Dietary Patterns in Relation to Low Bone Mineral Density and Fracture Risk: A Systematic Review and Meta-Analysis

Fabiani, Roberto; Naldini, Giulia; Chiavarini, Manuela

doi:10.1093/advances/nmy073

Cited by 113 publications

(86 citation statements)

References 83 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…We reviewed titles and abstracts of all retrieved articles, and eventually, seventy articles were fully reviewed for eligibility. Of those, sixteen meta-analyses, reporting eighteen SRR for healthy dietary patterns and sixteen SRR for unhealthy dietary patterns obtained from 116 primary prospective cohort studies with 4 801 734 participants, were considered eligible for the analyses (30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45) . Reasons for excluding studies are presented in Fig.…”

Section: Resultsmentioning

confidence: 99%

“…If more than one published metaanalysis on the same association was identified, we included the one with the largest number of primary prospective cohort studies. Included meta-analyses assessed the following outcomes in their analyses: all-cause and CVD mortality (38) , CHD (37) , stroke (42) , T2D (healthy pattern) (31) , T2D (unhealthy pattern) (30) , fracture (32) , depression (40) , chronic obstructive pulmonary disease (COPD) (45) , asthma (39) , frailty (39) , metabolic syndrome (33) , colorectal adenoma (35) , lung cancer (43) , breast cancer (44) , CRC (34) and prostate, pancreatic and gastric cancers (36) . For lung cancer (43) and frailty (41) , there was only one available meta-analysis that reported SRR for healthy patterns.…”

Section: Characteristics Of the Studies Included In The Umbrella Reviewmentioning

confidence: 99%

See 1 more Smart Citation

Healthy and unhealthy dietary patterns and the risk of chronic disease: an umbrella review of meta-analyses of prospective cohort studies

et al. 2020

View full text Add to dashboard Cite

We aimed to fully review the association of empirical dietary patterns with the risk of noncommunicable chronic diseases and to rate the quality of the evidence. Published meta-analyses of observational studies investigating the association of empirically-derived dietary patterns with the risk of chronic diseases were identified by searching PubMed and Scopus till September, 2019. Two independent reviewers extracted the information and rated the quality of the evidence by NutriGrade score. For each meta-analysis, cross-sectional and case-control studies were excluded and then, summary relative risk (SRR) was recalculated by using a random-effects model. Sixteen meta-analyses of prospective cohort studies, reporting 18 SRRs for healthy dietary patterns and 16 SRRs for unhealthy patterns obtained from 116 primary prospective cohort studies with 4.8 million participants, were included. There was moderate quality of evidence for the inverse association of healthy dietary patterns with the risk of type 2 diabetes, fracture, and colorectal and breast cancers. There was also low quality evidence for the inverse relation between healthy dietary patterns and the risk of all-cause and cardiovascular mortality, depression, and coronary heart and respiratory diseases. There was moderate quality of evidence for a positive association between unhealthy dietary patterns and the risk of type 2 diabetes, fracture, and metabolic syndrome. Adopting a healthy dietary pattern may reduce the risk of type 2 diabetes, coronary heart disease, and premature death. More research is needed for outcomes for which the quality of the evidence was rated low, such as respiratory disease, mental illness, and site-specific cancers.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Characteristics Of the Studies Included In The Umbrella Reviewmentioning

confidence: 99%

Healthy and unhealthy dietary patterns and the risk of chronic disease: an umbrella review of meta-analyses of prospective cohort studies

et al. 2020

View full text Add to dashboard Cite

show abstract

“…This dietary pattern was compared to "Healthy" patterns, characterized by a high consumption of fruit and vegetables, and the "Milk/Dairy" pattern, and these two patterns were associated with a decreased risk of low BMD. Moreover, the "Healthy" pattern had a significant preventive effect on fracture risk, whereas the "Meat/Western" pattern significantly increased the fracture risk [91]. A summary of larger studies relating bone status to each dietary pattern is found below in Table 2.…”

