Skip to main content
Erschienen in: Endocrine 3/2022

31.08.2022 | Original Article

Dietary inflammatory index and osteoporosis: the National Health and Nutrition Examination Survey, 2017–2018

verfasst von: Saisai Zhao, Wenhui Gao, Jingsong Li, Mengzi Sun, Jiaxin Fang, Li Tong, Yue He, Yanfang Wang, Yuan Zhang, Yan Xu, Shuman Yang, Lina Jin

Erschienen in: Endocrine | Ausgabe 3/2022

Einloggen, um Zugang zu erhalten

Abstract

Purpose

The dietary inflammatory index (DII) is a scoring system to quantify the inflammatory effects of nutrients and foods. Inflammation may affect bone health. The purpose of this study was to explore the relationships of DII with bone mineral density (BMD) and osteoporosis.

Methods

This study involved 1023 women and 1080 men (age ≥ 50) in the US National Health and Nutrition Survey (NHANES), 2017–2018. Multivariable linear regression models were used to estimate the associations between DII and BMD. Association between DII and osteoporosis was tested with multivariable logistic regression models.

Results

In women, DII was negatively associated with total hip and femoral neck BMD after adjusting for covariates (P < 0.05). In men, DII was negatively associated with lumbar spine BMD (P < 0.05). DII was positively associated with osteoporosis in women (P < 0.05). The odds ratios (ORs) (95% CI) for osteoporosis associated with DII quartiles 2, 3 and 4 vs. quartile 1 were 2.95 (1.08, 8.09), 5.63 (2.87, 11.04), and 6.14(2.55, 14.78), respectively. No significant association was observed in men.

