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Association of Alternative Dietary Patterns with Osteoporosis and Fracture Risk in Older People: A Scoping Review
Purpose: Although the Mediterranean diet has been associated with a lower risk of hip fracture, the effect of other dietary patterns on bone density and risk of fracture is unknown. This scoping review aims to investigate the association between adherence to alternative dietary patterns (other than...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10574803/ https://www.ncbi.nlm.nih.gov/pubmed/37836538 http://dx.doi.org/10.3390/nu15194255 |
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author | Chen, Huiyu Avgerinou, Christina |
author_facet | Chen, Huiyu Avgerinou, Christina |
author_sort | Chen, Huiyu |
collection | PubMed |
description | Purpose: Although the Mediterranean diet has been associated with a lower risk of hip fracture, the effect of other dietary patterns on bone density and risk of fracture is unknown. This scoping review aims to investigate the association between adherence to alternative dietary patterns (other than the traditional Mediterranean diet) and osteoporosis or osteoporotic fracture risk in older people. Methods: A systematic search was carried out on three electronic databases (Medline, EMBASE, and Scopus) to identify original papers studying the association between alternative dietary patterns (e.g., Baltic Sea Diet (BSD), modified/alternative Mediterranean diet in non-Mediterranean populations, Dietary Approaches to Stop Hypertension (DASH)) assessed using ‘prior’ methods (validated scores) and the risk of osteoporotic fracture or Bone Mineral Density (BMD) in people aged ≥50 (or reported average age of participants ≥ 60). Results from the included studies were presented in a narrative way. Results: Six observational (four prospective cohort and two cross-sectional) studies were included. There was no significant association between BMD and BSD or DASH scores. Higher adherence to DASH was associated with a lower risk of lumbar spine osteoporosis in women in one study, although it was not associated with the risk of hip fracture in another study with men and women. Higher adherence to aMED (alternative Mediterranean diet) was associated with a lower risk of hip fracture in one study, whereas higher adherence to mMED (modified Mediterranean diet) was associated with a lower risk of hip fracture in one study and had no significant result in another study. However, diet scores were heterogeneous across cohort studies. Conclusions: There is some evidence that a modified and alternative Mediterranean diet may reduce the risk of hip fracture, and DASH may improve lumbar spine BMD. Larger cohort studies are needed to validate these findings. |
format | Online Article Text |
id | pubmed-10574803 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-105748032023-10-14 Association of Alternative Dietary Patterns with Osteoporosis and Fracture Risk in Older People: A Scoping Review Chen, Huiyu Avgerinou, Christina Nutrients Review Purpose: Although the Mediterranean diet has been associated with a lower risk of hip fracture, the effect of other dietary patterns on bone density and risk of fracture is unknown. This scoping review aims to investigate the association between adherence to alternative dietary patterns (other than the traditional Mediterranean diet) and osteoporosis or osteoporotic fracture risk in older people. Methods: A systematic search was carried out on three electronic databases (Medline, EMBASE, and Scopus) to identify original papers studying the association between alternative dietary patterns (e.g., Baltic Sea Diet (BSD), modified/alternative Mediterranean diet in non-Mediterranean populations, Dietary Approaches to Stop Hypertension (DASH)) assessed using ‘prior’ methods (validated scores) and the risk of osteoporotic fracture or Bone Mineral Density (BMD) in people aged ≥50 (or reported average age of participants ≥ 60). Results from the included studies were presented in a narrative way. Results: Six observational (four prospective cohort and two cross-sectional) studies were included. There was no significant association between BMD and BSD or DASH scores. Higher adherence to DASH was associated with a lower risk of lumbar spine osteoporosis in women in one study, although it was not associated with the risk of hip fracture in another study with men and women. Higher adherence to aMED (alternative Mediterranean diet) was associated with a lower risk of hip fracture in one study, whereas higher adherence to mMED (modified Mediterranean diet) was associated with a lower risk of hip fracture in one study and had no significant result in another study. However, diet scores were heterogeneous across cohort studies. Conclusions: There is some evidence that a modified and alternative Mediterranean diet may reduce the risk of hip fracture, and DASH may improve lumbar spine BMD. Larger cohort studies are needed to validate these findings. MDPI 2023-10-03 /pmc/articles/PMC10574803/ /pubmed/37836538 http://dx.doi.org/10.3390/nu15194255 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Chen, Huiyu Avgerinou, Christina Association of Alternative Dietary Patterns with Osteoporosis and Fracture Risk in Older People: A Scoping Review |
title | Association of Alternative Dietary Patterns with Osteoporosis and Fracture Risk in Older People: A Scoping Review |
title_full | Association of Alternative Dietary Patterns with Osteoporosis and Fracture Risk in Older People: A Scoping Review |
title_fullStr | Association of Alternative Dietary Patterns with Osteoporosis and Fracture Risk in Older People: A Scoping Review |
title_full_unstemmed | Association of Alternative Dietary Patterns with Osteoporosis and Fracture Risk in Older People: A Scoping Review |
title_short | Association of Alternative Dietary Patterns with Osteoporosis and Fracture Risk in Older People: A Scoping Review |
title_sort | association of alternative dietary patterns with osteoporosis and fracture risk in older people: a scoping review |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10574803/ https://www.ncbi.nlm.nih.gov/pubmed/37836538 http://dx.doi.org/10.3390/nu15194255 |
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