Associations of Baltic Sea and Mediterranean dietary patterns with bone mineral density in elderly women

Erkkilä, Arja T.; Sadeghi, Homa; Isanejad, Masoud; Mursu, Jaakko; Tuppurainen, Marjo; Kröger, Heikki

doi:10.1017/s1368980017001793

Cited by 19 publications

(15 citation statements)

References 50 publications

(81 reference statements)

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“…In Finnish women aged 65–71 y ( 17 ), the lumbar spine, femoral neck, and total BMD were not significantly different across the Baltic sea diet or MD quartiles. In addition, there were no significant associations of the Baltic sea diet and MD quartiles in the subgroup with osteoporosis.…”

Section: Discussionmentioning

confidence: 93%

A Mediterranean-like dietary pattern with vitamin D3 (10 µg/d) supplements reduced the rate of bone loss in older Europeans with osteoporosis at baseline: results of a 1-y randomized controlled trial

Jennings

Cashman

Gillings

et al. 2018

The American Journal of Clinical Nutrition

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BackgroundThe Mediterranean diet (MD) is widely recommended for the prevention of chronic disease, but evidence for a beneficial effect on bone health is lacking.ObjectiveThe aim of this study was to examine the effect of a Mediterranean-like dietary pattern [NU-AGE (New Dietary Strategies Addressing the Specific Needs of the Elderly Population for Healthy Aging in Europe)] on indexes of inflammation with a number of secondary endpoints, including bone mineral density (BMD) and biomarkers of bone and collagen degradation in a 1-y multicenter randomized controlled trial (RCT; NU-AGE) in elderly Europeans.DesignAn RCT was undertaken across 5 European centers. Subjects in the intervention group consumed the NU-AGE diet for 1 y by receiving individually tailored dietary advice, coupled with supplies of foods including whole-grain pasta, olive oil, and a vitamin D3 supplement (10 µg/d). Participants in the control group were provided with leaflets on healthy eating available in their country.ResultsA total of 1294 participants (mean ± SD age: 70.9 ±4.0 y; 44% male) were recruited to the study and 1142 completed the 1-y trial. The Mediterranean-like dietary pattern had no effect on BMD (site-specific or whole-body); the inclusion of compliance to the intervention in the statistical model did not change the findings. There was also no effect of the intervention on the urinary biomarkers free pyridinoline or free deoxypyridinoline. Serum 25-hydroxyvitamin D significantly increased and parathyroid hormone decreased (P < 0.001) in the MD compared with the control group. Subgroup analysis of individuals with osteoporosis at baseline (site-specific BMD T-score ≤ −2.5 SDs) showed that the MD attenuated the expected decline in femoral neck BMD (n = 24 and 30 in MD and control groups, respectively; P = 0.04) but had no effect on lumbar spine or whole-body BMD.ConclusionsA 1-y intervention of the Mediterranean-like diet together with vitamin D3 supplements (10 µg/d) had no effect on BMD in the normal age-related range, but it significantly reduced the rate of loss of bone at the femoral neck in individuals with osteoporosis. The NU-AGE trial is registered at clinicaltrials.gov as NCT01754012.

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Section: Discussionmentioning

confidence: 93%

A Mediterranean-like dietary pattern with vitamin D3 (10 µg/d) supplements reduced the rate of bone loss in older Europeans with osteoporosis at baseline: results of a 1-y randomized controlled trial

Jennings

Cashman

Gillings

et al. 2018

The American Journal of Clinical Nutrition

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“…In Finnish research, the importance of healthy Baltic Sea and Mediterranean diets for the bone mineral density of senior women has been indicated. Higher bone density scores were associated with greater consumption of fruits and berries, vegetables, fish, and low-fat dairy products, and a limited consumption of processed meats [47]. Low health quality of one's diet, including low protein intake, is a risk factor for the health of older individuals, including frailty and sarcopenia [48][49][50][51][52][53].…”

Section: Discussionmentioning

confidence: 99%

Satisfaction with Life and Nutritional Behaviour, Body Composition, and Functional Fitness of Women from the Kraków Population Participating in the “Healthy Active Senior” Programme

