Cargando…

Prospective Associations of Dietary and Nutrient Patterns with Fracture Risk: A 20-Year Follow-Up Study

Studies on long-term exposure to foods/nutrients and its associations with fracture risk are scarce. Using data from the China Health and Nutrition Survey (CHNS), we determined the prospective association of dietary and nutrient patterns with fractures. Data from 15,572 adults aged ≥18 years were an...

Descripción completa

Detalles Bibliográficos
Autores principales: Melaku, Yohannes Adama, Gill, Tiffany K., Appleton, Sarah L., Taylor, Anne W., Adams, Robert, Shi, Zumin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5707670/
https://www.ncbi.nlm.nih.gov/pubmed/29088104
http://dx.doi.org/10.3390/nu9111198
_version_ 1783282482868649984
author Melaku, Yohannes Adama
Gill, Tiffany K.
Appleton, Sarah L.
Taylor, Anne W.
Adams, Robert
Shi, Zumin
author_facet Melaku, Yohannes Adama
Gill, Tiffany K.
Appleton, Sarah L.
Taylor, Anne W.
Adams, Robert
Shi, Zumin
author_sort Melaku, Yohannes Adama
collection PubMed
description Studies on long-term exposure to foods/nutrients and its associations with fracture risk are scarce. Using data from the China Health and Nutrition Survey (CHNS), we determined the prospective association of dietary and nutrient patterns with fractures. Data from 15,572 adults aged ≥18 years were analyzed. Fracture occurrence was self-reported and dietary intake data were collected using a 24-h recall method for three consecutive days, for each individual across nine waves (1989–2011). We used cumulative and overall mean, recent and baseline dietary and nutrient exposures. Hazard ratios (HR) were used to determine the associations. Two dietary (traditional and modern) and two nutrient (plant- and animal-sourced) patterns were identified. After adjusting for potential confounders, study participants in the third tertiles (highest intake) of the modern dietary and animal-sourced nutrient patterns’ cumulative scores had a 34% (HR = 1.34; 95% CI: 1.06–1.71) and 37% (HR = 1.37; 95% CI: 1.08–1.72) increase in fracture risks compared to those in the first tertiles, respectively. While the overall mean factor scores of dietary and nutrient patterns had a similar (or stronger) pattern of association as the cumulative scores, no association between recent and baseline scores and fracture was found. Greater adherence to a modern dietary and/or an animal-sourced nutrient pattern is associated with a higher risk of total fractures. This suggests that a modern animal based diet is related to bone fragility. A repeated three-day 24-h recall dietary assessment provides a stronger association with fracture compared to a recent or baseline exposure.
format Online
Article
Text
id pubmed-5707670
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-57076702017-12-05 Prospective Associations of Dietary and Nutrient Patterns with Fracture Risk: A 20-Year Follow-Up Study Melaku, Yohannes Adama Gill, Tiffany K. Appleton, Sarah L. Taylor, Anne W. Adams, Robert Shi, Zumin Nutrients Article Studies on long-term exposure to foods/nutrients and its associations with fracture risk are scarce. Using data from the China Health and Nutrition Survey (CHNS), we determined the prospective association of dietary and nutrient patterns with fractures. Data from 15,572 adults aged ≥18 years were analyzed. Fracture occurrence was self-reported and dietary intake data were collected using a 24-h recall method for three consecutive days, for each individual across nine waves (1989–2011). We used cumulative and overall mean, recent and baseline dietary and nutrient exposures. Hazard ratios (HR) were used to determine the associations. Two dietary (traditional and modern) and two nutrient (plant- and animal-sourced) patterns were identified. After adjusting for potential confounders, study participants in the third tertiles (highest intake) of the modern dietary and animal-sourced nutrient patterns’ cumulative scores had a 34% (HR = 1.34; 95% CI: 1.06–1.71) and 37% (HR = 1.37; 95% CI: 1.08–1.72) increase in fracture risks compared to those in the first tertiles, respectively. While the overall mean factor scores of dietary and nutrient patterns had a similar (or stronger) pattern of association as the cumulative scores, no association between recent and baseline scores and fracture was found. Greater adherence to a modern dietary and/or an animal-sourced nutrient pattern is associated with a higher risk of total fractures. This suggests that a modern animal based diet is related to bone fragility. A repeated three-day 24-h recall dietary assessment provides a stronger association with fracture compared to a recent or baseline exposure. MDPI 2017-10-31 /pmc/articles/PMC5707670/ /pubmed/29088104 http://dx.doi.org/10.3390/nu9111198 Text en © 2017 by the authors. 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 (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Melaku, Yohannes Adama
Gill, Tiffany K.
Appleton, Sarah L.
Taylor, Anne W.
Adams, Robert
Shi, Zumin
Prospective Associations of Dietary and Nutrient Patterns with Fracture Risk: A 20-Year Follow-Up Study
title Prospective Associations of Dietary and Nutrient Patterns with Fracture Risk: A 20-Year Follow-Up Study
title_full Prospective Associations of Dietary and Nutrient Patterns with Fracture Risk: A 20-Year Follow-Up Study
title_fullStr Prospective Associations of Dietary and Nutrient Patterns with Fracture Risk: A 20-Year Follow-Up Study
title_full_unstemmed Prospective Associations of Dietary and Nutrient Patterns with Fracture Risk: A 20-Year Follow-Up Study
title_short Prospective Associations of Dietary and Nutrient Patterns with Fracture Risk: A 20-Year Follow-Up Study
title_sort prospective associations of dietary and nutrient patterns with fracture risk: a 20-year follow-up study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5707670/
https://www.ncbi.nlm.nih.gov/pubmed/29088104
http://dx.doi.org/10.3390/nu9111198
work_keys_str_mv AT melakuyohannesadama prospectiveassociationsofdietaryandnutrientpatternswithfractureriska20yearfollowupstudy
AT gilltiffanyk prospectiveassociationsofdietaryandnutrientpatternswithfractureriska20yearfollowupstudy
AT appletonsarahl prospectiveassociationsofdietaryandnutrientpatternswithfractureriska20yearfollowupstudy
AT taylorannew prospectiveassociationsofdietaryandnutrientpatternswithfractureriska20yearfollowupstudy
AT adamsrobert prospectiveassociationsofdietaryandnutrientpatternswithfractureriska20yearfollowupstudy
AT shizumin prospectiveassociationsofdietaryandnutrientpatternswithfractureriska20yearfollowupstudy