Diet-quality scores and risk of hip fractures in elderly urban Chinese in Guangdong, China: a case–control study

Zeng, Fangfang; Xue, Wen‐Qiong; Cao, Wenting; Wu, Baohua; Xie, Hongyu; Fan, Fan; Zhu, Huilian; Chen, Y.M.

doi:10.1007/s00198-014-2741-2

Cited by 50 publications

(62 citation statements)

References 42 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%

“…Three articles (14,19,34) assessed both dietary pattern approaches in association with bone. Most of the studies had a cross-sectional design (n = 26) (13-24, 27, 28, 36, 37, 40, 45-50, 52-54), and the remaining had a case-control (n = 2) (30,55), longitudinal (n = 20) (25, 26, 29, 31-35, 38, 39, 41-44, 51, 56-60), or clinical trial (n = 1) (61) design.…”

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%

“…The follow-up period varied from 4 (31) to 21 (58) y. 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 4 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: Resultsmentioning

confidence: 99%

Section: Bone Outcome Measurementsmentioning

confidence: 99%

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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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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Dietary Inflammatory Index, Bone Mineral Density, and Risk of Fracture in Postmenopausal Women: Results From the Women's Health Initiative

Orchard

Yıldız

Steck

et al. 2016

Journal of Bone and Mineral Research

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Previous studies suggest that bone loss and fracture risk are associated with higher inflammatory milieu, potentially modifiable by diet. The primary objective of this analysis was to evaluate the association of the dietary inflammatory index (DII), a measure of the inflammatory potential of diet, with risk of hip, lower-arm, and total fracture using longitudinal data from the Women's Health Initiative Observational Study and Clinical Trials. Secondarily, we evaluated changes in bone mineral density (BMD) and DII scores. DII scores were calculated from baseline food frequency questionnaires (FFQs) completed by 160,191 participants (mean age 63 years) without history of hip fracture at enrollment. Year 3 FFQs were used to calculate a DII change score. Fractures were reported at least annually; hip fractures were confirmed by medical records. Hazard ratios for fractures were computed using multivariable-adjusted Cox proportional hazard models, further stratified by age and race/ethnicity. Pairwise comparisons of changes in hip BMD, measured by dual-energy X-ray absorptiometry from baseline, year 3, and year 6 were analyzed by quartile (Q1 = least inflammatory diet) of baseline DII scores in a subgroup of women (n = 10,290). Mean DII score improved significantly over 3 years (p < 0.01), but change was not associated with fracture risk. Baseline DII score was only associated with hip fracture risk in younger white women (HR Q4,1.48; 95% CI, 1.09 to 2.01; p = 0.01). There were no significant associations among white women older than 63 years or other races/ethnicities. Women with the least inflammatory DII scores had less loss of hip BMD (p = 0.01) by year 6, despite lower baseline hip BMD, versus women with the most inflammatory DII scores. In conclusion, a less inflammatory dietary pattern was associated with less BMD loss in postmenopausal women. A more inflammatory diet was associated with increased hip fracture risk only in white women younger than 63 years.

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Diet-quality scores and risk of hip fractures in elderly urban Chinese in Guangdong, China: a case–control study

Abstract: Avoiding a low-quality diet is associated with a lower risk of hip fractures, and the aMed score is the best scoring system due to its equivalent performance and simplicity for the user.

Cited by 50 publications

References 42 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

Dietary Patterns and Fractures in Postmenopausal Women

Dietary Inflammatory Index, Bone Mineral Density, and Risk of Fracture in Postmenopausal Women: Results From the Women's Health Initiative

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