Gacek

Wójtowicz

Kosiba

et al. 2023

IJERPH

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Pro-health behaviours are related to a person’s personal resources. The aim of the study was to assess the relationship between satisfaction with life (SWL), nutritional behaviours, somatic indices, and functional efficiency of senior women. The research was conducted among 120 women aged 60–84 (Me = 65) participating in the “Healthy Active Senior” project at the University of Physical Education in Kraków. The Satisfaction with Life Scale (SWLS) and the proprietary validated questionnaire of nutritional behaviour were used. Body composition was assessed using the method of bioelectrical impedance (TANITA SC-330ST analyser), while physical fitness was evaluated via the Senior Fitness test (Fullerton Functional Fitness Test). Correlations between the variables were measured by implementing Spearman’s R signed-rank correlation coefficients (with p < 0.05). Positive correlations between SWL and selected nutrition behaviours have been demonstrated, including eating 5–6 meals (p < 0.001) and drinking at least 2 litres of fluids a day (p = 0.023), consuming cereal products daily, including whole-grains (p = 0.001), avoiding alcoholic beverages (p = 0.030), and applying vitamin D supplementation (p = 0.010). At the same time, negative correlations between SWL and limiting the consumption of red as well as processed meats (p = 0.002), animal fats (p = 0.046), and the preference for vegetable oils in one’s diet (p = 0.023) were shown. Significant correlations between satisfaction with life and two indicators of functional fitness were also confirmed: negative—with the variable ‘2.44-m Get-Up and Go’ (p = 0.003); and positive—with the ‘2-Minute Step in Place’ test (p = 0.034). The relationships between SWL and somatic indices did not reach the level of statistical significance. Among the women participating in the “Healthy Active Senior” programme, correlations between SWL and rational nutritional behaviours, as well as indices of functional fitness, were found (mostly positive), while the trends in these areas were not fully unambiguous, suggesting the validity of conducting further research.

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“…Previous studies showed that better adherence to the MD is positively associated with BMD in middle-aged and elderly people [ 58 ] and in postmenopausal women [ 34 , 59 ]. Recent findings from an RCT undertaken across five European centers support these results from observational studies.…”

Section: Dietary Intake and Clinical Endpoints In Menopausal Womenmentioning

confidence: 99%

Nutrition in Menopausal Women: A Narrative Review

et al. 2021

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Among the various aspects of health promotion and lifestyle adaptation to the postmenopausal period, nutritional habits are essential because they concern all women, can be modified, and impact both longevity and quality of life. In this narrative review, we discuss the current evidence on the association between dietary patterns and clinical endpoints in postmenopausal women, such as body composition, bone mass, and risk markers for cardiovascular disease. Current evidence suggests that low-fat, plant-based diets are associated with beneficial effects on body composition, but further studies are needed to confirm these results in postmenopausal women. The Mediterranean diet pattern along with other healthy habits may help the primary prevention of bone, metabolic, and cardiovascular diseases in the postmenopausal period. It consists on the use of healthy foods that have anti-inflammatory and antioxidant properties, and is associated with a small but significant decrease in blood pressure, reduction of fat mass, and improvement in cholesterol levels. These effects remain to be evaluated over a longer period of time, with the assessment of hard outcomes such as bone fractures, diabetes, and coronary ischemia.

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Associations of Baltic Sea and Mediterranean dietary patterns with bone mineral density in elderly women

Cited by 19 publications

References 50 publications

A Mediterranean-like dietary pattern with vitamin D3 (10 µg/d) supplements reduced the rate of bone loss in older Europeans with osteoporosis at baseline: results of a 1-y randomized controlled trial

A Mediterranean-like dietary pattern with vitamin D3 (10 µg/d) supplements reduced the rate of bone loss in older Europeans with osteoporosis at baseline: results of a 1-y randomized controlled trial

Satisfaction with Life and Nutritional Behaviour, Body Composition, and Functional Fitness of Women from the Kraków Population Participating in the “Healthy Active Senior” Programme

Nutrition in Menopausal Women: A Narrative Review

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