Nutrition
Volume 25, Issue 2 , Pages 165-171 , February 2009

Association between dietary patterns and indices of bone mass in a sample of Mediterranean women

  • Meropi D. Kontogianni, Ph.D.

      Affiliations

    • Department of Nutrition and Dietetics, Harokopio University, Athens, Greece
    • ,
  • Labros Melistas, M.Sc.

      Affiliations

    • Department of Nutrition and Dietetics, Harokopio University, Athens, Greece
    • ,
  • Mary Yannakoulia, Ph.D.

      Affiliations

    • Department of Nutrition and Dietetics, Harokopio University, Athens, Greece
    • ,
  • Ioannis Malagaris, B.Sc.

      Affiliations

    • Department of Nutrition and Dietetics, Harokopio University, Athens, Greece
    • ,
  • Demosthenes B. Panagiotakos, Ph.D.

      Affiliations

    • Department of Nutrition and Dietetics, Harokopio University, Athens, Greece
    • ,
  • Nikos Yiannakouris, Ph.D.

      Affiliations

    • Department of Home Economics and Ecology, Harokopio University, Athens, Greece
    • Corresponding Author InformationCorresponding author. Tel.: +30-210-954-9268; fax: +30-210-957-7050

Received 2 May 2008 ,Accepted 28 July 2008.

