Dietary intake, blood pressure and osteoporosis

Woo, Jean; Kwok, Terence; Leung, Jason; Tang, Nelson L.S.

doi:10.1038/jhh.2008.156

Cited by 45 publications

(25 citation statements)

References 25 publications

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“…Vegetables showed a weaker association with BMD or osteoporosis than fruit in this study and in previous studies [6, 35], possibly because that vegetables are often consumed in cooked form in Chinese populations and the high intake of sodium with vegetables might accelerate calcium excretion [36] and offset the possible benefit of vegetables. Besides, vegetables were typically cooked by stir-frying, boiling, or steaming in China.…”

Section: Discussioncontrasting

confidence: 57%

Greater Intake of Fruit and Vegetables Is Associated with Greater Bone Mineral Density and Lower Osteoporosis Risk in Middle-Aged and Elderly Adults

et al. 2017

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ObjectiveA few studies have suggested that the consumption of fruit and vegetables (FV) may benefit bone health, but limited data are available in Asian subjects. We examined the association between FV intake and bone mineral density (BMD) and osteoporosis in Chinese adults.MethodsThis population-based cross-sectional study involved 2083 women and 1006 men aged 40–75 years in Guangzhou, China. Habitual dietary data was collected from a 79-item food frequency questionnaire by face-to-face interviews. The BMD was measured for the whole body (WB), lumbar spine (LS), total hip (TH) and femur neck (FN) with dual-energy X-ray absorptiometry.ResultsAfter adjustment for potential covariates, we observed dose-dependent associations between total FV intake and BMD and osteoporosis risk. The mean BMD was higher in tertile 3 vs. tertile 1 by 1.33% (TH) and 1.31% (FN) for FV, and 1.10% (WB), 1.57% (TH), and 2.05% (FN) for fruit (all P-trends < 0.05). Significant beneficial associations with BMD at some sites were also found in most fruit categories but not in total vegetables or their subgroups. The odds ratios (95% confidence interval) of osteoporosis (T-score ≤ −2.5) in tertile 3 (vs. 1) were 0.73 (0.58–0.92), 0.37 (0.22–0.60), and 0.71 (0.52–0.97) for FV; 0.82 (0.66–1.03), 0.48 (0.30–0.77) and 0.89 (0.61–1.12) for fruit; and 0.80 (0.64–1.01), 0.57 (0.35–0.92) and 0.76 (0.55–1.05) for vegetables at the LS, TH, and FN, respectively. The favorable association between FV intake and the occurrence of osteoporosis was evident only in subjects with lower BMI (<24.0 kg/m2, P-trends < 0.05).ConclusionsGreater intake of FV was independently associated with a higher BMD and a lower presence of osteoporosis in middle-aged and elderly Chinese subjects with lower BMI. Fruit tended to have more contribution to the favorable association than vegetables.

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Section: Discussioncontrasting

confidence: 57%

Greater Intake of Fruit and Vegetables Is Associated with Greater Bone Mineral Density and Lower Osteoporosis Risk in Middle-Aged and Elderly Adults

et al. 2017

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“…High sodium diets have been shown to alter calcium metabolism 47 and to increase bone resorption in postmenopausal women. 48 Conversely, low sodium diets have been shown to be protective of bone health 49 by reducing bone turnover and improving calcium balance. 50 Sodium phosphate salts, also found in processed foods and cheeses, have been shown to increase serum parathyroid hormone levels, which is unfavorable to bone metabolism.…”

Section: Discussionmentioning

confidence: 99%

Bone Mineral Density and Protein-Derived Food Clusters from the Framingham Offspring Study

Mangano¹,

Sahni²,

Kiel³

et al. 2015

Journal of the Academy of Nutrition and Dietetics

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Background Dietary protein is beneficial to bone health; however, dietary patterns of protein intake and their relation with bone mineral density (BMD) have not been evaluated. Objective To examine the relation of dietary protein food clusters with BMD at the femoral neck, trochanter, total femur and lumbar spine among middle-aged and older men and women. Design Cross-sectional study. Participants and setting 2,758 community-dwelling individuals from the Framingham Offspring Study. Methods BMD was measured by Lunar DPX-L in 1996–2001. Dietary intakes were estimated using the Willett food frequency questionnaire in either 1995–1998 or 1998–2001, and the exam closest to a participant’s BMD measurement was used. Cluster analysis (fastclus procedure, k-means method) was used to classify participants into groups, determined by major sources of protein. Generalized linear regression was used to compare adjusted least-squares mean BMD across protein food clusters for all pairwise comparisons. Results From 2,758 participants (44% men; mean age 61 ± 9y, range 29–86y), five protein food clusters were identified (chicken, fish, processed foods, red meat, low-fat milk). Three of these food clusters showed associations with BMD. The red meat protein food cluster presented with significantly lower femoral neck BMD compared to the low-fat milk cluster (red meat: 0.898 ± 0.005 versus low-fat milk: 0.919 ± 0.007, p=0.04). Further, the processed foods protein cluster presented with significantly lower femoral neck BMD compared to the low fat milk cluster (processed foods: 0.897 ± 0.004 versus low-fat milk: 0.919 ± 0.007, p=0.02). A similar, yet non-significant trend was observed for other BMD sites examined. Conclusions Diets with the greatest proportion of protein intake from red meat and processed foods may not be as beneficial to the skeleton compared to dietary patterns where the highest proportion of protein is derived from low-fat milk.

