ArticlePloS one2020
Inadequate calcium and vitamin D intake and osteoporosis risk in older Americans living in poverty with food insecurities.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 28 citations in OpenAlex.
- Micronutrients as Mitigators of Endocrine Disrupting Chemical Health Effects: A Scoping Review and Framework for Epidemiologic Studies.Current environmental health reports · 2026Article
- Deprivation indices and their association with fragility fractures and bone density: evidence from a large observational cohort.Rheumatology (Oxford, England) · 2026Observational
- Prevalence and determinants of hypovitaminosis D in early pregnancy: a cross-sectional study among first-trimester pregnant women.BMC pregnancy and childbirth · 2025Article
- Risk of Osteoporosis-Related Fracture in Children and Adolescents with Intellectual Disability.Medicina (Kaunas, Lithuania) · 2025Article
- The determinants of self-care behaviors and calcium-vitamin D intake in elderly women: a comparative study of osteoporosis and healthy counterparts.Scientific reports · 2025Article
- Predicting Osteoporosis Risk Using Regression Model Based on Socio Demographic Factors among Indian Women.Journal of pharmacy & bioallied sciences · 2025Article
- Relationship between albumin-corrected anion gap and lumbar spine bone mineral density: a cross-sectional study.Frontiers in aging · 2025Article
- Does higher serum 25-hydroxyvitamin D levels will harm bone mineral density?: a cross-sectional study.BMC endocrine disorders · 2024Article
- Osteoporosis incidence and its associated factors in the older Korean population: findings from a population-based cohort study.Archives of osteoporosis · 2024Article
- Associations between nutritional deficiencies and food insecurity among adolescent girls: A cross-sectional study.Food science & nutrition · 2024Article
- The Influence of Vitamin D Levels on Dental Caries: A Retrospective Study of the United States Population.Nutrients · 2024Article
- Vitamin D deficiency in bedridden elderly people at home.Revista da Associacao Medica Brasileira (1992) · 2023Article
- Micronutrient Deficiency as a Confounder in Ascertaining the Role of Obesity in Severe COVID-19 Infection.International journal of environmental research and public health · 2022Review
- Nutritional and lifestyle management of the aging journey: A narrative review.Frontiers in nutrition · 2022Review
- 100 YEARS OF VITAMIN D: Dietary intake and main food sources of vitamin D and calcium in Colombian urban adults.Endocrine connections · 2021Article
- Use of routine computed tomography scans for detecting osteoporosis in thoracolumbar vertebral bodies.Skeletal radiology · 2021Article
- The social-cognitive determinants of calcium intake for preventing osteoporosis in women in Isfahan: A cross-sectional study using path analysis.Journal of education and health promotion · 2021Article
- Structural Inequity and Socioeconomic Status Link to Osteoporosis Diagnosis in a Population-Based Cohort of Middle-Older-Age Americans.Inquiry : a journal of medical care organization, provision and financingArticle
- Musculoskeletal Failure.American journal of lifestyle medicineArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Poverty may be a barrier to acquiring adequate nutrient levels for the prevention of osteoporosis. Age and nutritional intake are major factors that contribute to osteoporosis prevalence. This study examined the relationship between markers of poverty with calcium / vitamin D intake and osteoporosis. A cross-sectional analysis of the United States population was performed using National Health and Nutrition Examination Survey (NHANES) data from 2007-2010 and 2013-2014 for older US adults (n = 3,901 participants, 50 years old and older). Odds of inadequate calcium / vitamin D intake and dietary supplement use and risk of probable osteoporosis were calculated in order to determine the relative difference and possible associations between household income, the Family Monthly Poverty Level Index, food security, and participation in the Supplemental Nutrition Assistance Program (SNAP). A sub-analysis of ethnic disparities and biological sex was also performed. In general, women age 50 and older consistently have inadequate calcium intake, regardless of economic level including poverty. While inadequate calcium intake has a larger prevalence among women, markers of poverty increased the risk of inadequate calcium intake in all men and risk of osteoporosis among some subgroups, with the exception of SNAP program participation. Over one fourth of Non-Hispanic black men in the US are below the poverty line. Approximately half of this population has inadequate calcium (58.9%) and vitamin D (46.7%) intake. Typically, osteoporosis risk is relatively low for Non-Hispanic Black males, however considering poverty status, risk is significantly increased (Relative Risk Ratio [RR]: 2.057 ± 0.012) for those with low income suggesting that calcium and vitamin D supplementation may be of benefit for this population.
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