Conclusions

Higher DII scores were associated with increase osteoporosis risk in women, while no association was found in men. Greater pro-inflammatory diets might be associated with lower BMD in both women and men.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat J.A. Kanis, C. Cooper, R. Rizzoli, J.-Y. Register, European guidance for the diagnosis and management of osteoporosis in postmenopausal women. Osteoporos. Int. 30, 3–44 (2019) PubMedCrossRef J.A. Kanis, C. Cooper, R. Rizzoli, J.-Y. Register, European guidance for the diagnosis and management of osteoporosis in postmenopausal women. Osteoporos. Int. 30, 3–44 (2019) PubMedCrossRef
2.
Zurück zum Zitat S. Xue, O. Kemal, M. Lu, L.M. Lix, W.D. Leslie, S. Yang, Age at attainment of peak bone mineral density and its associated factors: The National Health and Nutrition Examination Survey 2005–2014. Bone 131, 115163 (2020) PubMedCrossRef S. Xue, O. Kemal, M. Lu, L.M. Lix, W.D. Leslie, S. Yang, Age at attainment of peak bone mineral density and its associated factors: The National Health and Nutrition Examination Survey 2005–2014. Bone 131, 115163 (2020) PubMedCrossRef
3.
Zurück zum Zitat N.E. Lane, Epidemiology, etiology, and diagnosis of osteoporosis. Am. J. Obstet. Gynecol. 194(Suppl 2), S3–11 (2006) PubMedCrossRef N.E. Lane, Epidemiology, etiology, and diagnosis of osteoporosis. Am. J. Obstet. Gynecol. 194(Suppl 2), S3–11 (2006) PubMedCrossRef
4.
Zurück zum Zitat S.W. Wade, C. Strader, L.A. Fitzpatrick, M.S. Anthony, C.D. O’Malleya, Estimating prevalence of osteoporosis: examples from industrialized countries. Arch. Osteoporos. 9, 182 (2014) PubMedCrossRef S.W. Wade, C. Strader, L.A. Fitzpatrick, M.S. Anthony, C.D. O’Malleya, Estimating prevalence of osteoporosis: examples from industrialized countries. Arch. Osteoporos. 9, 182 (2014) PubMedCrossRef
5.
Zurück zum Zitat H.S. Kim, C. Sohn, M. Kwon, W. Na, N. Shivappa, J.R. Hébert et al. Positive association between dietary inflammatory index and the risk of osteoporosis: Results from the KoGES_health examinee (HEXA) cohort study. Nutrients 10, 1999 (2018) PubMedCentralCrossRef H.S. Kim, C. Sohn, M. Kwon, W. Na, N. Shivappa, J.R. Hébert et al. Positive association between dietary inflammatory index and the risk of osteoporosis: Results from the KoGES_health examinee (HEXA) cohort study. Nutrients 10, 1999 (2018) PubMedCentralCrossRef
6.
Zurück zum Zitat W. Na, S. Park, N. Shivappa, J.R. Hébert, M.K. Kim, C. Sohn, Association between inflammatory potential of diet and bonemineral density in Korean postmenopausal women: Data from fourth and fifth Korea national health and nutrition examination surveys. Nutrients 11, 885 (2019) PubMedCentralCrossRef W. Na, S. Park, N. Shivappa, J.R. Hébert, M.K. Kim, C. Sohn, Association between inflammatory potential of diet and bonemineral density in Korean postmenopausal women: Data from fourth and fifth Korea national health and nutrition examination surveys. Nutrients 11, 885 (2019) PubMedCentralCrossRef
7.
Zurück zum Zitat J. Thulkar, S. Singh, S. Sharma, T. Thulkar, Preventable risk factors for osteoporosis in postmenopausal women: systematic review and meta-analysis. J. Mid-Life Health 7, 108–113 (2016). CrossRef J. Thulkar, S. Singh, S. Sharma, T. Thulkar, Preventable risk factors for osteoporosis in postmenopausal women: systematic review and meta-analysis. J. Mid-Life Health 7, 108–113 (2016). CrossRef
8.
