不同年龄段营养供应对骨骼健康的影响相反:基于国家健康和营养调查数据库。
Opposing Effects of Nutritional Supply on Bone Health at Different Ages: Based on the National Health and Nutrition Examination Survey Database.
机构信息
Department of Nutrition Science and Food Hygiene, Xiangya School of Public Health, Central South University, Changsha 410008, China.
出版信息
Nutrients. 2024 Mar 7;16(6):758. doi: 10.3390/nu16060758.
(1) Background: Nutrients play an essential role in bone health, whether in achieving peak bone mineral density (BMD) or maintaining bone health. This study explores the relationship between nutrient supply and femoral bone health at different ages. (2) Methods: A total of 5603 participants meeting the inclusion and exclusion criteria were included in this study using the National Health and Nutrition Examination Survey (NHANES) database from 2005 to 2010, 2013 to 2014, and 2017 to 2018. Femoral bone mineral density and bone status were dependent variables, and dietary nutrient intake and nutrient intake status were independent variables. The relationship between dietary nutrient intake and bone mineral density was explored, and the importance of nutrients affecting bone status was analyzed through a neural network model. At the same time, we investigated the relationship between nutrient intake and bone status. (3) Results: The peak of age and femoral bone mineral density appeared at 20 years old in our study. After grouping by age, logistic regression analysis showed that before 20 years old, without adjusting other variables, high-fat diet was more likely to have normal bone mass than appropriate fat diet (OR: 4.173, 95%CI: 1.007-17.289). After adjusting for all demographic factors, niacin intake (OR: 1.062, 95%CI: 1.019-1.108) was beneficial for normal bone mass, while vitamin B intake (OR: 0.627, 95%CI: 0.408-0.965) was not. After 20 years old, after adjusting for carbohydrate, protein, vitamin B, niacin, dietary fat, vitamin B, and vitamin B, vitamin B intake (OR: 1.153, 95%CI: 1.04-1.278) was beneficial for normal bone mass, while vitamin B intake (OR: 0.842, 95%CI: 0.726-0.976) was not. After adjusting for all confounding factors, vitamin B intake (OR: 1.288, 95%CI: 1.102-1.506) was beneficial for normal bone mass. In addition, we found that even if there was no statistical significance, the effects of high-fat diet on bone mass were different at different ages. (4) Conclusions: By conducting an in-depth analysis of the NHANES database, this study reveals that dietary factors exert divergent effects on bone health across different age groups, implying the necessity of implementing tailored dietary strategies to maintain optimal bone health at distinct life stages.
(1)背景:营养素在骨骼健康中起着至关重要的作用,无论是在达到峰值骨矿物质密度(BMD)还是维持骨骼健康方面。本研究探讨了不同年龄段营养素供应与股骨骨骼健康之间的关系。(2)方法:使用 2005 年至 2010 年、2013 年至 2014 年和 2017 年至 2018 年国家健康和营养检查调查(NHANES)数据库,共纳入 5603 名符合纳入和排除标准的参与者。股骨骨矿物质密度和骨骼状况为因变量,膳食营养素摄入量和营养素摄入状况为自变量。通过神经网络模型探讨了膳食营养素摄入与骨矿物质密度的关系,并分析了营养素对骨骼状况的影响程度。同时,还研究了营养素摄入与骨骼状况之间的关系。(3)结果:在本研究中,年龄和股骨骨矿物质密度的峰值出现在 20 岁。按年龄分组后,逻辑回归分析显示,在 20 岁之前,在不调整其他变量的情况下,高脂肪饮食比适当的脂肪饮食更有可能具有正常的骨量(OR:4.173,95%CI:1.007-17.289)。在调整所有人口统计学因素后,烟酸摄入(OR:1.062,95%CI:1.019-1.108)有利于正常骨量,而维生素 B 摄入(OR:0.627,95%CI:0.408-0.965)则没有。20 岁以后,在调整碳水化合物、蛋白质、维生素 B、烟酸、膳食脂肪、维生素 B 和维生素 B 后,维生素 B 摄入(OR:1.153,95%CI:1.04-1.278)有利于正常骨量,而维生素 B 摄入(OR:0.842,95%CI:0.726-0.976)则没有。在调整所有混杂因素后,维生素 B 摄入(OR:1.288,95%CI:1.102-1.506)有利于正常骨量。此外,我们还发现,即使没有统计学意义,高脂肪饮食对骨骼质量的影响在不同年龄组之间也存在差异。(4)结论:通过对 NHANES 数据库进行深入分析,本研究揭示了饮食因素在不同年龄段对骨骼健康的影响存在差异,这意味着在不同生命阶段实施针对性的饮食策略对于维持最佳骨骼健康是必要的。