ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2022
Association between Healthy Eating Index-2015 total and component food scores with osteoporosis in middle-aged and older Americans: a cross-sectional study with U.S. National Health and Nutrition Examination Survey.
Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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21 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- The impact of high-quality dietary patterns on the prevention of osteoporosis: a meta-analysis of observational studies.Frontiers in nutrition · 2025Pooled it
- Association between dietary vitamin B12 intake and bone mineral density in adolescents.Pediatric research · 2026Article
- Association between dietary choline intake and bone mineral density in adolescents: a NHANES-based study.BMC pediatrics · 2025Article
- Application of machine learning algorithms in osteoporosis analysis based on cardiovascular health assessed by life's essential 8: a cross-sectional study.Journal of health, population, and nutrition · 2025Article
- Association between life's essential 8 and bone mineral density among adults aged 20-59 years.Scientific reports · 2025Article
- The Healthy Eating Index 2020 components contributed unequally to systemic inflammatory biomarkers: A large national cross-sectional study.Food science & nutrition · 2024Article
- The Management of Sarcopenic Dysphagia: A Multidisciplinary Approach Leveraging Emerging Technologies.Aging and disease · 2024Review
- Life's Essential 8 and osteoporosis in adults aged 50 years or older: data from the National Health and Nutrition Examination Survey.Archives of osteoporosis · 2024Article
- Associations of healthy eating index-2015 with osteoporosis and low bone mass density in postmenopausal women: a population-based study from NHANES 2007-2018.Frontiers in nutrition · 2024Article
- Intake of dietary flavonoids in relation to overactive bladder among U.S. adults: a nutritional strategy for improving urinary health.Frontiers in nutrition · 2024Article
- Bone mineral density and muscle mass associated with healthy eating index in postmenopausal women; results from RaNCD cohort study.BMC women's health · 2023Article
- Association of Alternative Dietary Patterns with Osteoporosis and Fracture Risk in Older People: A Scoping Review.Nutrients · 2023Article
- Construction of predictive model for osteoporosis related factors among postmenopausal women on the basis of logistic regression and Bayesian network.Preventive medicine reports · 2023Article
- Healthy eating index and bone health markers in adults with metabolically healthy and unhealthy obese phenotypes.Human nutrition & metabolism · 2023Article
- Cross-sectional associations between healthy eating index and thyroid function in U.S. male Adults, NHANES 2007-2012.Food science & nutrition · 2023Article
- Composite dietary antioxidant index negatively correlates with osteoporosis among middle-aged and older US populations.American journal of translational research · 2023Article
- A scoping review of music-based interventions for swallowing difficulties: implications for treating older adults with presbyphagia.Frontiers in medicine · 2023Article
- Dietary inflammatory index and osteoporosis: the National Health and Nutrition Examination Survey, 2017-2018.Endocrine · 2022Article
- Dietary Saturated Fat and Bone Health in Young Adults: The Young Finns Cohort.Calcified tissue international · 2022Observational
- Equal Weighting of the Healthy Eating Index-2010 Components May Not be Appropriate for Pregnancy.The Journal of nutrition · 2022Article
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Authors and funding
3 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
We used NHANES data to explore the association between dietary quality estimated by the HEI-2015 and osteoporosis in middle-aged and elderly US adults. We found that higher dietary quality is significantly associated with a reduced risk of osteoporosis among middle-aged and elderly Americans.
introductionThrough this research, we assess whether increasing the overall dietary quality reduces the risk of osteoporosis.
methodsFor our analyses, we combined data collected from four NHANES 2-year cycles (2007-2008, 2009-2010, 2013-2014, and 2017-2018), including 10,033 participants. Associations between osteoporosis and HEI-2015 total/component scores among middle-aged and elderly adults were examined using logistic regression models. Osteoporosis was defined as femur neck BMD values equal to or less than 2.5 standard deviations (SDs) below the mean of the young adult reference group, and dietary intake data were obtained from two NHANES 24-h recall interviews.
resultsAfter multivariable adjustment, middle-aged and elderly populations with quintile 4 (OR: 0.54, 95% CI 0.34, 0.84; P = 0.007) and quintile 5 HEI-2015 total scores (OR: 0.43, 95% CI 0.26, 0.70; P = 0.001) were associated with reduced odds of osteoporosis compared with quintile 1. Higher intake of total vegetables, greens and beans, total fruits, whole fruits, and whole grains was associated with decreased odds of osteoporosis among elderly adults. Surprisingly, saturated fat intake can also protect against osteoporosis.
conclusionHigher dietary quality estimated from HEI-2015 total and component food scores was significantly associated with a reduced risk of osteoporosis among the middle-aged and elderly Americans participating in NHANES included in this study.
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