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Fruit and vegetable intake and bones: A systematic review and meta-analysis.水果和蔬菜摄入与骨骼：系统评价和荟萃分析。
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更好地遵循《台湾每日食物指南》与降低骨质疏松症风险相关：一项基于台湾人群的研究。

Better Adherence to the Taiwan Daily Food Guide is Associated with a Reduced Risk of Osteoporosis: A Population-Based Study in Taiwan.

作者信息

Li Ming-Chieh

机构信息

Department of Health Promotion and Health Education, College of Education, National Taiwan Normal University, Taipei, Taiwan.

Department of Public Health, College of Public Health, China Medical University, Taichung, Taiwan.

出版信息

Risk Manag Healthc Policy. 2022 Nov 2;15:2023-2030. doi: 10.2147/RMHP.S387506. eCollection 2022.

DOI:10.2147/RMHP.S387506
PMID:36348758
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9637361/
Abstract

INTRODUCTION

We conducted a study to examine whether adherence to the Taiwan Daily Food Guide was associated with bone mineral density (BMD).

METHODS

A population-based cross-sectional study was conducted utilizing data from the Nutrition and Health Survey in Taiwan (NAHSIT) 2013-2016. A total of seven BMD sites were evaluated, including the head, arms, legs, trunk, ribs, pelvis, and spine BMD. Besides, we further examined the association between the Daily Food Guide adherence score and osteoporosis (T-score of ≤ -2.5 standard deviation (SD) of a measured total BMD). A validated food-frequency questionnaire (FFQ) was used for dietary assessment.

RESULTS

We included a total of 555 participants with osteoporosis and 1977 without osteoporosis in the final analysis. We found negative associations between levels of adherence to the Daily Food Guide and the risk of osteoporosis. The odds ratio (OR) for participants in the highest quartile of the adherence level was 0.61 (95% CI = 0.42-0.88), compared with those in the lowest quartile. When participants had total servings of six food groups higher than the recommendation, the protective effect still existed (OR = 0.59, 95% CI = 0.42-0.84).

CONCLUSION

Better adherence to the Taiwan Daily Food Guide is associated with a lower risk of osteoporosis.

摘要

引言

我们开展了一项研究，以检验遵循《台湾每日食物指南》是否与骨密度（BMD）相关。

方法

利用2013 - 2016年台湾营养与健康调查（NAHSIT）的数据进行了一项基于人群的横断面研究。共评估了七个骨密度测量部位，包括头部、手臂、腿部、躯干、肋骨、骨盆和脊柱的骨密度。此外，我们进一步研究了每日食物指南遵循得分与骨质疏松症（测量的总骨密度T值≤ -2.5标准差（SD））之间的关联。采用经过验证的食物频率问卷（FFQ）进行饮食评估。

结果

最终分析共纳入555名骨质疏松症患者和未患骨质疏松症的1977名参与者。我们发现遵循《台湾每日食物指南》的程度与骨质疏松症风险之间存在负相关。与最低四分位数的参与者相比，遵循水平最高四分位数的参与者的优势比（OR）为0.61（95%置信区间[CI] = 0.42 - 0.88）。当参与者六个食物组的总摄入量高于推荐量时，保护作用仍然存在（OR = 0.59，95% CI = 0.42 - 0.84）。

结论

更好地遵循《台湾每日食物指南》与较低的骨质疏松症风险相关。