Zurück zum Zitat R. Rizzoli, E. Biver, T.C. Brennan-Speranza, Nutritional intake and bone health. Lancet Diabetes Endocrinol. 9, 606–621 (2021) PubMedCrossRef R. Rizzoli, E. Biver, T.C. Brennan-Speranza, Nutritional intake and bone health. Lancet Diabetes Endocrinol. 9, 606–621 (2021) PubMedCrossRef
9.
Zurück zum Zitat P.C. Calder, R. Albers, J.M. Antoine, S. Blum, R. Bourdet-Sicard, G.A. Ferns et al. Inflammatory disease processes and interactions with nutrition. Br. J. Nutr. 101(Suppl 1), S1–45 (2009) PubMed P.C. Calder, R. Albers, J.M. Antoine, S. Blum, R. Bourdet-Sicard, G.A. Ferns et al. Inflammatory disease processes and interactions with nutrition. Br. J. Nutr. 101(Suppl 1), S1–45 (2009) PubMed
10.
Zurück zum Zitat G. Schett, Effects of inflammatory and anti-inflammatory cytokines on the bone. Eur. J. Clin. Investig. 41, 1361–1366 (2011) CrossRef G. Schett, Effects of inflammatory and anti-inflammatory cytokines on the bone. Eur. J. Clin. Investig. 41, 1361–1366 (2011) CrossRef
11.
Zurück zum Zitat Z. Deng, W. Hu, H. Ai, Y. Chen, S. Dong, The dramatic role of IFN family in aberrant inflammatory osteolysis. Curr. Gene Ther. 21, 112–129 (2020) CrossRef Z. Deng, W. Hu, H. Ai, Y. Chen, S. Dong, The dramatic role of IFN family in aberrant inflammatory osteolysis. Curr. Gene Ther. 21, 112–129 (2020) CrossRef
12.
Zurück zum Zitat N. Shivappa, S.E. Steck, T.G. Hurley, J.R. Hussey, J.R. Hébert, Designing and developing a literature-derived, population-based dietary inflammatory index. Public Health Nutr. 17, 1689–1696 (2014). PubMedCrossRef N. Shivappa, S.E. Steck, T.G. Hurley, J.R. Hussey, J.R. Hébert, Designing and developing a literature-derived, population-based dietary inflammatory index. Public Health Nutr. 17, 1689–1696 (2014). PubMedCrossRef
13.
Zurück zum Zitat Y. Fang, J. Zhu, J. Fan, L. Sun, S. Cai, C. Fan et al. Dietary Inflammatory Index in relation to bone mineral density, osteoporosis risk and fracture risk: a systematic review and meta-analysis. Osteoporos. Int. 32, 633–643 (2021) PubMedCrossRef Y. Fang, J. Zhu, J. Fan, L. Sun, S. Cai, C. Fan et al. Dietary Inflammatory Index in relation to bone mineral density, osteoporosis risk and fracture risk: a systematic review and meta-analysis. Osteoporos. Int. 32, 633–643 (2021) PubMedCrossRef
14.
Zurück zum Zitat M. Mazidi, N. Shivappa, M.D. Wirth, J.R. Hebert, D.P. Mikhailidis, A.P. Kengne et al. Dietary inflammatory index and cardiometabolic risk in US adults. Atherosclerosis 276, 23–27 (2018) PubMedCrossRef M. Mazidi, N. Shivappa, M.D. Wirth, J.R. Hebert, D.P. Mikhailidis, A.P. Kengne et al. Dietary inflammatory index and cardiometabolic risk in US adults. Atherosclerosis 276, 23–27 (2018) PubMedCrossRef
15.
Zurück zum Zitat N. Shivappa, J.R. Hébert, E.R. Rietzschel, M.L. de Buyzere, M. Langlois, E. Debruyne et al. Associations between dietary inflammatory index and inflammatory markers in the Asklepios Study. Br. J. Nutr. 113, 665–671 (2015) PubMedPubMedCentralCrossRef N. Shivappa, J.R. Hébert, E.R. Rietzschel, M.L. de Buyzere, M. Langlois, E. Debruyne et al. Associations between dietary inflammatory index and inflammatory markers in the Asklepios Study. Br. J. Nutr. 113, 665–671 (2015) PubMedPubMedCentralCrossRef
16.
