학술논문

The relation between dietary quality and healthy eating index with bone mineral density in osteoporosis: a case-control study
Document Type
Original Paper
Source
BMC Musculoskeletal Disorders. 24(1)
Subject
Healthy eating index
Dietary quality index
Bone density
Osteoporosis
Language
English
ISSN
1471-2474
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.