Author:
Ghadiri Marzieh,Soltani Mitra,Rajabzadeh-Dehkordi Milad,Gerami Shirin,Shateri Zainab,Nouri Mehran,Gargari Bahram Pourghassem
Abstract
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.
Funder
Nutrition Research Center at Tabriz University of Medical Sciences
Publisher
Springer Science and Business Media LLC
Subject
Orthopedics and Sports Medicine,Rheumatology
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