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Title: | Association between dietary patterns, anthropometric status, lifestyle, and bone mineral density among postmenopausal women in Taiwan: A cross-sectional study |
Authors: | Jargalsaikhan, N;Hsu, CY;Lee, HA;Chao, JCJ |
Contributors: | National Institute of Cancer Research |
Abstract: | Background and objectives: Dietary patterns influence bone health status. Decreased bone density often occurs in the postmenopausal women because of estrogen deficiency. The aim of this study was to investigate the association between dietary patterns, anthropometric status, lifestyle, and bone mineral density among postmenopausal women in Taiwan. Methods: A total of 10,451 postmenopausal women aged between 45 and 94 years who measured bone mineral density were recruited from Mei-Jau Health Institution from 2001 to 2015. The sociodemographic data, lifestyle, medical history, and dietary habits were collected by self-report questionnaires. Anthropometric data including body mass index (BMI), waist-to-hip ratio, and body fat were measured. Dietary intake was assessed using a validated food frequency questionnaire composed of 85 closed-ended questions, and intake frequency was identified for 22 food groups. Principal component analysis (PCA) was used to identify the dietary patterns. Multinomial logistic regression analysis was performed to determine the association between dietary patterns, anthropometric status, lifestyle, and bone mineral density.; fired-processed dietary pattern, vegetables dietary pattern, and dairy-grain dietary pattern. Results: Three dietary patterns including fired-processed, vegetables, and dairy-grain dietary patterns were derived by PCA. After full adjustments for confounders, participants who were awakened easily or hard to sleep were associated with a higher risk of osteoporosis by 22% (OR=1.22, 95% CI 1.07, 1.18) or 34% (OR= 1.34, 95% CI 1.15, 1.56), respectively. Underweight was significantly correlated with higher odds of osteoporosis (OR=2.02, 95% CI 1.57, 2.60) compared with normal BMI. Central obesity was negatively associated with the risk of osteoporosis (OR=0.59, 95% CI 0.51, 0.68). Participants in the higher quintile (Q4) of the dairy-grain dietary pattern were less likely to have the risk of osteoporosis (OR=0.73, 95% CI 0.60, 0.90) compared with those who were in the reference group (Q1). Conclusions: The dietary pattern with high intakes of milk, dairy products, and grains is inversely associated with a risk of osteoporosis. Furthermore, the incidence of osteoporosis is positively associated with underweight and poor sleep quality. |
Date: | 2023-08-03 |
Relation: | Annals of Nutrition and Metabolism. 2023 Aug 03;79(Suppl. 1):926. |
Link to: | http://dx.doi.org/10.1159/000530786 |
JIF/Ranking 2023: | http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=0250-6807&DestApp=IC2JCR |
Cited Times(WOS): | https://www.webofscience.com/wos/woscc/full-record/WOS:001084581004048 |
Appears in Collections: | [其他] 會議論文/會議摘要
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