Greater Fruit Intake was Associated With Better Bone Mineral Status Among Chinese Elderly Men and Women: Results of Hong Kong Mr. Os and Ms. Os Studies

Liu, Zhaomin; Leung, Jason; Wong, Samuel Yeung‐Shan; Wong, Carmen; Chan, Ruth; Woo, Jean

doi:10.1016/j.jamda.2014.11.001

Cited by 30 publications

(34 citation statements)

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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: 58%

“…Besides, vegetables were typically cooked by stir-frying, boiling, or steaming in China. This could lead to the substantial loss of water-soluble or heat-sensitive nutrients and phytochemicals and attenuate the association between vegetables and bone health [35]. Furthermore, recent cohort studies showed that in comparison to an intake of 1–3 servings/d (or 80 g/d-240 g/d) of vegetables, less than 1 servings/d (or 80 g/d) or zero intake of vegetables was associated with higher risk of hip fracture but higher intakes did not confer additional benefits [5, 10].…”

Section: Discussionmentioning

confidence: 99%

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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: 58%

Section: Discussionmentioning

confidence: 99%

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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“…Despite the extensive evidence showing that FV consumption improves the health of young adults, the extent to which these benefits apply to older adults has received relatively little attention. The few existing prospective data suggest that consuming FVs during old age may help prevent the onset of depression (13), cognitive decline (14), mobility limitations, and disability (15)(16)(17)(18) while positively influencing muscle strength (19,20) and bone mineral status (21,22). In addition, the consumption of FVs in older adults has shown to decrease the risk of disease-specific and allcause mortality (23)(24)(25).…”

Section: Introductionmentioning

confidence: 99%

Consumption of fruit and vegetables and risk of frailty: a dose-response analysis of 3 prospective cohorts of community-dwelling older adults

García‐Esquinas

Rahi

Pérès

et al. 2016

The American Journal of Clinical Nutrition

108

101

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Background: Consuming fruit and vegetables (FVs) may protect against frailty, but to our knowledge no study has yet assessed their prospective dose-response relation. Objective: We sought to examine the dose-response association between FV consumption and the risk of frailty in older adults. Design: Data were taken from 3 independent cohorts of communitydwelling older adults: the Seniors-ENRICA (Study on Nutrition and Cardiovascular Risk Factors in Spain) cohort (n = 1872), Three-City (3C) Bordeaux cohort (n = 581), and integrated multidisciplinary approach cohort (n = 473). Baseline food consumption was assessed with a validated computerized diet history (Seniors-ENRICA) or with a food-frequency questionnaire (3C Bordeaux and AMI). In all cohorts, incident frailty was assessed with the use of the Fried criteria. Results across cohorts were pooled with the use of a randomeffects model. Results: During a mean 2.5-y follow-up, 300 incident frailty cases occurred. Fully adjusted models showed that the pooled ORs (95% CIs) of incident frailty comparing participants who consumed 1, 2, or $3 portions of fruit/d to those with no consumption were, respectively, 0.59 (0.27, 0.90), 0.58 (0.29, 0.86), and 0.48 (0.20, 0.75), with a P-trend of 0.04. The corresponding values for vegetables were 0.69 (0.42, 0.97), 0.56 (0.35, 0.77), and 0.52 (0.13, 0.92), with a P-trend , 0.01. When FVs were analyzed together, the pooled ORs (95% CIs) of incident frailty were 0.41 (0.21, 0.60), 0.47 (0.25, 0.68), 0.36 (0.18, 0.53), and 0.31 (0.13, 0.48), with a P-trend , 0.01 for participants who consumed 2, 3, 4, or $5 portions/d, respectively, compared with those who consumed #1 portion/d. An inverse dose-response relation was also found between the baseline consumption of fruit and risk of exhaustion, low physical activity, and slow walking speed, whereas the consumption of vegetables was associated with a decreased risk of exhaustion and unintentional weight loss. Conclusions: Among community-dwelling older adults, FV consumption was associated with a lower short-term risk of frailty in a doseresponse manner, and the strongest association was obtained with 3 portions of fruit/d and 2 portions of vegetables/d.Am J Clin Nutr 2016;104:132-42.

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“…In particular, sulfuric amino acids have been pointed out to be mainly responsible for pH lowering (Remer 2001;Pizzorno et al 2010;Adeva & Souto 2011). Conversely, the consumption of fruit and vegetables may prevent a decrease in pH due to the metabolism of salts such as citrate and malate (Remer 2001;Liu et al 2015).…”

Section: Introductionmentioning

confidence: 99%

Diet-induced acidosis and alkali supplementation

Guardia

Roggi

Cena

2016

International Journal of Food Sciences and Nutrition

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Western diet, high in protein-rich foods and poor in vegetables, is likely to be responsible for the development of a moderate acid excess leading to metabolism deregulation and the onset or worsening of chronic disturbances. Available findings seem to suggest that diets with high protein/vegetables ratio are likely to induce the development of calcium lithiasis, especially in predisposed subjects. Moreover, some evidence supports the hypothesis of bone metabolism worsening and enhanced bone loss following acid-genic diet consumption although available literature seems to lack direct and conclusive evidence demonstrating pathological bone loss. According to other evidences, diet-induced acidosis is likely to induce or accelerate muscle wasting or sarcopenia, especially among elderlies. Furthermore, recent epidemiological findings highlight a specific role of dietary acid load in glucose metabolism deregulation and insulin resistance. The aim of this review is to investigate the role of acid-genic diets in the development of the mentioned metabolic disorders focusing on the possible clinical improvements exerted by alkali supplementation.

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Greater Fruit Intake was Associated With Better Bone Mineral Status Among Chinese Elderly Men and Women: Results of Hong Kong Mr. Os and Ms. Os Studies

Cited by 30 publications

References 41 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

Consumption of fruit and vegetables and risk of frailty: a dose-response analysis of 3 prospective cohorts of community-dwelling older adults

Diet-induced acidosis and alkali supplementation

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