• Home
  • Relationship between major dietary patterns and osteoporosis in Iranian postmenopausal women: A case-control study

Share To

Article Url


Manuscript ID : FH-2212-1127 Visit : 177 Page: 1 - 7

10.30495/fh.2023.71085.1127

Article Type: Original Research

Relationship between major dietary patterns and osteoporosis in Iranian postmenopausal women: A case-control study

Subject Areas :

Behnood Abbasi 1 , Paniz Ahmadi 2 , Bita Shadbakht 3 , Elnaz Zirak Sharkesh 4

1 - Department of Nutrition, Electronic Health and Statistics Surveillance Research Center, Science and Research Branch. Islamic Azad University, Tehran, Iran
2 - Department of Nutrition, Electronic Health and Statistics Surveillance Research Center, Science and Research Branch. Islamic Azad University, Tehran, Iran
3 - Department of Internal Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
4 - Department of Nutrition, Electronic Health and Statistics Surveillance Research Center, Science and Research Branch. Islamic Azad University, Tehran, Iran

Received: 2022-12-07 Accepted : 2023-03-27 Published : 2023-04-20

Keywords: / Diet therapy, Dietary Pattern, / Western dietary pattern, / Post-menopausal osteoporosis,

Abstract :

Osteoporosis is a common skeletal disorder in the elderly characterized by a bone densitylowerthan 2.5 standard deviationsinyoung adults. Diet may play an important role in the pathogenesis of osteoporosis. The aim of this study was to determine the possible relationship between major dietary patterns and osteoporosis in Iranian postmenopausal women. A case-control study was conducted on 440 postmenopausal women in Tehran using convenient samplingthat included220 cases and 220 controls. Demographic and anthropometric data, medical history, physical activity and usual dietary intake were collected through interviews. A 147-itemFood Frequency Questionnairewasused to assess dietary patterns.The levelsof physical activity and nutrient intake between the two groupswerecompared.The principal component analysis (PCA)was used to determine dominant dietary patterns. Two dominant dietary patterns (mixed and western) patterns were identified using 33 food groups. There was a significant difference in nutritional status and physical activity between the case and control groups. After adjusting for the effect of possible confounding variables (Model 4), those in the secondtertileof the Western dietary pattern were significantly more likely to have osteoporosis than in the firsttertile(OR=3.87/95% CI=1.13-7.03).The westerndietary pattern was strongly associated with an increased risk of osteoporosis. In addition, no association was found between mixed dietary patterns and osteoporosis.

References:


