study

Association of cardiovascular health and periodontitis: a population-based study

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