Zurück zum Zitat N. Shivappa, S.E. Steck, T.G. Hurley, J.R. Hussey, Y. Ma, I.S. Ockene et al. A population-based dietary inflammatory index predicts levels of C-reactive protein in the Seasonal Variation of Blood Cholesterol Study (SEASONS). Public Health Nutr. 17, 1825–1833 (2014) PubMedCrossRef N. Shivappa, S.E. Steck, T.G. Hurley, J.R. Hussey, Y. Ma, I.S. Ockene et al. A population-based dietary inflammatory index predicts levels of C-reactive protein in the Seasonal Variation of Blood Cholesterol Study (SEASONS). Public Health Nutr. 17, 1825–1833 (2014) PubMedCrossRef
17.
Zurück zum Zitat M. Mazidi, N. Shivappa, M.D. Wirth, J.R. Hebert, H. Vatanparast, A.P. Kengne, The association between dietary inflammatory properties and bone mineral density and risk of fracture in US adults. Eur. J. Clin. Nutr. 71, 1273–1277 (2017) PubMedCrossRef M. Mazidi, N. Shivappa, M.D. Wirth, J.R. Hebert, H. Vatanparast, A.P. Kengne, The association between dietary inflammatory properties and bone mineral density and risk of fracture in US adults. Eur. J. Clin. Nutr. 71, 1273–1277 (2017) PubMedCrossRef
18.
Zurück zum Zitat M.M.C. Cervo, D. Scott, M.J. Seibel, R.G. Cumming, V. Naganathan, F.M. Blyth et al. Proinflammatory diet increases circulating inflammatory biomarkers and falls risk in community-dwelling older men. J. Nutr. 150, 373–381 (2020) PubMed M.M.C. Cervo, D. Scott, M.J. Seibel, R.G. Cumming, V. Naganathan, F.M. Blyth et al. Proinflammatory diet increases circulating inflammatory biomarkers and falls risk in community-dwelling older men. J. Nutr. 150, 373–381 (2020) PubMed
19.
Zurück zum Zitat M.D. Wirth, N. Shivappa, J.B. Burch, T.G. Hurley, J.R. Hébert, The dietary inflammatory index, shift work, and depression: results from NHANES. Health Psychol. 36, 760–769 (2017) PubMedPubMedCentralCrossRef M.D. Wirth, N. Shivappa, J.B. Burch, T.G. Hurley, J.R. Hébert, The dietary inflammatory index, shift work, and depression: results from NHANES. Health Psychol. 36, 760–769 (2017) PubMedPubMedCentralCrossRef
20.
Zurück zum Zitat H.P. Dimai, Use of dual-energy X-ray absorptiometry (DXA) for diagnosis and fracture risk assessment; WHO-criteria, T- and Z-score, and reference databases. Bone 104, 39–43 (2017) PubMedCrossRef H.P. Dimai, Use of dual-energy X-ray absorptiometry (DXA) for diagnosis and fracture risk assessment; WHO-criteria, T- and Z-score, and reference databases. Bone 104, 39–43 (2017) PubMedCrossRef
21.
Zurück zum Zitat A.C. Looker, H.W. Wahner, W.L. Dunn, M.S. Calvo, T.B. Harris, S.P. Heyse et al. Updated data on proximal femur bone mineral levels of US adults. Osteoporos. Int. 8, 468–489 (1998) PubMedCrossRef A.C. Looker, H.W. Wahner, W.L. Dunn, M.S. Calvo, T.B. Harris, S.P. Heyse et al. Updated data on proximal femur bone mineral levels of US adults. Osteoporos. Int. 8, 468–489 (1998) PubMedCrossRef
22.
Zurück zum Zitat T. Orchard, V. Yildiz, S.E. Steck, J.R. Hébert, Y. Ma, J.A. Cauley et al. Dietary inflammatory index, bone mineral density, and risk of fracture in postmenopausal women: results from the women’s health initiative. J. Bone Miner. Res. 32, 1136–1146 (2017) PubMedCrossRef T. Orchard, V. Yildiz, S.E. Steck, J.R. Hébert, Y. Ma, J.A. Cauley et al. Dietary inflammatory index, bone mineral density, and risk of fracture in postmenopausal women: results from the women’s health initiative. J. Bone Miner. Res. 32, 1136–1146 (2017) PubMedCrossRef
23.
