The relation between dietary quality and healthy eating index with bone mineral density in osteoporosis: a case-control study
Abstract Background In this study, we aimed to illustrate the association between the Healthy Eating Index (HEI) and Dietary Quality Index (DQI) with bone mineral density (BMD) among postmenopausal Iranian women with osteoporosis compared to the healthy control. Methods In the current case-control s...
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| Format: | Article |
| Language: | English |
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BMC
2023-07-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12891-023-06704-3 |
| _version_ | 1797774436958470144 |
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| author | Marzieh Ghadiri Mitra Soltani Milad Rajabzadeh-Dehkordi Shirin Gerami Zainab Shateri Mehran Nouri Bahram Pourghassem Gargari |
| author_facet | Marzieh Ghadiri Mitra Soltani Milad Rajabzadeh-Dehkordi Shirin Gerami Zainab Shateri Mehran Nouri Bahram Pourghassem Gargari |
| author_sort | Marzieh Ghadiri |
| collection | DOAJ |
| description | Abstract Background In this study, we aimed to illustrate the association between the Healthy Eating Index (HEI) and Dietary Quality Index (DQI) with bone mineral density (BMD) among postmenopausal Iranian women with osteoporosis compared to the healthy control. Methods In the current case-control study, 131 postmenopausal women with osteoporosis and 131 healthy postmenopausal women participated. Dual-energy X-ray absorptiometry was used to assess the lumbar vertebrae and femoral neck BMD. The subjects completed a validated food frequency questionnaire (FFQ), and then HEI and DQI were calculated based on the FFQ data. Crude and adjusted multivariable logistic regression was used to assess the relation between HEI and DQI with the odds of the femoral and lumbar BMD. Results According to the results, participants in the last tertile of HEI were more likely to have higher femoral and lumbar BMD in the crude model (odds ratio (OR) = 0.38; 95% confidence interval (CI): 0.20–0.71 and OR = 0.20; 95% CI: 0.10–0.40, respectively) and also in the adjusted model (OR = 0.40; 95% CI: 0.20–0.78 and OR = 0.20; 95% CI: 0.10–0.41, respectively). Also, in terms of DQI-I, participants in the last tertile were more likely to have higher femoral and lumbar BMD in the crude model (OR = 0.23; 95% CI: 0.12–0.45 and OR = 0.29; 95% CI: 0.15–0.55, respectively) and also in the adjusted model (OR = 0.29; 95% CI: 0.14–0.58 and OR = 0.34; 95% CI: 0.17–0.67, respectively). Conclusions The results of the current study supported the hypothesis that high-quality diets with healthy patterns can be clinically effective in maintaining bone health. Thus, recommendations regarding the consumption of nutrient-rich food groups in a healthy diet can serve as a practical non-pharmacological strategy against osteoporosis. |
| first_indexed | 2024-03-12T22:21:02Z |
| format | Article |
| id | doaj.art-b2f26f261ae84f9fa9cb7344625cdf6d |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-03-12T22:21:02Z |
| publishDate | 2023-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-b2f26f261ae84f9fa9cb7344625cdf6d2023-07-23T11:03:46ZengBMCBMC Musculoskeletal Disorders1471-24742023-07-012411710.1186/s12891-023-06704-3The relation between dietary quality and healthy eating index with bone mineral density in osteoporosis: a case-control studyMarzieh Ghadiri0Mitra Soltani1Milad Rajabzadeh-Dehkordi2Shirin Gerami3Zainab Shateri4Mehran Nouri5Bahram Pourghassem Gargari6Student Research Committee, Department of Biochemistry and Diet Therapy, Faculty of Nutrition and Food Sciences, Tabriz University of Medical SciencesDepartment of Clinical Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS)Department of Community Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical SciencesNutrition Research Center, School of Nutrition and Food Sciences, Shiraz University of Medical SciencesDepartment of Nutrition and Biochemistry, School of Medicine, Ilam University of Medical SciencesDepartment of Community Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical SciencesNutrition Research Center, Department of Biochemistry and Diet Therapy, Faculty of Nutrition and Food Sciences, Tabriz University of Medical SciencesAbstract Background In this study, we aimed to illustrate the association between the Healthy Eating Index (HEI) and Dietary Quality Index (DQI) with bone mineral density (BMD) among postmenopausal Iranian women with osteoporosis compared to the healthy control. Methods In the current case-control study, 131 postmenopausal women with osteoporosis and 131 healthy postmenopausal women participated. Dual-energy X-ray absorptiometry was used to assess the lumbar vertebrae and femoral neck BMD. The subjects completed a validated food frequency questionnaire (FFQ), and then HEI and DQI were calculated based on the FFQ data. Crude and adjusted multivariable logistic regression was used to assess the relation between HEI and DQI with the odds of the femoral and lumbar BMD. Results According to the results, participants in the last tertile of HEI were more likely to have higher femoral and lumbar BMD in the crude model (odds ratio (OR) = 0.38; 95% confidence interval (CI): 0.20–0.71 and OR = 0.20; 95% CI: 0.10–0.40, respectively) and also in the adjusted model (OR = 0.40; 95% CI: 0.20–0.78 and OR = 0.20; 95% CI: 0.10–0.41, respectively). Also, in terms of DQI-I, participants in the last tertile were more likely to have higher femoral and lumbar BMD in the crude model (OR = 0.23; 95% CI: 0.12–0.45 and OR = 0.29; 95% CI: 0.15–0.55, respectively) and also in the adjusted model (OR = 0.29; 95% CI: 0.14–0.58 and OR = 0.34; 95% CI: 0.17–0.67, respectively). Conclusions The results of the current study supported the hypothesis that high-quality diets with healthy patterns can be clinically effective in maintaining bone health. Thus, recommendations regarding the consumption of nutrient-rich food groups in a healthy diet can serve as a practical non-pharmacological strategy against osteoporosis.https://doi.org/10.1186/s12891-023-06704-3Healthy eating indexDietary quality indexBone densityOsteoporosis |
| spellingShingle | Marzieh Ghadiri Mitra Soltani Milad Rajabzadeh-Dehkordi Shirin Gerami Zainab Shateri Mehran Nouri Bahram Pourghassem Gargari The relation between dietary quality and healthy eating index with bone mineral density in osteoporosis: a case-control study BMC Musculoskeletal Disorders Healthy eating index Dietary quality index Bone density Osteoporosis |
| title | The relation between dietary quality and healthy eating index with bone mineral density in osteoporosis: a case-control study |
| title_full | The relation between dietary quality and healthy eating index with bone mineral density in osteoporosis: a case-control study |
| title_fullStr | The relation between dietary quality and healthy eating index with bone mineral density in osteoporosis: a case-control study |
| title_full_unstemmed | The relation between dietary quality and healthy eating index with bone mineral density in osteoporosis: a case-control study |
| title_short | The relation between dietary quality and healthy eating index with bone mineral density in osteoporosis: a case-control study |
| title_sort | relation between dietary quality and healthy eating index with bone mineral density in osteoporosis a case control study |
| topic | Healthy eating index Dietary quality index Bone density Osteoporosis |
| url | https://doi.org/10.1186/s12891-023-06704-3 |
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