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青少年 12-19 岁时脂肪酸摄入量与骨密度的关系:NHANES 2011-2018。

Association between fatty acids intake and bone mineral density in adolescents aged 12-19: NHANES 2011-2018.

机构信息

Department of Emergency, Beijing University of Chinese Medicine Shenzhen Hospital (Long gang), Shenzhen, China.

The First School of Clinical Medicine, Guangzhou University of Chinese Medicine, Guangzhou, China.

出版信息

Front Endocrinol (Lausanne). 2024 Jul 9;15:1402937. doi: 10.3389/fendo.2024.1402937. eCollection 2024.

Abstract

BACKGROUND

The relationship between the intake of dietary fatty acids (FA) and bone mineral density (BMD) has been the subject of prior investigations. However, the outcomes of these studies remain contentious. The objective of this research is to examine the link between dietary FA consumption among adolescents and BMD.

METHODS

This study utilized high-quality data from the National Health and Nutrition Examination Survey database, spanning 2011 to 2018, to explore the association between dietary fatty acids and bone health indicators in adolescents, including BMD and bone mineral content (BMC). Analyses were performed using weighted multivariate linear regression models, incorporating detailed subgroup analysis.

RESULTS

The study included 3440 participants. Analysis demonstrated that intake of saturated fatty acids (SFA) was positively correlated with total BMD, left arm BMD, total BMC, and left arm BMC. Monounsaturated fatty acid (MUFA) intake was positively correlated with BMC across most body parts, though it showed no correlation with BMD. Intake of polyunsaturated fatty acids (PUFA) was significantly inversely correlated with both BMD and BMC in most body parts. Additionally, subgroup analysis indicated that variables such as sex, age, standing height, and race significantly influenced the correlation between FA intake and BMD.

CONCLUSIONS

Our study indicates that dietary intake of SFA may benefit to BMD in adolescents, in contrast to PUFA and MUFA. Therefore, we recommend that adolescents maintain a balanced intake of SFA to promote optimal bone mass development while preserving metabolic health.

摘要

背景

饮食脂肪酸(FA)的摄入与骨矿物质密度(BMD)之间的关系一直是先前研究的主题。然而,这些研究的结果仍存在争议。本研究旨在研究青少年饮食 FA 摄入与 BMD 之间的关系。

方法

本研究利用了高质量的 2011 年至 2018 年国家健康与营养调查数据库的数据,探讨了青少年饮食脂肪酸与骨健康指标(包括 BMD 和骨矿物质含量(BMC))之间的关系。采用加权多变量线性回归模型进行分析,并进行了详细的亚组分析。

结果

该研究纳入了 3440 名参与者。分析表明,摄入饱和脂肪酸(SFA)与总 BMD、左臂 BMD、总 BMC 和左臂 BMC 呈正相关。单不饱和脂肪酸(MUFA)的摄入与大多数身体部位的 BMC 呈正相关,而与 BMD 无关。多不饱和脂肪酸(PUFA)的摄入与大多数身体部位的 BMD 和 BMC 呈显著负相关。此外,亚组分析表明,性别、年龄、站立身高和种族等变量显著影响 FA 摄入与 BMD 之间的相关性。

结论

本研究表明,SFA 的饮食摄入可能有益于青少年的 BMD,而与 PUFA 和 MUFA 相反。因此,我们建议青少年保持 SFA 的均衡摄入,以促进最佳骨量发育,同时保持代谢健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb6b/11263022/8019c4646f5f/fendo-15-1402937-g001.jpg

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