Urinary and Daily Assumption of Polyphenols and Hip-Fracture Risk: Results from the InCHIANTI Study
A high polyphenol intake has been associated with higher bone-mineral density. In contrast, we recently demonstrated that the urinary levels of these micronutrients were associated with the long-term accelerated deterioration of the bone. To expand on the health consequences of these findings, we as...
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MDPI AG
2022-11-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/14/22/4754 |
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| author | Raffaello Pellegrino Roberto Paganelli Stefania Bandinelli Antonio Cherubini Cristina Andrés-Lacueva Angelo Di Iorio Eleonora Sparvieri Raul Zamora-Ros Luigi Ferrucci |
| author_facet | Raffaello Pellegrino Roberto Paganelli Stefania Bandinelli Antonio Cherubini Cristina Andrés-Lacueva Angelo Di Iorio Eleonora Sparvieri Raul Zamora-Ros Luigi Ferrucci |
| author_sort | Raffaello Pellegrino |
| collection | DOAJ |
| description | A high polyphenol intake has been associated with higher bone-mineral density. In contrast, we recently demonstrated that the urinary levels of these micronutrients were associated with the long-term accelerated deterioration of the bone. To expand on the health consequences of these findings, we assessed the association between urinary level and dietary intake of polyphenols and the 9-year risk of hip fractures in the InCHIANTI study cohort. The InCHIANTI study enrolled representative samples from two towns in Tuscany, Italy. Baseline data were collected in 1998 and at follow-up visits in 2001, 2004, and 2007. Of the 1453 participants enrolled at baseline, we included 817 participants in this study who were 65 years or older at baseline, donated a 24 hour urine sample, and underwent a quantitative computerized tomography (pQCT) of the tibia. Fracture events were ascertained by self-report over 9 years of follow-up. Thirty-six hip fractures were reported over the 9-year follow-up. The participants who developed a hip fracture were slightly older, more frequently women, had a higher dietary intake of polyphenols, had higher 24-hour urinary polyphenols excretion, and had a lower fat area, muscle density, and cortical volumetric Bone Mineral Density (vBMD) in the pQCT of the tibia. In logistic regression analyses, the baseline urinary excretion of total polyphenols, expressed in mg as a gallic acid equivalent, was associated with a higher risk of developing a hip fracture. Dietary intake of polyphenols was not associated with a differential risk of fracture. In light of our findings, the recommendation of an increase in dietary polyphenols for osteoporosis prevention should be considered with caution. |
| first_indexed | 2024-03-09T18:06:31Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-09T18:06:31Z |
| publishDate | 2022-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-f5deaf7336ef4a1b9fb67ad05cde70742023-11-24T09:30:35ZengMDPI AGNutrients2072-66432022-11-011422475410.3390/nu14224754Urinary and Daily Assumption of Polyphenols and Hip-Fracture Risk: Results from the InCHIANTI StudyRaffaello Pellegrino0Roberto Paganelli1Stefania Bandinelli2Antonio Cherubini3Cristina Andrés-Lacueva4Angelo Di Iorio5Eleonora Sparvieri6Raul Zamora-Ros7Luigi Ferrucci8Department of Scientific Research, Campus Ludes, Off-Campus Semmelweis University, 6912 Lugano, SwitzerlandInternal Medicine, UniCamillus, International Medical University, 00133 Rome, ItalyGeriatric Unit, Azienda Toscana Centro, 50125 Florence, ItalyGeriatrics and Geriatric Emergency Care, Italian National Research Center on Aging (IRCCS-INRCA), 60126 Ancona, ItalyBiomarkers and Nutrimetabolomics Laboratory, Nutrition, Food Science and Gastronomy Department, Faculty of Pharmacy and Food Science, University of Barcelona, 08035 Barcelona, SpainDepartment of Innovative Technologies in Medicine & Dentistry, University “Gabriele d’Annunzio”, 66100 Chieti, ItalyInternal Medicine Unit, Ospedale S. Liberatore, 64100 Teramo, ItalyUnit of Nutrition and Cancer, Epidemiology Research Program, Catalan Institute of Oncology, Bellvitge Biomedical Research Institute (IDIBELL), 08035 Barcelona, SpainLongitudinal Studies Section, Translational Gerontology Branch, National Institute on Aging, National Institutes of Health, Baltimore, MD 21224, USAA high polyphenol intake has been associated with higher bone-mineral density. In contrast, we recently demonstrated that the urinary levels of these micronutrients were associated with the long-term accelerated deterioration of the bone. To expand on the health consequences of these findings, we assessed the association between urinary level and dietary intake of polyphenols and the 9-year risk of hip fractures in the InCHIANTI study cohort. The InCHIANTI study enrolled representative samples from two towns in Tuscany, Italy. Baseline data were collected in 1998 and at follow-up visits in 2001, 2004, and 2007. Of the 1453 participants enrolled at baseline, we included 817 participants in this study who were 65 years or older at baseline, donated a 24 hour urine sample, and underwent a quantitative computerized tomography (pQCT) of the tibia. Fracture events were ascertained by self-report over 9 years of follow-up. Thirty-six hip fractures were reported over the 9-year follow-up. The participants who developed a hip fracture were slightly older, more frequently women, had a higher dietary intake of polyphenols, had higher 24-hour urinary polyphenols excretion, and had a lower fat area, muscle density, and cortical volumetric Bone Mineral Density (vBMD) in the pQCT of the tibia. In logistic regression analyses, the baseline urinary excretion of total polyphenols, expressed in mg as a gallic acid equivalent, was associated with a higher risk of developing a hip fracture. Dietary intake of polyphenols was not associated with a differential risk of fracture. In light of our findings, the recommendation of an increase in dietary polyphenols for osteoporosis prevention should be considered with caution.https://www.mdpi.com/2072-6643/14/22/4754bone-pQCTdietary polyphenolslongitudinal studyurinary polyphenolsfemur fracture risk |
| spellingShingle | Raffaello Pellegrino Roberto Paganelli Stefania Bandinelli Antonio Cherubini Cristina Andrés-Lacueva Angelo Di Iorio Eleonora Sparvieri Raul Zamora-Ros Luigi Ferrucci Urinary and Daily Assumption of Polyphenols and Hip-Fracture Risk: Results from the InCHIANTI Study Nutrients bone-pQCT dietary polyphenols longitudinal study urinary polyphenols femur fracture risk |
| title | Urinary and Daily Assumption of Polyphenols and Hip-Fracture Risk: Results from the InCHIANTI Study |
| title_full | Urinary and Daily Assumption of Polyphenols and Hip-Fracture Risk: Results from the InCHIANTI Study |
| title_fullStr | Urinary and Daily Assumption of Polyphenols and Hip-Fracture Risk: Results from the InCHIANTI Study |
| title_full_unstemmed | Urinary and Daily Assumption of Polyphenols and Hip-Fracture Risk: Results from the InCHIANTI Study |
| title_short | Urinary and Daily Assumption of Polyphenols and Hip-Fracture Risk: Results from the InCHIANTI Study |
| title_sort | urinary and daily assumption of polyphenols and hip fracture risk results from the inchianti study |
| topic | bone-pQCT dietary polyphenols longitudinal study urinary polyphenols femur fracture risk |
| url | https://www.mdpi.com/2072-6643/14/22/4754 |
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