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Identification of a dietary pattern prospectively associated with bone mass in Australian young adults.
- Source :
- American Journal of Clinical Nutrition; Nov2015, Vol. 102 Issue 5, p1035-1043, 9p, 4 Charts
- Publication Year :
- 2015
-
Abstract
- Background: Relatively little is known about the relations between dietary patterns and bone health in adolescence, which is a period of substantial bone mass accrual. Objectives: We derived dietary patterns that were hypothesized to be related to bone health on the basis of their protein, calcium, and potassium contents and investigated their prospective associations with bone mineral density (BMD), bone area, and bone mineral content (BMC) in a cohort of young adults. Design: The study included 1024 young adults born to mothers who were participating in the Western Australian Pregnancy Cohort (Raine) Study. Dietary information was obtained from food-frequency questionnaires at 14 and 17 y of age. Dietary patterns were characterized according to protein, calcium, and potassium intakes with the use of reduced-rank regression. BMD, bone area, and BMC were estimated with the use of a total body dual-energy X-ray absorptiometry scan at 20 y of age. Results: We identified 2 major dietary patterns. The first pattern was positively correlated with intakes of protein, calcium, and potassium and had high factor loadings for low-fat dairy products, whole grains, and vegetables. The second pattern was positively correlated with protein intake but negatively correlated with intakes of calcium and potassium and had high factor loadings for meat, poultry, fish, and eggs. After adjustment for anthropometric, sociodemographic, and lifestyle factors, a higher z score for the first pattern at 14 y of age was positively associated with BMD and BMC at 20 y of age [differences: 8.6 mg/cm² (95% CI: 3.0, 14.1 mg/cm²) and 21.9 g (95% CI: 6.5, 37.3 g), respectively, per SD increase in z score]. The z score for this same pattern at 17 y of age was not associated with bone outcomes at 20 y of age. The second pattern at 14 or 17 y of age was not associated with BMD, BMC, or bone area. Conclusions: A dietary pattern characterized by high intakes of protein, calcium, and potassium in midadolescence was associated with higher BMD and BMC at 20 y of age. Our results indicate that high consumption of low-fat dairy products, whole grains, and vegetables in adolescence are associated with beneficial effects on bone development. [ABSTRACT FROM AUTHOR]
- Subjects :
- AGE distribution
ANALYSIS of variance
DIETARY calcium
CONFIDENCE intervals
STATISTICAL correlation
EPIDEMIOLOGICAL research
LONGITUDINAL method
MATHEMATICS
MULTIVARIATE analysis
NUTRITIONAL assessment
NUTRITIONAL requirements
POTASSIUM
PROBABILITY theory
DIETARY proteins
QUESTIONNAIRES
REGRESSION analysis
RESEARCH funding
T-test (Statistics)
TEENAGERS
ADOLESCENT nutrition
BONE density
BODY mass index
DATA analysis software
DESCRIPTIVE statistics
PHOTON absorptiometry
MANN Whitney U Test
KRUSKAL-Wallis Test
Subjects
Details
- Language :
- English
- ISSN :
- 00029165
- Volume :
- 102
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- American Journal of Clinical Nutrition
- Publication Type :
- Academic Journal
- Accession number :
- 110815353
- Full Text :
- https://doi.org/10.3945/ajcn.115.110502