  1. Keramat A, Patwardhan B, Larijani B, Chopra A, Mithal A, Chakravarty D, et al. The assessment of osteoporosis risk factors in Iranian women compared with Indian women. BMC Musculoskeletal Disorders. 2008;9(1):28.
    2.
  2. Jamshidian TM, Kalantari N, Kamali Z, Houshyarrad A, Azadbakht L, Esmaeelzadeh A, et al. Osteoporosis risk factors in Tehrani women aged 40-60 years. Iranian Journal of Endocrinology and Metabolism. 2004;6(2):139-45
    3.
  3. Zamani B, Ebadi SA, Ahmadvand A, Moosavi GA. The Frequency of Osteoporosis in hip fracture following minor trauma and the resulting mortality rate and direct treatment costs in patients over 45 years old in Kashan Naghavi Hospital during 2005-2007. Journal of Kerman University of Medical Sciences. 2010;17(2):137-44.
    4.
  4. Bayat N, Haji AZ, Alishiri G, Ebadi A, Hosseini M, Laluee A. Frequency of Osteoporosis and osteopenia in Post Menopausal Military family's women. Annals of Military and Health Sciences Research. 2008; 6(1):25-30. (Persian).
    5.
  5. Soltani A, Pazhouhi M, Bastan HM, Mirfeizi S, Dashti R, Hosseinnezhad A. Bone mineral density variations in 20-69 yr. population of Tehran/Iran. Iranian South Medical Journal. 2001;5(1):41-49.
    6.
  6. Keramat A, Larijani B, Adibi H, Chopra A, Kunjir V, Patwardh B. Association between demographic factors and Osteoporosis in urban Iranian post-menopausal women. Iranian Journal of Public Health. 2004;33(Supple 1):34-42.
    7.
  7. Cranney A, Guyatt G, Griffith L, Wells G, Tugwell P, Rosen C, et al. IX: Summary of meta-analyses of therapies for post-menopausal Osteoporosis. Endocrine Reviews. 2002;23(4):570-8.
    8.
  8. Ringe J, Orwoll E, Daifotis A, Lombardi A. Treatment of male Osteoporosis: recent advances with alendronate. Osteoporosis International. 2002;13(3):195-9.
    9.
  9. Trivedi DP, Doll R, Khaw KT. Effect of four monthly oral vitamin D3 (cholecalciferol) supplementation on fractures and mortality in men and women living in the community: randomised double blind controlled trial. 2003;326(7387):469.
    10.
  10. Cummings SR, Nevitt MC, Browner WS, Stone K, Fox KM, Ensrud KE, et al. Risk factors for hip fracture in white women. New England Journal of Medicine. 1995;332(12):767-74.
    11.
  11. Sambrook P, Dequiker J, Rasp H. metabolic bone disease, Report of a WHO study group, Assessment of fracture risk and its application to screening for post-menopausal Osteoporosis. WHO Technical Report Series, Geneva. 1994;5.
    12.
  12. Gullberg B, Johnell O, Kanis J. World-wide projections for hip fracture. Osteoporosis International. 1997;7(5):407-13.
    13.
  13. Monma Y, Niu K, Iwasaki K, Tomita N, Nakaya N, Hozawa A, et al. Dietary patterns associated with fall-related fracture in elderly Japanese: a population based prospective study. BMC Geriatrics. 2010;10(1):31.
    14.
  14. Park S-J, Joo S-E, Min H, Park JK, Kim Y, Kim SS, et al. Dietary patterns and osteoporosis risk in post-menopausal Korean women. Osong Public Health and Research Perspectives. 2012;3(4):199-205.
    15.
  15. Keshteli AH, Esmaillzadeh A, Rajaie S, Askari G, Feinle-Bisset C, Adibi P. A dish-based semi-quantitative food frequency questionnaire for assessment of dietary intakes in epidemiologic studies in Iran: design and development. International Journal of Preventive Medicine. 2014;5(1):29.
    16.
  16. Centers for Disease Control and Prevention. Osteoporosis among estrogen-deficient women--United States, 1988-1994. MMWR: Morbidity and Mortality Weekly Report. 1998;47(45):969-73.
    17.
  17. Varenna M, Binelli L, Zucchi F, Ghiringhelli D, Gallazzi M, Sinigaglia L. Prevalence of Osteoporosis by educational level in a cohort of post-menopausal women. Osteoporosis International. 1999;9(3):236-41.
    18.
  18. Delmas PD, Fraser M. Strong bones in later life: luxury or necessity? Bulletin of the World Health Organization. 1999;77(5):416.
    19.