Zurück zum Zitat R. Li, W. Zhan, X. Huang, J. Wang, S.S. Lv, L. Liang et al. Associations between Dietary Inflammatory Index (DII) and bone health among postmenopausal women in the United States. Int. J. Gynecol. 158, 663–670 (2021) CrossRef R. Li, W. Zhan, X. Huang, J. Wang, S.S. Lv, L. Liang et al. Associations between Dietary Inflammatory Index (DII) and bone health among postmenopausal women in the United States. Int. J. Gynecol. 158, 663–670 (2021) CrossRef
24.
Zurück zum Zitat N. Veronese, B. Stubbs, A. Koyanagi, J.R. Hébert, C. Cooper, M.G. Caruso et al. Pro-inflammatory dietary pattern is associated with fractures in women: an eight-year longitudinal cohort study. Osteoporos. Int. 29, 143–151 (2018) PubMedCrossRef N. Veronese, B. Stubbs, A. Koyanagi, J.R. Hébert, C. Cooper, M.G. Caruso et al. Pro-inflammatory dietary pattern is associated with fractures in women: an eight-year longitudinal cohort study. Osteoporos. Int. 29, 143–151 (2018) PubMedCrossRef
25.
Zurück zum Zitat Y. Fan, S. Ni, H. Zhang, Association between Healthy Eating Index-2015 total and component food scores with osteoporosis in middle-aged and older Americans: a cross-sectional study with U.S. National Health and Nutrition Examination Survey. Osteoporos. Int. 33, 921–929 (2022) PubMedCrossRef Y. Fan, S. Ni, H. Zhang, Association between Healthy Eating Index-2015 total and component food scores with osteoporosis in middle-aged and older Americans: a cross-sectional study with U.S. National Health and Nutrition Examination Survey. Osteoporos. Int. 33, 921–929 (2022) PubMedCrossRef
26.
27.
Zurück zum Zitat H. Takayanagi, Osteoimmunology: shared mechanisms and crosstalk between the immune and bone systems. Nat. Rev. Immunol. 7, 292–304 (2007) PubMedCrossRef H. Takayanagi, Osteoimmunology: shared mechanisms and crosstalk between the immune and bone systems. Nat. Rev. Immunol. 7, 292–304 (2007) PubMedCrossRef
28.
Zurück zum Zitat D. Wagner, A. Fahrleitner-Pammer, Levels of osteoprotegerin (OPG) and receptor activator for nuclear factor kappa B ligand (RANKL) in serum: are they of any help? Wiener Med. Wochenschrift 160, 452–457 (2010) D. Wagner, A. Fahrleitner-Pammer, Levels of osteoprotegerin (OPG) and receptor activator for nuclear factor kappa B ligand (RANKL) in serum: are they of any help? Wiener Med. Wochenschrift 160, 452–457 (2010)
29.
Zurück zum Zitat A. Esmaillzadeh, M. Kimiagar, Y. Mehrabi, L. Azadbakht, F.B. Hu, W.C. Willett, Dietary patterns and markers of systemic inflammation among Iranian women. J. Nutr. 137, 992–998 (2007) PubMedCrossRef A. Esmaillzadeh, M. Kimiagar, Y. Mehrabi, L. Azadbakht, F.B. Hu, W.C. Willett, Dietary patterns and markers of systemic inflammation among Iranian women. J. Nutr. 137, 992–998 (2007) PubMedCrossRef
30.
Zurück zum Zitat Z.Q. Zhang, W.T. Cao, N. Shivappa, J.R. Hebert, B.L. Li, J. He et al. Association between diet inflammatory index and osteoporotic hip fracture in elderly Chinese population. J. Am. Med. Dir. Assoc. 18, 671–677 (2017) PubMedCrossRef Z.Q. Zhang, W.T. Cao, N. Shivappa, J.R. Hebert, B.L. Li, J. He et al. Association between diet inflammatory index and osteoporotic hip fracture in elderly Chinese population. J. Am. Med. Dir. Assoc. 18, 671–677 (2017) PubMedCrossRef
31.
Zurück zum Zitat S. Cai, H. Yu, Y. Li, X. He, L. Yan, X. Huang et al. Bone mineral density measurement combined with vertebral fracture assessment increases diagnosis of osteoporosis in postmenopausal women. Skelet. Radiol. 49, 273–280 (2020). CrossRef S. Cai, H. Yu, Y. Li, X. He, L. Yan, X. Huang et al. Bone mineral density measurement combined with vertebral fracture assessment increases diagnosis of osteoporosis in postmenopausal women. Skelet. Radiol. 49, 273–280 (2020). CrossRef
