Adherence to a Mediterranean diet and risk of fractures in French older persons

Féart, Catherine; Lorrain, S.; Coupez, V. Ginder; Samieri, Cécilia; Letenneur, Luc; Paineau, Damien; Barberger‐Gateau, Pascale

doi:10.1007/s00198-013-2421-7

Cited by 84 publications

(113 citation statements)

References 44 publications

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“…Thirty-two of these articles used the data-driven dietary pattern method, and 20 of them (14,19,34,(45)(46)(47)(48)(49)(50)(51)(52)(53)(54)(55)(56)(57)(58)(59)(60)(61) used an a priori dietary pattern approach. Three articles (14,19,34) assessed both dietary pattern approaches in association with bone.…”

Section: Resultsmentioning

confidence: 99%

“…Studies were conducted in >20 countries: Australia (16,44), Brazil (24), Canada (25,26,32), China (22,28,30,34,49,55), France (33,56), Greece (14), Iran (20,21,48), Ireland (19), Italy (38), Japan (13,18,31), Korea (23,27,29,40,43,53,54), Netherlands (51), Norway (45), Portugal (41,60), Scotland (17), Spain (47), Sweden (59), United Kingdom (15,39), United States (35-37, 42, 46, 52, 58), and 10 European countries (57).…”

Section: Resultsmentioning

confidence: 99%

“…Hip fracture incidence was the main outcome measured in the studies (30,(33)(34)(35)(55)(56)(57)(58)(59). Some studies measured overall incidence of fall-related or low-trauma fractures (31,32,58), and some also included wrist and vertebrae fractures in analysis (33,56 …”

Section: Bone Outcome Measurementsmentioning

confidence: 99%

“…A variety of different dietary indexes was used for scoring dietary intake of study populations, including the Mediterranean diet score (14,19,47,49,50,(55)(56)(57)(58)(59)(60)(61), Alternative Healthy Eating Index (AHEI) (34,46,55,58), HEI (52,55,58), Diet Quality Index-International (55) (48), and BMD Diet Score (51). The dietary indexes used in these studies are described in Supplemental Table 2 and Supplemental Table 3.…”

Section: A Priori Dietary Patternsmentioning

confidence: 99%

See 3 more Smart Citations

Current Evidence on the Association of Dietary Patterns and Bone Health: A Scoping Review

Movassagh¹,

Vatanparast

2017

Advances in Nutrition

120

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Bone Outcome Measurementsmentioning

confidence: 99%

Section: A Priori Dietary Patternsmentioning

confidence: 99%

See 2 more Smart Citations

Current Evidence on the Association of Dietary Patterns and Bone Health: A Scoping Review

Movassagh¹,

Vatanparast

2017

Advances in Nutrition

120

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“…[10][11][12]32] The MedDiet is based on a combination of foods comprising a complex array of nutrients and bioactive phytochemicals with anti-inflammatory, antioxidant and alkalinising properties that could all contribute to bone health. Olive oil is one of the key foods in the MedDiet and its consumption accounts for one to two thirds of total vegetable fat intake, where MUFA, in the form of oleic acid, is the most abundant fatty acid consumed.…”

Section: Discussionmentioning

confidence: 99%

Extra virgin olive oil consumption reduces the risk of osteoporotic fractures in the PREDIMED trial

et al. 2018

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Dietary Patterns and Fractures in Postmenopausal Women

et al. 2016

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IMPORTANCE Considerable efforts have been undertaken to relate single nutrients to bone health. To this point, results are inconsistent. Suboptimal single nutrient intake does not occur in isolation but rather reflects a poor diet quality. OBJECTIVE To assess the association between adherence to a diet quality index constructed on the basis of dietary recommendations or existing healthy dietary patterns and fractures in postmenopausal women. DESIGN, SETTING, AND PARTICIPANTS Post hoc analysis was conducted of longitudinal data from 40 clinical centers throughout the United States included in the Women's Health Initiative (WHI) observational study. Participants in the prospective cohort included 93 676 women who were eligible for the WHI if they were aged 50 to 79 years. Recruitment was conducted from October 1, 1993, to December 31, 1998, with the study ending August 29, 2014. The WHI food frequency questionnaire was used to derive nutrient and food intake at baseline. Diet quality and adherence were assessed by scores on the alternate Mediterranean Diet (aMED), a 9-category measure of adherence to a Mediterranean dietary pattern; the Healthy Eating Index 2010 (HEI-2010), a 100-point measure of 12 food components; the 11-item Alternate Healthy Eating Index 2010 (AHEI-2010); or the 8-component Dietary Approaches to Stop Hypertension (DASH) diet score. MAIN OUTCOMES AND MEASURES Outcome measures included incident total and hip fractures. Hazard ratios (HRs) by quintiles of dietary index scores were estimated using Cox proportional hazards regression analyses. RESULTS Of the 93 676 participants, 90 014 were included in the analysis (mean [SD] age, 63.6 [7.4]) years. During a median follow-up time of 15.9 years, there were 2121 cases of hip fractures and 28 718 cases of total fractures. Women scoring in the highest quintile (Q5) of the aMED index had a lower risk for hip fractures (HR, 0.80; 95% CI, 0.66-0.97), with an absolute risk reduction of 0.29% and a number needed to treat of 342 (95% CI, 249-502). No association between the aMED score and total fractures was observed (Q5 HR, 1.01; 95% CI, 0.95-1.07). Higher HEI-2010 or DASH scores tended to be inversely related to hip fracture risk, but the results were nonsignificant (Q5 HR, 0.87; 95% CI, 0.75-1.02; and Q5 HR, 0.89; 95% CI, 0.75-1.06, respectively). The AHEI-2010 score was associated with neither hip nor total fractures. CONCLUSIONS AND RELEVANCE Higher adherence to a Mediterranean diet is associated with a lower risk for hip fractures. These results support that a healthy dietary pattern may play a role in maintaining bone health in postmenopausal women.

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Adherence to a Mediterranean diet and risk of fractures in French older persons

Cited by 84 publications

References 44 publications

Current Evidence on the Association of Dietary Patterns and Bone Health: A Scoping Review

Current Evidence on the Association of Dietary Patterns and Bone Health: A Scoping Review

Extra virgin olive oil consumption reduces the risk of osteoporotic fractures in the PREDIMED trial

Dietary Patterns and Fractures in Postmenopausal Women

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