  19. Chubak J, Ulrich CM, Tworoger SS, Sorensen B, Yasui Y, Irwin ML, et al. Effect of exercise on bone mineral density and lean mass in post-menopausal women. Medicine and Science in Sports and Exercise. 2006;38(7):1236-44.
    20.
  20. Lau E, Lee J, Suriwongpaisal P, Saw S, De SD, Khir A, et al. The incidence of hip fracture in four Asian countries: the Asian Osteoporosis Study (AOS). Osteoporosis International. 2001;12(3):239-43.
    21.
  21. Bonaiuti D, Shea B, Iovine R, Negrini S, Welch V, Kemper HH, et al. Exercise for preventing and treating Osteoporosis in post-menopausal women. Cochrane Database of Systematic Reviews. 2002(2).
    22.
  22. Hegarty VM, May HM, Khaw K-T. Tea drinking and bone mineral density in older women. The American Journal of Clinical Nutrition. 2000;71(4):1003-7.
    23.
  23. Freudenheim J, Johnson N, Smith E. Relationships between usual nutrient intake and bone-mineral content of women 35–65 years of age: longitudinal and cross-sectional analysis. The American Journal of Clinical Nutrition. 1986;44(6):863-76.
    24.
  24. Tucker KL, Hannan MT, Chen H, Cupples LA, Wilson PW, Kiel DP. Potassium, magnesium, and fruit and vegetable intakes are associated with greater bone mineral density in elderly men and women. The American Journal of Clinical Nutrition. 1999;69(4):727-36.
    25.
  25. New SA, Bolton-Smith C, Grubb DA, Reid DM. Nutritional influences on bone mineral density: a cross-sectional study in premenopausal women. The American Journal of Clinical Nutrition. 1997;65(6):1831-9.
    26.
  26. Sahni S, Hannan MT, Blumberg J, Cupples LA, Kiel DP, Tucker KL. Inverse association of carotenoid intakes with 4-y change in bone mineral density in elderly men and women: the Framingham Osteoporosis Study. The American Journal of Clinical Nutrition. 2008;89(1):416-24.
    27.
  27. Sahni S, Hannan MT, Gagnon D, Blumberg J, Cupples LA, Kiel DP, et al. High vitamin C intake is associated with lower 4-year bone loss in elderly men. The Journal of Nutrition. 2008;138(10):1931-8.
    28.
  28. Sahni S, Hannan MT, Gagnon D, Blumberg J, Cupples LA, Kiel DP, et al. Protective effect of total and supplemental vitamin C intake on the risk of hip fracture—a 17-year follow-up from the Framingham Osteoporosis Study. Osteoporosis International. 2009;20(11):1853-61.
    29.
  29. Xu L, Phillips M, D'Este C, Dibley M, Porteous J, Attia J. Diet, activity, and other lifestyle risk factors for forearm fracture in post-menopausal women in China: a case-control study. Menopause. 2006;13(1):102-10.
    30.
  30. Prynne CJ, Mishra GD, O'Connell MA, Muniz G, Laskey MA, Yan L, et al. Fruit and vegetable intakes and bone mineral status: a cross-sectional study in 5 age and sex cohorts. The American Journal of Clinical Nutrition. 2006;83(6):1420-8.
    31.
  31. Barger-Lux MJ, Heaney RP, Stegman MR. Effects of moderate caffeine intake on the calcium economy of premenopausal women. The American Journal of Clinical Nutrition. 1990;52(4):722-5.
    32.
  32. Hernandez-Avila M, Colditz GA, Stampfer MJ, Rosner B, Speizer FE, Willett WC. Caffeine, moderate alcohol intake, and risk of fractures of the hip and forearm in middle-aged women. The American Journal of Clinical Nutrition. 1991;54(1):157-63.
    33.
  33. Ailinger RL, Harper DC, Lasus HA. Bone up on Osteoporosis: Development of the Facts on Osteoporosis Quiz. Orthopaedic Nursing. 1998;17(5):66.
    34.
  34. Heaney R. Effects of caffeine on bone and the calcium economy. Food and Chemical Toxicology. 2002;40(9):1263-70.
    35.
  35. Farag M. Effect of different cooking methods on nucleic acid nitrogen bases content of fresh sardine fish and its nutritive value. World Journal of Dairy and Food Sciences. 2013;8(2):156-64.
    36.
  36. Okubo H, Sasaki S, Horiguchi H, Oguma E, Miyamoto K, Hosoi Y, et al. Dietary patterns associated with bone mineral density in premenopausal Japanese farmwomen. The American Journal of Clinical Nutrition. 2006;83(5):1185-92.