32.
33.
Zurück zum Zitat E.R. Gertz, N.E. Silverman, K.S. Wise, K.B. Hanson, D.L. Alekel, J.W. Stewart et al. Contribution of serum inflammatory markers to changes in bone mineral content and density in postmenopausal women: a 1-year investigation. J. Clin. Densitomet. 13, 277–278 (2010) CrossRef E.R. Gertz, N.E. Silverman, K.S. Wise, K.B. Hanson, D.L. Alekel, J.W. Stewart et al. Contribution of serum inflammatory markers to changes in bone mineral content and density in postmenopausal women: a 1-year investigation. J. Clin. Densitomet. 13, 277–278 (2010) CrossRef
34.
Zurück zum Zitat G.J.A. Casimir, J. Duchateau, Gender differences in inflammatory processes could explain poorer prognosis for males. J. Clin. Microbiol. 49, 478–479 (2011) PubMedPubMedCentralCrossRef G.J.A. Casimir, J. Duchateau, Gender differences in inflammatory processes could explain poorer prognosis for males. J. Clin. Microbiol. 49, 478–479 (2011) PubMedPubMedCentralCrossRef
35.
Zurück zum Zitat R.A. Iseme, M. Mcevoy, B. Kelly, L. Agnew, F.R. Walker, J. Attia, Is osteoporosis an autoimmune mediated disorder? Bone Rep. 7, 121–131 (2017) PubMedPubMedCentralCrossRef R.A. Iseme, M. Mcevoy, B. Kelly, L. Agnew, F.R. Walker, J. Attia, Is osteoporosis an autoimmune mediated disorder? Bone Rep. 7, 121–131 (2017) PubMedPubMedCentralCrossRef
36.
Zurück zum Zitat D. Fairweather, Sex differences in inflammation during atherosclerosis. Clin. Med. Insights: Cardiol. 8(Suppl 3), 49–59 (2015) D. Fairweather, Sex differences in inflammation during atherosclerosis. Clin. Med. Insights: Cardiol. 8(Suppl 3), 49–59 (2015)
37.
Zurück zum Zitat T. Douchi, S. Kosha, H. Uto, T. Oki, M. Nakae, N. Yoshimitsu et al. Precedence of bone loss over changes in body composition and body fat distribution within a few years after menopause. Maturitas 46, 133–138 (2003) PubMedCrossRef T. Douchi, S. Kosha, H. Uto, T. Oki, M. Nakae, N. Yoshimitsu et al. Precedence of bone loss over changes in body composition and body fat distribution within a few years after menopause. Maturitas 46, 133–138 (2003) PubMedCrossRef
38.
Zurück zum Zitat C. de Laet, J.A. Kanis, A. Odén, H. Johanson, O. Johnell, P. Delmas et al. Body mass index as a predictor of fracture risk: a meta-analysis. Osteoporos. Int. 16, 1330–1338 (2005) PubMedCrossRef C. de Laet, J.A. Kanis, A. Odén, H. Johanson, O. Johnell, P. Delmas et al. Body mass index as a predictor of fracture risk: a meta-analysis. Osteoporos. Int. 16, 1330–1338 (2005) PubMedCrossRef
39.
Zurück zum Zitat H.W. Deng, F.H. Xu, K.M. Davies, R. Heaney, R.R. Recker, Differences in bone mineral density, bone mineral content, and bone areal size in fracturing and non-fracturing women, and their interrelationships at the spine and hip. J. Bone Miner. Metab. 20, 358–366 (2002) PubMedCrossRef H.W. Deng, F.H. Xu, K.M. Davies, R. Heaney, R.R. Recker, Differences in bone mineral density, bone mineral content, and bone areal size in fracturing and non-fracturing women, and their interrelationships at the spine and hip. J. Bone Miner. Metab. 20, 358–366 (2002) PubMedCrossRef
40.
