Prospective Associations of Dietary and Nutrient Patterns with Fracture Risk: A 20-Year Follow-Up Study
Studies on long-term exposure to foods/nutrients and its associations with fracture risk are scarce. Using data from the China Health and Nutrition Survey (CHNS), we determined the prospective association of dietary and nutrient patterns with fractures. Data from 15,572 adults aged ≥18 years were an...
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doaj-9c605b6570a14f80aa806ba1309b329a2020-11-24T20:48:26ZengMDPI AGNutrients2072-66432017-10-01911119810.3390/nu9111198nu9111198Prospective Associations of Dietary and Nutrient Patterns with Fracture Risk: A 20-Year Follow-Up StudyYohannes Adama Melaku0Tiffany K. Gill1Sarah L. Appleton2Anne W. Taylor3Robert Adams4Zumin Shi5Adelaide Medical School, The University of Adelaide, Adelaide, SA 5005, AustraliaAdelaide Medical School, The University of Adelaide, Adelaide, SA 5005, AustraliaThe Health Observatory, Discipline of Medicine, The Queen Elizabeth Hospital Campus, University of Adelaide, Woodville, SA 5011, AustraliaAdelaide Medical School, The University of Adelaide, Adelaide, SA 5005, AustraliaThe Health Observatory, Discipline of Medicine, The Queen Elizabeth Hospital Campus, University of Adelaide, Woodville, SA 5011, AustraliaAdelaide Medical School, The University of Adelaide, Adelaide, SA 5005, AustraliaStudies on long-term exposure to foods/nutrients and its associations with fracture risk are scarce. Using data from the China Health and Nutrition Survey (CHNS), we determined the prospective association of dietary and nutrient patterns with fractures. Data from 15,572 adults aged ≥18 years were analyzed. Fracture occurrence was self-reported and dietary intake data were collected using a 24-h recall method for three consecutive days, for each individual across nine waves (1989–2011). We used cumulative and overall mean, recent and baseline dietary and nutrient exposures. Hazard ratios (HR) were used to determine the associations. Two dietary (traditional and modern) and two nutrient (plant- and animal-sourced) patterns were identified. After adjusting for potential confounders, study participants in the third tertiles (highest intake) of the modern dietary and animal-sourced nutrient patterns’ cumulative scores had a 34% (HR = 1.34; 95% CI: 1.06–1.71) and 37% (HR = 1.37; 95% CI: 1.08–1.72) increase in fracture risks compared to those in the first tertiles, respectively. While the overall mean factor scores of dietary and nutrient patterns had a similar (or stronger) pattern of association as the cumulative scores, no association between recent and baseline scores and fracture was found. Greater adherence to a modern dietary and/or an animal-sourced nutrient pattern is associated with a higher risk of total fractures. This suggests that a modern animal based diet is related to bone fragility. A repeated three-day 24-h recall dietary assessment provides a stronger association with fracture compared to a recent or baseline exposure.https://www.mdpi.com/2072-6643/9/11/1198dietary patternnutrient patternfractureChina Health and Nutrition Survey |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yohannes Adama Melaku Tiffany K. Gill Sarah L. Appleton Anne W. Taylor Robert Adams Zumin Shi |
spellingShingle |
Yohannes Adama Melaku Tiffany K. Gill Sarah L. Appleton Anne W. Taylor Robert Adams Zumin Shi Prospective Associations of Dietary and Nutrient Patterns with Fracture Risk: A 20-Year Follow-Up Study Nutrients dietary pattern nutrient pattern fracture China Health and Nutrition Survey |
author_facet |
Yohannes Adama Melaku Tiffany K. Gill Sarah L. Appleton Anne W. Taylor Robert Adams Zumin Shi |
author_sort |
Yohannes Adama Melaku |
title |
Prospective Associations of Dietary and Nutrient Patterns with Fracture Risk: A 20-Year Follow-Up Study |
title_short |
Prospective Associations of Dietary and Nutrient Patterns with Fracture Risk: A 20-Year Follow-Up Study |
title_full |
Prospective Associations of Dietary and Nutrient Patterns with Fracture Risk: A 20-Year Follow-Up Study |
title_fullStr |
Prospective Associations of Dietary and Nutrient Patterns with Fracture Risk: A 20-Year Follow-Up Study |
title_full_unstemmed |
Prospective Associations of Dietary and Nutrient Patterns with Fracture Risk: A 20-Year Follow-Up Study |
title_sort |
prospective associations of dietary and nutrient patterns with fracture risk: a 20-year follow-up study |
publisher |
MDPI AG |
series |
Nutrients |
issn |
2072-6643 |
publishDate |
2017-10-01 |
description |
Studies on long-term exposure to foods/nutrients and its associations with fracture risk are scarce. Using data from the China Health and Nutrition Survey (CHNS), we determined the prospective association of dietary and nutrient patterns with fractures. Data from 15,572 adults aged ≥18 years were analyzed. Fracture occurrence was self-reported and dietary intake data were collected using a 24-h recall method for three consecutive days, for each individual across nine waves (1989–2011). We used cumulative and overall mean, recent and baseline dietary and nutrient exposures. Hazard ratios (HR) were used to determine the associations. Two dietary (traditional and modern) and two nutrient (plant- and animal-sourced) patterns were identified. After adjusting for potential confounders, study participants in the third tertiles (highest intake) of the modern dietary and animal-sourced nutrient patterns’ cumulative scores had a 34% (HR = 1.34; 95% CI: 1.06–1.71) and 37% (HR = 1.37; 95% CI: 1.08–1.72) increase in fracture risks compared to those in the first tertiles, respectively. While the overall mean factor scores of dietary and nutrient patterns had a similar (or stronger) pattern of association as the cumulative scores, no association between recent and baseline scores and fracture was found. Greater adherence to a modern dietary and/or an animal-sourced nutrient pattern is associated with a higher risk of total fractures. This suggests that a modern animal based diet is related to bone fragility. A repeated three-day 24-h recall dietary assessment provides a stronger association with fracture compared to a recent or baseline exposure. |
topic |
dietary pattern nutrient pattern fracture China Health and Nutrition Survey |
url |
https://www.mdpi.com/2072-6643/9/11/1198 |
work_keys_str_mv |
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