Differences in Bone Mineral Density between Adult Vegetarians and Nonvegetarians Become Marginal when Accounting for Differences in Anthropometric Factors
| Autor: | Nena Karavasiloglou, Jan Gojda, Sabine Rohrmann, Eliška Selinger, Tilman Kühn |
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| Přispěvatelé: | University of Zurich, Karavasiloglou, Nena |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Waist National Health and Nutrition Examination Survey Population Medicine (miscellaneous) Accounting 610 Medicine & health Body Mass Index Bone Density Medicine Humans education Life Style Femoral neck Bone mineral Vegans education.field_of_study Nutrition and Dietetics Lumbar Vertebrae Anthropometry business.industry Femur Neck Confounding 2701 Medicine (miscellaneous) 10060 Epidemiology Biostatistics and Prevention Institute (EBPI) Middle Aged Nutrition Surveys Diet medicine.anatomical_structure 2916 Nutrition and Dietetics Female Waist Circumference business Body mass index Vegetarians |
| Popis: | BACKGROUND Persons following plant-based diets have lower bone mineral density (BMD) and higher fracture risk, possibly due to suboptimal nutrient supply. However, anthropometric measures were not considered as potential confounders in many previous studies, and body mass index (BMI) is positively associated with BMD but also generally lower among vegans and vegetarians. OBJECTIVES Our objective was to investigate if BMD measurements differ between vegetarians and nonvegetarians from the adult general population when accounting for important determinants of BMD, especially BMI and waist circumference. METHODS Using data from the NHANES (cycles 2007-2008 and 2009-2010), we evaluated the differences in BMD (femoral neck, total femoral, and total lumbar spine) between adult vegetarians and nonvegetarians. Linear regression models were used to determine the associations between BMD and diet. Statistical models were adjusted for important factors, i.e., age, sex, race/ethnicity, smoking status, alcohol consumption, serum vitamin D and calcium concentrations, waist circumference, and BMI. RESULTS In statistical models adjusted for age, sex, race/ethnicity, menopausal status, and education level, BMD values were significantly lower among vegetarians than among nonvegetarians (P |
| Databáze: | OpenAIRE |
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