Adherence to a Mediterranean diet and risk of fractures in French older persons
| Autor: | Pascale Barberger-Gateau, Cécilia Samieri, Luc Letenneur, Simon Lorrain, D. Paineau, Catherine Féart, V. Ginder Coupez |
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| Přispěvatelé: | Epidémiologie de la nutrition et des comportements alimentaires, Epidémiologie et Biostatistique [Bordeaux], Université Bordeaux Segalen - Bordeaux 2-Institut de Santé Publique, d'Épidémiologie et de Développement (ISPED)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Bordeaux Segalen - Bordeaux 2-Institut de Santé Publique, d'Épidémiologie et de Développement (ISPED)-Institut National de la Santé et de la Recherche Médicale (INSERM), Université Bordeaux Segalen - Bordeaux 2-Institut de Santé Publique, d'Épidémiologie et de Développement (ISPED)-Institut National de la Santé et de la Recherche Médicale (INSERM), Global Nutrition Departement, Danone Research, The Three-City Study is conducted under a partnership agreement between the Institut National de la Santé et de la Recherche Médicale (INSERM), the Institut de Santé Publique et Développement of the Victor Segalen Bordeaux 2 University, and Sanofi-Aventis. The Fondation pour la Recherche Médicale funded the preparation and initiation of the study. The 3C Study is also supported by the Caisse Nationale Maladie des Travailleurs Salariés, Direction Générale de la Santé, Mutuelle Générale de l'Education Nationale, Institut de la Longévité, Regional Governments of Aquitaine and Bourgogne, Fondation de France, and Ministry of Research - INSERM Programme 'Cohortes et collections de données biologiques.', Feart, Catherine |
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Male
Gerontology Mediterranean diet 030309 nutrition & dietetics Endocrinology Diabetes and Metabolism MESH: Food Habits MESH: Hip Fractures Diet Mediterranean MESH: Risk Assessment 0302 clinical medicine MESH: Aged 80 and over Medicine Prospective Studies Aged 80 and over 2. Zero hunger MESH: Aged 0303 health sciences education.field_of_study Hazard ratio MESH: Diet Surveys Wrist Injuries 3. Good health MESH: Wrist Injuries Cohort Spinal Fractures Female France MESH: Fruit medicine.medical_specialty MESH: Socioeconomic Factors MESH: Spinal Fractures Population 030209 endocrinology & metabolism Lower risk Diet Surveys Risk Assessment 03 medical and health sciences Internal medicine Humans education Aged MESH: Diet Mediterranean MESH: Humans Hip Fractures Proportional hazards model business.industry Public health aging Feeding Behavior MESH: Male MESH: Prospective Studies MESH: France [SDV.AEN] Life Sciences [q-bio]/Food and Nutrition MESH: Osteoporotic Fractures Socioeconomic Factors fracture Fruit Orthopedic surgery Dairy Products business MESH: Dairy Products MESH: Female [SDV.AEN]Life Sciences [q-bio]/Food and Nutrition Osteoporotic Fractures |
| Zdroj: | Osteoporosis International Osteoporosis International, Springer Verlag, 2013, 24 (12), pp.3031-41. ⟨10.1007/s00198-013-2421-7⟩ Osteoporosis International, 2013, 24 (12), pp.3031-41. ⟨10.1007/s00198-013-2421-7⟩ |
| ISSN: | 0937-941X 1433-2965 |
| DOI: | 10.1007/s00198-013-2421-7⟩ |
| Popis: | International audience; UNLABELLED: Prevention of fractures is a considerable public health challenge. In a population-based cohort of French elderly people, a diet closer to a Mediterranean type had a borderline significant deleterious effect on the risk of fractures, in part linked to a low consumption of dairy products and a high consumption of fruits. INTRODUCTION: Higher adherence to the Mediterranean diet (MeDi) is linked to a lower risk of several chronic diseases, but its association with the risk of fractures is unclear. Our aim was to investigate the association between MeDi adherence and the risk of fractures in older persons. METHODS: The sample consisted of 1,482 individuals aged 67 years or older, from Bordeaux, France, included in the Three-City Study in 2001-2002. Occurrences of hip, vertebral and wrist fractures were self-reported every 2 years over 8 years, and 155 incident fractures were recorded. Adherence to the MeDi was evaluated at baseline by a MeDi score, on a 10-point scale based on a food frequency questionnaire and a 24-h recall. Multivariate Cox regression tests were performed to estimate the risk of fractures according to MeDi adherence. RESULTS: Higher MeDi adherence was associated with a non-significant increased risk of fractures at any site (hazard ratio [HR] per 1-point increase of MeDi score = 1.10, P = 0.08) in fully adjusted model. Among MeDi components, higher fruits consumption (>2 servings/day) was significantly associated with an increased risk of hip fractures (HR = 1.95, P = 0.04), while low intake of dairy products was associated with a doubled risk of wrist fractures (HR = 2.03, P = 0.007). An inverse U-shaped association between alcohol intake and risk of total fracture was observed (HR high vs. moderate = 0.61, P for trend = 0.03). CONCLUSIONS: Greater MeDi adherence was not associated with a decreased risk of fractures in French older persons. The widely recognized beneficial effects of the MeDi do not seem to apply to bone health in these people. |
| Databáze: | OpenAIRE |
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