Evidence map›Paper›PMID 24103482›Full record

ArticlePublic health nutrition2014

Legumes and meat analogues consumption are associated with hip fracture risk independently of meat intake among Caucasian men and women: the Adventist Health Study-2.

Vichuda Lousuebsakul-Matthews, Donna L Thorpe, Raymond Knutsen, W Larry Beeson, Gary E Fraser, Synnove F Knutsen

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Public health nutrition, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
1.3field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Association between total and animal proteins with risk of fracture: A systematic review and dose-response meta-analysis of cohort studies.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024
    Pooled it
  3. Pooled it
  4. Frontiers in nutrition · 2025
    Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Protein intake and risk of hip fractures in postmenopausal women and men age 50 and older.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2017
    Article
  12. Dietary Patterns and Fractures Risk in the Elderly.Frontiers in endocrinology · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Vichuda Lousuebsakul-Matthews1Department of Health Services,Los Angeles County,CA,USA.
Donna L Thorpe3Department of Physical Therapy,School of Allied Health Professions,Loma Linda University,Loma Linda,CA,USA.
Raymond Knutsen2Department of Epidemiology & Biostatistics,School of Public Health,Loma Linda University,Loma Linda,CA 92350,USA.
W Larry Beeson2Department of Epidemiology & Biostatistics,School of Public Health,Loma Linda University,Loma Linda,CA 92350,USA.
Gary E Fraser2Department of Epidemiology & Biostatistics,School of Public Health,Loma Linda University,Loma Linda,CA 92350,USA.
Synnove F Knutsen2Department of Epidemiology & Biostatistics,School of Public Health,Loma Linda University,Loma Linda,CA 92350,USA.
Loma Linda University · US

Funding

CANCER EPIDEMIOLOGY IN ADVENTISTS--A LOW RISK GROUPR01CA094594 · NCI · LOMA LINDA UNIVERSITY · PI FRASER, GARY E. · 2001 to 2008
$18.0M
Plant-based diets and risk of cancerU01CA152939 · NCI · LOMA LINDA UNIVERSITY · PI FRASER, GARY E. · 2011 to 2015
$5.7M
NCI NIH HHS R01 CA094594NCI NIH HHS R01-CA94594NCI NIH HHS U01 CA152939
6 · The paper itself

Abstract

objectiveIn contrast to non-vegetarians, vegetarians consume more legumes and meat analogues as sources of protein to substitute for meat intake. The present study aimed to assess the association between foods with high protein content (legumes, meat, meat analogues) by dietary pattern (vegetarians, non-vegetarians) and hip fracture incidence, adjusted for selected lifestyle factors.

designA prospective cohort of Adventist Health Study-2 (AHS-2) enrollees who completed a comprehensive lifestyle and dietary questionnaire between 2002 and 2007.

settingEvery two years after enrolment, a short questionnaire on hospitalizations and selected disease outcomes including hip fractures was sent to these members. SUBJECTS: Respondents (n 33,208) to a baseline and a follow-up questionnaire.

resultsIn a multivariable model, legumes intake of once daily or more reduced the risk of hip fracture by 64% (hazard ratio = 0·36, 95% CI 0·21, 0·61) compared with those with legumes intake of less than once weekly. Similarly, meat intake of four or more times weekly was associated with a 40% reduced risk of hip fracture (hazard ratio = 0·60, 95% CI 0·41, 0·87) compared with those whose meat intake was less than once weekly. Furthermore, consumption of meat analogues once daily or more was associated with a 49 % reduced risk of hip fracture (hazard ratio = 0·51, 95% CI 0·27, 0·98) compared with an intake of less than once weekly.

conclusionsHip fracture incidence was inversely associated with legumes intake and, to a lesser extent, meat intake, after accounting for other food groups and important covariates. Similarly, a high intake of meat analogues was associated with a significantly reduced risk of hip fracture.

Indexed as

Diet, VegetarianFabaceaeLife StyleSeedsAdultAgedAged, 80 and overCaliforniaCohort StudiesDietary ProteinsFemaleFollow-Up StudiesHip FracturesHumansIncidenceMaleDietary Proteins

Identifiers

PMID24103482
PMCPMC4125560
OpenAlexW1992334829

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.