    37.
  37. McNaughton SA, Wattanapenpaiboon N, Wark JD, Nowson CA. An energy-dense, nutrient-poor dietary pattern is inversely associated with bone health in women. The Journal of Nutrition. 2011;141(8):1516-23.
    38.
  38. Smith SA, Campbell DR, Elmer PJ, Martini MC, Slavin JL, Potter JD. The University of Minnesota Cancer Prevention Research Unit Vegetable and Fruit Classification Scheme (United States). Cancer Causes & Control. 1995;6(4):292-302.
    39.
  39. Newby PK, Tucker KL. Empirically derived eating patterns using factor or cluster analysis: a review. Nutrition Reviews. 2004;62(5):177-203.
    40.
  40. Fairweather-Tait SJ, Skinner J, Guile GR, Cassidy A, Spector TD, MacGregor AJ. Diet and bone mineral density study in post-menopausal women from the TwinsUK registry shows a negative association with a traditional English dietary pattern and a positive association with wine. The American Journal of Clinical Nutrition. 2011;94(5):1371-5.
    41.
  41. Hardcastle A, Aucott L, Fraser W, Reid D, Macdonald H. Dietary patterns, bone resorption and bone mineral density in early post-menopausal Scottish women. European Journal of Clinical Nutrition. 2011;65(3):378.
    42.
  42. Tucker KL, Chen H, Hannan MT, Cupples LA, Wilson PW, Felson D, et al. Bone mineral density and dietary patterns in older adults: the Framingham Osteoporosis Study. The American Journal of Clinical Nutrition. 2002;76(1):245-52.
    43.
  43. Benetou V, Orfanos P, Pettersson-Kymmer U, Bergström U, Svensson O, Johansson I, et al. Mediterranean diet and incidence of hip fractures in a European cohort. Osteoporosis International. 2013;24(5):1587-98.
    44.
  44. Langsetmo L, Hanley DA, Prior JC, Barr SI, Anastassiades T, Towheed T, et al. Dietary patterns and incident low-trauma fractures in post-menopausal women and men aged≥ 50 y: a population-based cohort study. The American Journal of Clinical Nutrition. 2010;93(1):192-9.
    45.
  45. Rebecca WHIIMAafotW-WJWLRRJWNBTFFRHSJ. Low-fat, increased fruit, vegetable, and grain dietary pattern, fractures, and bone mineral density: the Women's Health Initiative Dietary Modification Trial. The American Journal of Clinical Nutrition. 2009;89(6):1864-76.
    46.
  46. Kim MK, Sasaki S, Sasazuki S, Tsugane S. Prospective study of three major dietary patterns and risk of gastric cancer in Japan. International Journal of Cancer. 2004;110(3):435-42.
    47.
  47. Masaki M, Sugimori H, Nakamura K-i, Tadera M. Dietary patterns and stomach cancer among middle-aged male workers in Tokyo. Asian Pacific Journal of Cancer Prevention. 2003;4(1):61-6.
    48.
  48. Drewnowski A. Diet image: a new perspective on the food-frequency questionnaire. Nutrition Reviews. 2001;59(11):370-2.
    49.
  49. McCullough ML, Feskanich D, Rimm EB, Giovannucci EL, Ascherio A, Variyam JN, et al. Adherence to the Dietary Guidelines for Americans and risk of major chronic disease in men. The American Journal of Clinical Nutrition. 2000;72(5):1223-31.
    50.
  50. Willett W. Invited commentary: a further look at dietary questionnaire validation. American Journal of Epidemiology. 2001;154(12):1100-2.
    51.
  51. Byers T. Food frequency dietary assessment: how bad is good enough? American Journal of Epidemiology. 2001;154(12):1087-8.
    52.
  52. Block G. Invited commentary: another perspective on food frequency questionnaires. American Journal of Epidemiology. 2001;154(12):1103-4.
    53.
  53. Subar AF, Thompson FE, Kipnis V. Subar et al. respond to "A further look at dietary questionnaire validation" and "Another perspective on food frequency questionnaires". American Journal of Epidemiology. 2001;154(12):1105-6.
    54.

Related articles

The rights to this website are owned by the Raimag Press Management System.
Copyright © 2021-2024

Home| Login| About Us| Contact Us|
[فارسی] [العربية] [fa] [ar]