Food groups and risk of forearm fractures in postmenopausal women in Chengdu, China

Xu, Liangzhi; Dibley, Michael J.; DʼEste, Catherine; Phillips, Michael R.; Porteous, Jenny; Attia, John

doi:10.1080/13697130802626958

Cited by 19 publications

(16 citation statements)

References 17 publications

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“…The potential negative effect of a diet of low quality might be offset by a greater waist circumference (57), because some studies suggest that those with a higher BMI or waist circumference have lower BTMs (58)(59). Finally, although few observational studies have reported protective effects of healthy dietary patterns on bone health in postmenopausal women (11,(60)(61)(62)(63), these findings were based on BMD or fracture data, which may indicate long-term effect of diet on bone health. Dietary interventions in postmenopausal women have failed to support the beneficial effect of healthy eating on bone status in the postmenopausal years (12,13,64,65).…”

Section: No Relations Between Hei-2005 and Btmsmentioning

confidence: 99%

Association between the Healthy Eating Index and bone turnover markers in US postmenopausal women aged ≥45 y

Hamidi¹,

Tarasuk²,

Corey³

et al. 2011

The American Journal of Clinical Nutrition

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Background: Some studies have reported that overall diet quality affects bone status in postmenopausal women; however, the findings are inconsistent. Objectives: Our primary objective was to examine the association between overall diet quality and bone turnover markers (BTMs) in postmenopausal women aged 45 y by using the Healthy Eating Index 2005 (HEI-2005)-a diet quality-assessment tool-developed by the US Department of Agriculture. Our secondary objective was to explore the associations between the components of the HEI-2005 and the MyPyramid food groups and BTMs. Design: We used cross-sectional data from NHANES 1999NHANES -2002. Multiple regression models with adjustments for relevant confounders were used to examine the relation between the total HEI-2005 score and its components and food groups and serum bone-specific alkaline phosphatase (BAP), a biomarker of bone formation, and urinary N-telopeptides/creatinine (uNTx/Cr), a biomarker of bone resorption. Results: No association was found between the total HEI-2005 score and BTMs. The milk group component of HEI-2005 had a significant negative linear relation with uNTx/Cr. Women in the lowest tertile of the MyPyramid milk group had the highest uNTx/Cr. Those in the highest tertile of energy-adjusted added sugar intake had the highest BAP. Conclusions: Our results support the ability of a healthy diet with adequate dairy intake to promote bone health in aging women. However, we found that the HEI-2005 is not a good measure of healthy eating for optimal bone health. Further research is needed to develop an overall dietary assessment tool in relation to bone health for postmenopausal women.

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Section: No Relations Between Hei-2005 and Btmsmentioning

confidence: 99%

Association between the Healthy Eating Index and bone turnover markers in US postmenopausal women aged ≥45 y

Hamidi¹,

Tarasuk²,

Corey³

et al. 2011

The American Journal of Clinical Nutrition

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“…Eight studies were included for this systematic review. Two studies were RCTs [34,35], three were cross-sectional studies [36][37][38], one was a prospective cohort study [39], one a case-control study [40], and one cohort study reported cross-sectional as well as longitudinal data [41]. The reasons for exclusion of studies are also outlined in Fig.…”

Section: Study Selection and Characteristicsmentioning

confidence: 99%

“…The intake levels and assessment of F&V intake as well as follow-up time varied among studies. Four studies reported outcomes for F&V combined [34][35][36]41]; all others reported fruits separate from vegetables as well as combined [37][38][39][40]. Only one study reported examining the effect of subcategories of fruits or vegetables (citrus fruits, green leafy vegetables, etc.)…”

Section: Study Selection and Characteristicsmentioning

confidence: 99%

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Fruit and vegetable intake and bone health in women aged 45 years and over: a systematic review

et al. 2010

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“…In turn, lifestyle modifications have been undertaken, such as changes in exercise and diet. A number of epidemiological studies have identified that higher fruit and vegetable intake was associated with higher BMD (21-25) and a lower fracture risk (26) in postmenopausal women. While the mechanisms underlying these bone-protective effects are yet to be fully elucidated, antioxidative nutrients and phytochemicals, including vitamin C, carotenoids and polyphenols, which are contained in fruits and vegetables, may improve bone health by scavenging ROS (27).…”

Section: Introductionmentioning

confidence: 99%

Effect of anthocyanin-rich bilberry extract on bone metabolism in ovariectomized rats

et al. 2017

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Abstract. Menopause is associated with increased oxidative stress, which serves a role, in part, in the pathogenesis of postmenopausal bone loss. Fruits and vegetables are rich in antioxidative nutrients and phytochemicals. Berries are a natural source of anthocyanins, and their intake may improve bone health. The aim of the present study was to determine the effect of an anthocyanin-rich bilberry extract (VME) on bone metabolism in an ovariectomized (Ovx) rat. Female Sprague-Dawley rats (12 weeks old) were randomly divided into the following four groups: Baseline, Sham, Ovx and Ovx+VME (n=8-12 rats per group). Rats in the Baseline group were sacrificed immediately, while those in the other groups were subjected to either sham operation (Sham) or bilateral Ovx (Ovx and Ovx+VME). Rats in the Ovx+VME group were administered VME daily at a dose of 500 mg/kg body weight. At 8 weeks after surgery, bone mass and bone histomorphometry were evaluated. The femur bone mineral density (BMD) in the Ovx group was significantly lower than that in the Sham group (P<0.01). Supplementation of VME in the Ovx rats did not result in an increase in BMD. Histomorphometric analyses revealed that Ovx resulted in decreased measures of bone volume and trabecular number and increased measures of osteoid volume, mineralizing surface and bone formation rates (all P<0.01), whereas VME had no significant effects on these parameters. The present findings indicate that VME did not alter bone metabolism in Ovx rats, suggesting that consumption of VME may not be helpful in preventing postmenopausal bone loss.

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Food groups and risk of forearm fractures in postmenopausal women in Chengdu, China

Abstract: This is the first report indicating that the levels of vegetable and cereal intake, and that meeting WHO recommendations for vegetable and fruit intake, are associated with a decrease in the risk of forearm fractures in Chinese postmenopausal women.

Cited by 19 publications

References 17 publications

Association between the Healthy Eating Index and bone turnover markers in US postmenopausal women aged ≥45 y

Association between the Healthy Eating Index and bone turnover markers in US postmenopausal women aged ≥45 y

Fruit and vegetable intake and bone health in women aged 45 years and over: a systematic review

Effect of anthocyanin-rich bilberry extract on bone metabolism in ovariectomized rats

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