Association of Alternative Dietary Patterns with Osteoporosis and Fracture Risk in Older People: A Scoping Review
Purpose: Although the Mediterranean diet has been associated with a lower risk of hip fracture, the effect of other dietary patterns on bone density and risk of fracture is unknown. This scoping review aims to investigate the association between adherence to alternative dietary patterns (other than...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-10-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/15/19/4255 |
| _version_ | 1797575351538286592 |
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| author | Huiyu Chen Christina Avgerinou |
| author_facet | Huiyu Chen Christina Avgerinou |
| author_sort | Huiyu Chen |
| collection | DOAJ |
| description | Purpose: Although the Mediterranean diet has been associated with a lower risk of hip fracture, the effect of other dietary patterns on bone density and risk of fracture is unknown. This scoping review aims to investigate the association between adherence to alternative dietary patterns (other than the traditional Mediterranean diet) and osteoporosis or osteoporotic fracture risk in older people. Methods: A systematic search was carried out on three electronic databases (Medline, EMBASE, and Scopus) to identify original papers studying the association between alternative dietary patterns (e.g., Baltic Sea Diet (BSD), modified/alternative Mediterranean diet in non-Mediterranean populations, Dietary Approaches to Stop Hypertension (DASH)) assessed using ‘prior’ methods (validated scores) and the risk of osteoporotic fracture or Bone Mineral Density (BMD) in people aged ≥50 (or reported average age of participants ≥ 60). Results from the included studies were presented in a narrative way. Results: Six observational (four prospective cohort and two cross-sectional) studies were included. There was no significant association between BMD and BSD or DASH scores. Higher adherence to DASH was associated with a lower risk of lumbar spine osteoporosis in women in one study, although it was not associated with the risk of hip fracture in another study with men and women. Higher adherence to aMED (alternative Mediterranean diet) was associated with a lower risk of hip fracture in one study, whereas higher adherence to mMED (modified Mediterranean diet) was associated with a lower risk of hip fracture in one study and had no significant result in another study. However, diet scores were heterogeneous across cohort studies. Conclusions: There is some evidence that a modified and alternative Mediterranean diet may reduce the risk of hip fracture, and DASH may improve lumbar spine BMD. Larger cohort studies are needed to validate these findings. |
| first_indexed | 2024-03-10T21:37:23Z |
| format | Article |
| id | doaj.art-0c3d662b12f14d739e7811e691e66429 |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-10T21:37:23Z |
| publishDate | 2023-10-01 |
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| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-0c3d662b12f14d739e7811e691e664292023-11-19T14:52:20ZengMDPI AGNutrients2072-66432023-10-011519425510.3390/nu15194255Association of Alternative Dietary Patterns with Osteoporosis and Fracture Risk in Older People: A Scoping ReviewHuiyu Chen0Christina Avgerinou1Division of Medicine, University College London, London WC1E 6BT, UKDepartment of Primary Care and Population Health, University College London, London NW3 2PF, UKPurpose: Although the Mediterranean diet has been associated with a lower risk of hip fracture, the effect of other dietary patterns on bone density and risk of fracture is unknown. This scoping review aims to investigate the association between adherence to alternative dietary patterns (other than the traditional Mediterranean diet) and osteoporosis or osteoporotic fracture risk in older people. Methods: A systematic search was carried out on three electronic databases (Medline, EMBASE, and Scopus) to identify original papers studying the association between alternative dietary patterns (e.g., Baltic Sea Diet (BSD), modified/alternative Mediterranean diet in non-Mediterranean populations, Dietary Approaches to Stop Hypertension (DASH)) assessed using ‘prior’ methods (validated scores) and the risk of osteoporotic fracture or Bone Mineral Density (BMD) in people aged ≥50 (or reported average age of participants ≥ 60). Results from the included studies were presented in a narrative way. Results: Six observational (four prospective cohort and two cross-sectional) studies were included. There was no significant association between BMD and BSD or DASH scores. Higher adherence to DASH was associated with a lower risk of lumbar spine osteoporosis in women in one study, although it was not associated with the risk of hip fracture in another study with men and women. Higher adherence to aMED (alternative Mediterranean diet) was associated with a lower risk of hip fracture in one study, whereas higher adherence to mMED (modified Mediterranean diet) was associated with a lower risk of hip fracture in one study and had no significant result in another study. However, diet scores were heterogeneous across cohort studies. Conclusions: There is some evidence that a modified and alternative Mediterranean diet may reduce the risk of hip fracture, and DASH may improve lumbar spine BMD. Larger cohort studies are needed to validate these findings.https://www.mdpi.com/2072-6643/15/19/4255ageingdietary patternsdiet scoresosteoporosisosteoporotic fractures |
| spellingShingle | Huiyu Chen Christina Avgerinou Association of Alternative Dietary Patterns with Osteoporosis and Fracture Risk in Older People: A Scoping Review Nutrients ageing dietary patterns diet scores osteoporosis osteoporotic fractures |
| title | Association of Alternative Dietary Patterns with Osteoporosis and Fracture Risk in Older People: A Scoping Review |
| title_full | Association of Alternative Dietary Patterns with Osteoporosis and Fracture Risk in Older People: A Scoping Review |
| title_fullStr | Association of Alternative Dietary Patterns with Osteoporosis and Fracture Risk in Older People: A Scoping Review |
| title_full_unstemmed | Association of Alternative Dietary Patterns with Osteoporosis and Fracture Risk in Older People: A Scoping Review |
| title_short | Association of Alternative Dietary Patterns with Osteoporosis and Fracture Risk in Older People: A Scoping Review |
| title_sort | association of alternative dietary patterns with osteoporosis and fracture risk in older people a scoping review |
| topic | ageing dietary patterns diet scores osteoporosis osteoporotic fractures |
| url | https://www.mdpi.com/2072-6643/15/19/4255 |
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