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“…[7] The clinical risk factors must be validated in order to be combined with BMD. For example, in our study we found that some risk factors, such as inadequate protein intake [42] and high sodium intake, [43] occur quite frequently in Turkish postmenopausal patients, but these risk factors remain unvalidated for our population. In addition, heavy alcohol intake in postmenopausal women is an extremely rare occurrence in our population.…”

Section: Discussionmentioning

confidence: 90%

The Frequency of the Clinical Risk Factors in Postmenopausal Osteoporosis

et al. 2013

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Amaç: Bu çalışmada postmenopozal kadınlarda osteoporoz ile ilişkilendirilen klinik risk faktörlerinin sıklığı belirlendi. Hastalar ve yöntemler: Bu kesitsel, gözlemsel, çokmerkezli çalışmada toplam 730 postmenopozal kadın osteoporozun klinik risk faktörleri açısından değerlendirildi. Değerlendirmede şu klinik risk faktörlerinin kaydedildiği standart bir sorgulama formu kullanıldı: ailesel ve kişisel kırık öyküsü, uzamış hareketsizlik, güneş maruziyeti, yaşam boyu hareketsiz yaşam biçimi, sigara kullanımı, çocukluk ve erişkinlik döneminde düşük kalsiyum alımı, aşırı kafein alımı, yüksek sodyum alımı, yetersiz protein alımı, gebelik sayısı, menopoz yaşı, prematür menopoz varlığı, primer ve sekonder amenore, tıbbi hastalıklar ve kronik reçeteli ilaç kullanımı. Bulgular: Osteoporoz açısından en sık rastlanan klinik risk faktörleri, yetersiz güneş maruziyeti (%53.3), mevcut hareketsiz yaşam biçimi (%52.9), erişkin (%45.1) ve çocukluk çağında (%41.9) düşük kalsiyum alımı ve ergenlik döneminde hareketsiz yaşam biçimi (%27.9) idi. Toplam 707 hasta (%96.5) birden fazla klinik risk faktörü tanımlarken, hastaların %74.3'ü sekonder osteoporoz açısından en az bir klinik risk faktörü bildirdi. Sonuç: Yeterli güneş maruziyeti, çocukluktan itibaren beslenmede yeterli kalsiyum alımı ve hareketli bir yaşam biçimi, postmenopozal kadınların osteoporozdan korunmasında rol oynayabilir. Buna ilave olarak, hekimler bu hasta grubundaki yüksek sekonder osteoporoz olasılığının farkında olmalıdırlar.Anahtar sözcükler: Osteoporoz; postmenopozal; risk faktörü.Objectives: This study aims to identify the frequency of clinical risk factors associated with osteoporosis in postmenopausal women. Patients and methods:In this cross-sectional, observational, multicenter study, a total of 730 postmenopausal women were assessed for risk factors associated with osteoporosis. The assessment included a standardized questionnaire which recorded the following clinical risk factors: family and personal histories of fractures, prolonged immobilization, sun exposure, lifelong sedentary lifestyle, smoking history, low calcium intake in childhood and adulthood, excessive caffeine intake, high sodium intake, inadequate protein intake, number of pregnancies, age at menopause, the presence of premature menopause, primary and secondary amenorrhea, medical conditions, and chronic use of prescription drugs. Results: The most frequent clinical risk factors for osteoporosis were inadequate sun exposure (53.3%), current sedentary lifestyle (52.9%), low calcium intake in adulthood (45.1%) and childhood (41.9%), and sedentary lifestyle in adolescence (27.9%). A total of 707 patients (96.5%) described more than one risk factor, while 74.3% of the patients reported one clinical risk factor at least for secondary osteoporosis. Conclusion: Adequate sun exposure and proper intake of dietary calcium beginning in childhood combined with lifelong daily physical activity may play a role in preventing osteoporosis in postmenopausal women. In addition, physicians should be aware of t...

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Dietary intake, blood pressure and osteoporosis

Cited by 45 publications

References 25 publications

Greater Intake of Fruit and Vegetables Is Associated with Greater Bone Mineral Density and Lower Osteoporosis Risk in Middle-Aged and Elderly Adults

Greater Intake of Fruit and Vegetables Is Associated with Greater Bone Mineral Density and Lower Osteoporosis Risk in Middle-Aged and Elderly Adults

Bone Mineral Density and Protein-Derived Food Clusters from the Framingham Offspring Study

The Frequency of the Clinical Risk Factors in Postmenopausal Osteoporosis

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