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Adherence to the Mediterranean diet is associated with a higher BMD in middle-aged and elderly Chinese

Previous studies showed that better adherence to the Mediterranean diet (MD) is associated with lower risk of chronic diseases, but limited data are available on bone health. We investigated the association of the MD with bone mineral density (BMD) in Chinese adults. We included 2371 participants ag...

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Autores principales: Chen, Geng-dong, Dong, Xiao-wei, Zhu, Ying-Ying, Tian, Hui-yuan, He, Juan, Chen, Yu-ming
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4860711/
https://www.ncbi.nlm.nih.gov/pubmed/27157300
http://dx.doi.org/10.1038/srep25662
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author Chen, Geng-dong
Dong, Xiao-wei
Zhu, Ying-Ying
Tian, Hui-yuan
He, Juan
Chen, Yu-ming
author_facet Chen, Geng-dong
Dong, Xiao-wei
Zhu, Ying-Ying
Tian, Hui-yuan
He, Juan
Chen, Yu-ming
author_sort Chen, Geng-dong
collection PubMed
description Previous studies showed that better adherence to the Mediterranean diet (MD) is associated with lower risk of chronic diseases, but limited data are available on bone health. We investigated the association of the MD with bone mineral density (BMD) in Chinese adults. We included 2371 participants aged 40–75 years in this community-based cross-sectional study. Dietary information was assessed at baseline and a 3-year follow-up. Alternate Mediterranean diet (aMed) scores were calculated. BMD was determined at the second survey. After adjusting for potential covariates, higher aMed scores were positively and dose-dependently associated with BMD (all P-trends < 0.05). The BMD values were 1.94% (whole body), 3.01% (lumbar spine), 2.80% (total hip), 2.81% (femur neck), 2.62% (trochanter), and 2.85% (intertrochanter) higher in the quintile 5 (highest, vs. quintile 1) aMed scores for all of the subjects (all P-values < 0.05). Similar associations were found after stratifying by gender (P-interaction = 0.338–0.968). After excluding the five non-significant components of vegetables, legumes, fish, monounsaturated to saturated fat ratio, and alcohol intake from the aMed scores, the percentage mean differences were substantially increased by 69.1–150% between the extreme quintiles. In conclusion, increased adherence to the MD shows protective associations with BMD in Chinese adults.
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spelling pubmed-48607112016-05-20 Adherence to the Mediterranean diet is associated with a higher BMD in middle-aged and elderly Chinese Chen, Geng-dong Dong, Xiao-wei Zhu, Ying-Ying Tian, Hui-yuan He, Juan Chen, Yu-ming Sci Rep Article Previous studies showed that better adherence to the Mediterranean diet (MD) is associated with lower risk of chronic diseases, but limited data are available on bone health. We investigated the association of the MD with bone mineral density (BMD) in Chinese adults. We included 2371 participants aged 40–75 years in this community-based cross-sectional study. Dietary information was assessed at baseline and a 3-year follow-up. Alternate Mediterranean diet (aMed) scores were calculated. BMD was determined at the second survey. After adjusting for potential covariates, higher aMed scores were positively and dose-dependently associated with BMD (all P-trends < 0.05). The BMD values were 1.94% (whole body), 3.01% (lumbar spine), 2.80% (total hip), 2.81% (femur neck), 2.62% (trochanter), and 2.85% (intertrochanter) higher in the quintile 5 (highest, vs. quintile 1) aMed scores for all of the subjects (all P-values < 0.05). Similar associations were found after stratifying by gender (P-interaction = 0.338–0.968). After excluding the five non-significant components of vegetables, legumes, fish, monounsaturated to saturated fat ratio, and alcohol intake from the aMed scores, the percentage mean differences were substantially increased by 69.1–150% between the extreme quintiles. In conclusion, increased adherence to the MD shows protective associations with BMD in Chinese adults. Nature Publishing Group 2016-05-09 /pmc/articles/PMC4860711/ /pubmed/27157300 http://dx.doi.org/10.1038/srep25662 Text en Copyright © 2016, Macmillan Publishers Limited http://creativecommons.org/licenses/by/4.0/ This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/
spellingShingle Article
Chen, Geng-dong
Dong, Xiao-wei
Zhu, Ying-Ying
Tian, Hui-yuan
He, Juan
Chen, Yu-ming
Adherence to the Mediterranean diet is associated with a higher BMD in middle-aged and elderly Chinese
title Adherence to the Mediterranean diet is associated with a higher BMD in middle-aged and elderly Chinese
title_full Adherence to the Mediterranean diet is associated with a higher BMD in middle-aged and elderly Chinese
title_fullStr Adherence to the Mediterranean diet is associated with a higher BMD in middle-aged and elderly Chinese
title_full_unstemmed Adherence to the Mediterranean diet is associated with a higher BMD in middle-aged and elderly Chinese
title_short Adherence to the Mediterranean diet is associated with a higher BMD in middle-aged and elderly Chinese
title_sort adherence to the mediterranean diet is associated with a higher bmd in middle-aged and elderly chinese
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4860711/
https://www.ncbi.nlm.nih.gov/pubmed/27157300
http://dx.doi.org/10.1038/srep25662
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