References 

  1. Kitchin B, Morgan S. Nutritional considerations in osteoporosis. Curr Opin Rheumatol. 2003;15:476–480
  2. Ilich JZ, Kerstetter JE. Nutrition in bone health revisited: a story beyond calcium. J Am Coll Nutr. 2000;19:715–737
  3. Jacques PF, Tucker KL. Are dietary patterns useful for understanding the role of diet in chronic disease?. Am J Clin Nutr. 2001;73:1–2
  4. Hu FB. Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol. 2002;13:3–9
  5. Tucker KL, Hannan MT, Chen H. Diet pattern groups are related to bone mineral density among adults: the Framingham study. J Bone Miner Res. 2000;15:S222
  6. Tucker KL, Chen H, Hannan MT, Cupples LA, Wilson PW, Felson D, et al. Bone mineral density and dietary patterns in older adults: the Framingham Osteoporosis Study. Am J Clin Nutr. 2002;76:245–252
  7. Okubo H, Sasaki S, Horiguchi H, Oguma E, Miyamoto K, Hosoi Y, et al. Dietary patterns associated with bone mineral density in premenopausal Japanese farmwomen. Am J Clin Nutr. 2006;83:1185–1192
  8. New S. Do vegetarians have a normal bone mass?. Osteoporos Int. 2004;15:679–688
  9. Smith AM. Veganism and osteoporosis: a review of the current literature. Int J Nurs Pract. 2006;12:302–306
  10. Lin PH, Ginty F, Appel LJ, Aickin M, Bohannon A, Garnero P, et al. The DASH diet and sodium reduction improve markers of bone turnover and calcium metabolism in adults. J Nutr. 2003;133:3130–3136
  11. World Health Organization Study Group on Assessment of Fracture Risk and its Application to Screening for Postmenopausal Osteoporosis. Assessment of fracture risk and its application to screening for postmenopausal osteoporosis: report of a World Health Organization study group. 843 ed.. Geneva: World Health Organization; 1994;
  12. Panagiotakos DB, Pitsavos C, Stefanadis C. Dietary patterns: a Mediterranean diet score and its relation to clinical and biological markers of cardiovascular disease risk. Nutr Metab Cardiovasc Dis. 2006;16:559–568
  13. Panagiotakos DB, Pitsavos C, Arvanity F, Stefanadis C. Adherence to the Mediterranean food pattern predicts the prevalence of hypertension, hypercholesterolemia, diabetes and obesity, among healthy adults; the accuracy of the MedDietScore. Prev Med. 2007;44:335–340
  14. Ministry of Health, Supreme Scientific Health Council (Dietary guidelines for adults in Greece). Arch Hellenic Med. 1999;16:516–524
  15. Goldberg GR, Black AE, Jebb SA, Cole TJ, Murgatroyd PR, Coward WA, et al. Critical evaluation of energy intake data using fundamental principles of energy physiology: 1. Derivation of cut-off limits to identify under-recording. Eur J Clin Nutr. 1991;45:569–581
  16. FAO/WHO/UNU. Human energy requirements: report of a joint FAO/WHO/UNU expert consultation. Rome: FAO; 2004;
  17. Kollia M, Kavouras SA, Gioxari A, Maraki M, Sidossis LS. Development, validity and reliability of the Harokopio Physical Activity Questionnaire in Greek adults. In: Proceedings of the 8th Panhellenic Congress on Nutrition and Dietetics. Athens, Greece: Abstract Book; 2006;p. 130–131
  18. Mardia KV, Kent JT, Bibby JM. Multivariate Analysis. 1st ed.. New York: Academic Press; 1979;
  19. New SA, Robins SP, Campbell MK, Martin JC, Garton MJ, Bolton-Smith C, et al. Dietary influences on bone mass and bone metabolism: further evidence of a positive link between fruit and vegetable consumption and bone health. Am J Clin Nutr. 2000;71:142–151
  20. Prynne CJ, Mishra GD, O'Connell MA, Muniz G, Laskey MA, Yan L, et al. Fruit and vegetable intakes and bone mineral status: a cross sectional study in 5 age and sex cohorts. Am J Clin Nutr. 2006;83:1420–1428
  21. New SA. Acid–base homeostasis and the skeleton: is there a fruit and vegetable link to bone health?. In:  New SA,  Bonjour JP editor. Nutritional aspects of bone health. London: Royal Society of Chemistry; 2003;p. 291–311
  22. Watkins BA, Li Y, Lippman HE, Seifert MF. Omega-3 polyunsaturated fatty acids and skeletal health. Exp Biol Med. 2001;226:485–497
  23. Endres S, Ghorbani R, Kelley VE, Georgilis K, Lonnemann G, van der Meer JW, et al. The effect of dietary supplementation with n-3 polyunsaturated fatty acids on the synthesis of interleukin-1 and tumor necrosis factor by mononuclear cells. N Engl J Med. 1989;320:265–271
  24. Watkins BA, Li Y, Lippman HE, Feng S. Modulatory effect of n-3 polyunsaturated fatty acids on osteoblast function and bone metabolism. Prostaglandins Leukot Essent Fatty Acids. 2003;68:387–398
  25. Högström M, Nordström P, Nordström A. N-3 fatty acids are positively associated with peak bone mineral density and bone accrual in healthy men: the NO2 Study. Am J Clin Nutr. 2007;85:803–807
  26. Weiss LA, Barrett-Connor E, von Mühlen D. Ratio of n-6 to n-3 fatty acids and bone mineral density in older adults: the Rancho Bernardo Study. Am J Clin Nutr. 2005;81:934–938
  27. Corwin RL, Hartman TJ, Maczuga SA, Graubard BI. Dietary saturated fat intake is inversely associated with bone density in humans: analysis of NHANES III. J Nutr. 2006;136:159–165
  28. Trichopoulou A, Georgiou E, Bassiakos Y, Lipworth L, Lagiou P, Proukakis C, et al. Energy intake and monounsaturated fat in relation to bone mineral density among women and men in Greece. Prev Med. 1997;26:395–400
  29. Puel C, Mathey J, Agalias A, Kati-Coulibaly S, Mardon J, Obled C, et al. Dose–response study of effect of oleuropein, an olive oil polyphenol, in an ovariectomy/inflammation experimental model of bone loss in the rat. Clin Nutr. 2006;25:859–868
  30. Tylavsky FA, Holliday K, Danish R, Womack C, Norwood J, Carbone L. Fruit and vegetable intake is an independent predictor of bone mass in early pubertal children. Am J Clin Nutr. 2004;79:311–317
  31. McGartland CP, Robson PJ, Murray LJ, Cran GW, Savage MJ, Watkins DC, et al. Fruit and vegetable consumption and bone mineral density: the Northern Ireland Young Hearts Project. Am J Clin Nutr. 2004;80:1019–1023
  32. Vatanparast H, Baxter-Jones A, Faulkner RA, Bailey DA, Whiting SJ. Positive effects of fruit and vegetable consumption and calcium intake on bone mineral accrual in boys during growth from childhood to adolescence: the University of Saskatchewan Pediatric Bone Mineral Accrual Study. Am J Clin Nutr. 2005;82:700–706
  33. New SA, Bolton-Smith C, Grubb DA, Reid DM. Nutritional influences on mineral density: a cross-sectional study in premenopausal women. Am J Clin Nutr. 1997;65:1831–1839
  34. Tucker KL, Hannan MT, Chen H, Cupples LA, Wilson PW, Kiel DP. Potassium, magnesium and fruit and vegetable intakes are associated with greater bone mineral density in elderly men and women. Am J Clin Nutr. 1999;69:727–736
  35. Macdonald HM, New SA, Golden MHN, Campbell MK, Reid DM. Nutritional associations with bone loss during the menopausal transition: evidence for a beneficial effect of calcium, alcohol, and fruit and vegetable nutrients and of a detrimental effect of fatty acids. Am J Clin Nutr. 2004;79:155–165
  36. Simopoulos AP. The Mediterranean diets: what is so special about the diet of Greece? (The scientific evidence). J Nutr. 2001;131(suppl):3065S–3073
  37. Willett WC, Sacks F, Trichopoulou A, Drescher G, Ferro-Luzzi A, Helsing E, et al. Mediterranean diet pyramid: a cultural model for healthy eating. Am J Clin Nutr. 1995;65(suppl):1402S–1406S
  38. Schaffer S, Schmitt-Schillig S, Müller WE, Eckert GP. Antioxidant properties of Mediterranean food plant extracts: geographical differences. J Physiol Pharmacol. 2005;56(suppl 1):115–124
  39. Thompson FE, Byers T. Dietary assessment resource manual. J Nutr. 1994;11(suppl):2245S–2317
  40. Rutishauser IH. Dietary intake measurements. Public Health Nutr. 2005;8(suppl 7A):1100–1107
  41. McCann SE, Weiner J, Graham S, Freudenheim JL. Is principal components analysis necessary to characterise dietary behaviour in studies of diet and disease?. Public Health Nutr. 2001;4:903–908

PII: S0899-9007(08)00344-4

doi: 10.1016/j.nut.2008.07.019

Nutrition
Volume 25, Issue 2 , Pages 165-171 , February 2009

Article Tools