Section: Vegetarian Dietsmentioning

confidence: 99%

Nutrients and Dietary Patterns Related to Osteoporosis

2020

View full text Add to dashboard Cite

Osteoporosis is a common chronic disease characterized by a decrease in bone mineral density, impaired bone strength, and an increased risk of fragility fractures. Fragility fractures are associated with significant morbidity, mortality and disability and are a major public health problem worldwide. The influence of nutritional factors on the development and progression of this disease can be significant and is not yet well established. Calcium intake and vitamin D status are considered to be essential for bone metabolism homeostasis. However, some recent studies have questioned the usefulness of calcium and vitamin D supplements in decreasing the risk of fractures. The adequate intake of protein, vegetables and other nutrients is also of interest, and recommendations have been established by expert consensus and clinical practice guidelines. It is important to understand the influence of nutrients not only in isolation but also in the context of a dietary pattern, which is a complex mixture of nutrients. In this review, we evaluate the available scientific evidence for the effects of the main dietary patterns on bone health. Although some dietary patterns seem to have beneficial effects, more studies are needed to fully elucidate the true influence of diet on bone fragility.

show abstract

“…Tertiles of factor scores for dietary pattern P-trend compared the risk of fracture between high and low food intake categories of healthy diet patients (OR = 0.81; 95% CI: 0.69, 0.95; p = 0.01) (21,22). The studies indicated a healthy diet was characterized by "Calcium foods, " "Dairy and whole grains, " "Fruit, milk, and whole grains, " "Milk and root vegetables, " "Vegetable-fruit-soy, " and "Dairy-fruit" (21,22). In the present study, we found similar components to these healthy dietary patterns.…”

Section: Discussionmentioning

confidence: 99%

Association Between Dietary Patterns and Fluorosis in Guizhou, China

et al. 2020

View full text Add to dashboard Cite

Objective: Many studies have explored the effects of individual foods or nutrients on fluorosis, but no studies have focused on dietary patterns. This study examined the relationship between dietary patterns and coal-burning fluorosis in Guizhou, China. Methods: This 1:1 matched case-control study was conducted in Zhijin County of Guizhou province with a sample size of 200 cases of fluorosis and 200 age and gender matched controls. Habitual dietary intake was assessed by face-to-face interviews, using a validated 75-item food frequency questionnaire (FFQ) and various covariates using structured questionnaires. The dietary patterns were identified by factor analysis. Results: The factor analysis identified three major dietary patterns which were labeled healthy, easy-to-roast and high protein. After adjusting for various confounding factors, a decreased risk for fluorosis was observed in the highest tertile of the healthy dietary pattern relative to the lowest tertile (OR = 0.47, 95% CI = 0.27-0.84, P-trend = 0.003) and a positive association was observed between the easy-to-roast dietary pattern and fluorosis risk (OR = 2.05, 95% CI = 1.15-3.66), with a significant linear trend (P = 0.017). We did not find an association between fluorosis risk and the high protein dietary pattern. The relationships remained significant when the analyses were stratified by gender and fluorosis subtypes. Conclusion: The healthy dietary pattern may lower coal-burning fluorosis risk; in contrast, the easy-to-roast dietary pattern significantly increases the risk of coalburning fluorosis.

show abstract

Dietary Patterns in Relation to Low Bone Mineral Density and Fracture Risk: A Systematic Review and Meta-Analysis

Cited by 113 publications

References 83 publications

Healthy and unhealthy dietary patterns and the risk of chronic disease: an umbrella review of meta-analyses of prospective cohort studies

Healthy and unhealthy dietary patterns and the risk of chronic disease: an umbrella review of meta-analyses of prospective cohort studies

Nutrients and Dietary Patterns Related to Osteoporosis

Association Between Dietary Patterns and Fluorosis in Guizhou, China

Contact Info

Product

Resources

About