Suhett Lara Gomes, Filgueiras Mariana De Santis, de Novaes Juliana Farias, Sukumar Deeptha
are with the Department of Nutrition Sciences, Drexel University, Philadelphia, Pennsylvania, USA.
are with the Department of Nutrition and Health, Universidade Federal de Vicosa, Vicosa, Minas Gerais, Brazil.
Nutr Rev. 2023 Dec 11;82(1):47-59. doi: 10.1093/nutrit/nuad036.
Poor diet quality and unhealthy dietary patterns have been linked to poor bone health, yet few studies have investigated the role of diet quality in bone health in pediatric populations.
This systematic review aims to assess the available evidence on the association between diet quality and bone health markers in children and adolescents.
The PubMed, Scopus, and Virtual Health Library databases were searched electronically from October to November 2022, without any restrictions on date or language. The STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) checklist was used to assess the quality of the studies.
Published observational studies in children and adolescents (ages 2 to 19 years) that investigated the association between diet quality and bone health were eligible for inclusion. Two researchers independently analyzed and selected all articles using the Rayyan app. Initially, 965 papers were identified. A total of 12 observational studies qualified, including 8 cross-sectional and 4 longitudinal studies. The sample comprised 7130 individuals aged 3 to 17.9 years, representing both sexes. Bone health was evaluated by measures of bone mineral density and bone mineral content.
Seven studies (58.3%) showed significant associations between diet quality and bone health markers, all of which evaluated diet quality by identifying dietary patterns. Diet quality as evaluated by all dietary indexes was not associated with bone health markers.
Adherence to a healthy diet may benefit bone health in children and adolescents. These findings emphasize the importance of developing effective public health policies that encourage healthy eating habits from childhood to preserve bone health. Longitudinal research using a specific tool to assess diet quality in relation to bone health is warranted. Future studies should also measure bone-regulating hormones and markers of bone turnover.
PROSPERO registration no. CRD42022368610.
不良的饮食质量和不健康的饮食模式与骨骼健康不佳有关，但很少有研究调查饮食质量在儿童人群骨骼健康中的作用。
本系统评价旨在评估关于儿童和青少年饮食质量与骨骼健康标志物之间关联的现有证据。
2022年10月至11月对PubMed、Scopus和虚拟健康图书馆数据库进行了电子检索，对日期和语言没有任何限制。使用STROBE（加强流行病学观察性研究报告）清单来评估研究质量。
纳入已发表的关于儿童和青少年（2至19岁）饮食质量与骨骼健康之间关联的观察性研究。两名研究人员使用Rayyan应用程序独立分析并筛选所有文章。最初，共识别出965篇论文。共有12项观察性研究符合条件，包括8项横断面研究和4项纵向研究。样本包括7130名年龄在3至17.9岁的个体，涵盖了两性。通过骨密度和骨矿物质含量测量来评估骨骼健康。
七项研究（58.3%）显示饮食质量与骨骼健康标志物之间存在显著关联，所有这些研究均通过识别饮食模式来评估饮食质量。所有饮食指数评估的饮食质量与骨骼健康标志物无关。
坚持健康饮食可能有益于儿童和青少年的骨骼健康。这些发现强调了制定有效的公共卫生政策的重要性，这些政策鼓励从儿童时期就养成健康的饮食习惯以维护骨骼健康。有必要进行纵向研究，使用特定工具评估与骨骼健康相关的饮食质量。未来的研究还应测量骨调节激素和骨转换标志物。
PROSPERO注册号CRD42022368610。