Zurück zum Zitat V.V. Shanbhogue, K. Brixen, S. Hansen, Age- and sex-related changes in bone microarchitecture and estimated strength: a three-year prospective study using HRpQCT. J. Bone Miner. Res. 31, 1541–1549 (2016) PubMedCrossRef V.V. Shanbhogue, K. Brixen, S. Hansen, Age- and sex-related changes in bone microarchitecture and estimated strength: a three-year prospective study using HRpQCT. J. Bone Miner. Res. 31, 1541–1549 (2016) PubMedCrossRef
41.
Zurück zum Zitat B.A. Christiansen, D.L. Kopperdahl, D.P. Kiel, T.M. Keaveny, M.L. Bouxsein, Mechanical contributions of the cortical and trabecular compartments contribute to differences in age-related changes in vertebral body strength in men and women assessed by QCT-based finite element analysis. J. Bone Miner. Res. 26, 974–983 (2011) PubMedPubMedCentralCrossRef B.A. Christiansen, D.L. Kopperdahl, D.P. Kiel, T.M. Keaveny, M.L. Bouxsein, Mechanical contributions of the cortical and trabecular compartments contribute to differences in age-related changes in vertebral body strength in men and women assessed by QCT-based finite element analysis. J. Bone Miner. Res. 26, 974–983 (2011) PubMedPubMedCentralCrossRef
42.
Zurück zum Zitat M.J. Silva, T.M. Keaveny, W.C. Hayes, Load sharing between the shell and centrum in the lumbar vertebral body. Spine 22, 140–150 (1997) PubMedCrossRef M.J. Silva, T.M. Keaveny, W.C. Hayes, Load sharing between the shell and centrum in the lumbar vertebral body. Spine 22, 140–150 (1997) PubMedCrossRef
43.
Zurück zum Zitat E.J. Samelson, B.A. Christiansen, S. Demissie, K.E. Broe, Q. Louie-Gao, L.A. Cupples et al. QCT measures of bone strength at the thoracic and lumbar spine: the Framingham study. J. Bone Miner. Res. 27, 654–663 (2012) PubMedCrossRef E.J. Samelson, B.A. Christiansen, S. Demissie, K.E. Broe, Q. Louie-Gao, L.A. Cupples et al. QCT measures of bone strength at the thoracic and lumbar spine: the Framingham study. J. Bone Miner. Res. 27, 654–663 (2012) PubMedCrossRef
44.
Zurück zum Zitat C. Brown, Osteoporosis: staying strong: an improved understanding of bone loss can help women reduce their risk of fractures as they age. Nature 550, S15–S17 (2017) PubMedCrossRef C. Brown, Osteoporosis: staying strong: an improved understanding of bone loss can help women reduce their risk of fractures as they age. Nature 550, S15–S17 (2017) PubMedCrossRef
45.
46.
Zurück zum Zitat A.G. Bruno, K.E. Broe, X. Zhang, E.J. Samelson, C.A. Meng, R. Manoharan et al. Vertebral size, bone density, and strength in men and women matched for age and areal spine BMD. J. Bone Miner. Res. 29, 562–569 (2014) PubMedCrossRef A.G. Bruno, K.E. Broe, X. Zhang, E.J. Samelson, C.A. Meng, R. Manoharan et al. Vertebral size, bone density, and strength in men and women matched for age and areal spine BMD. J. Bone Miner. Res. 29, 562–569 (2014) PubMedCrossRef
47.
Zurück zum Zitat P.P. Basiotis, S.O. Welsh, F.J. Cronin, J.L. Kelsay, W. Mertz, Number of days of food intake records required to estimate individual and group nutrient intakes with defined confidence. J. Nutr. 117, 1638–1641 (1987) PubMedCrossRef P.P. Basiotis, S.O. Welsh, F.J. Cronin, J.L. Kelsay, W. Mertz, Number of days of food intake records required to estimate individual and group nutrient intakes with defined confidence. J. Nutr. 117, 1638–1641 (1987) PubMedCrossRef
48.
Zurück zum Zitat M. Vajdi, M.A. Farhangi, L. Nikniaz, Diet-derived nutrient patterns and components of metabolic syndrome: a cross-sectional community-based study. BMC Endocr. Disord. 20, 69 (2020) PubMedPubMedCentralCrossRef M. Vajdi, M.A. Farhangi, L. Nikniaz, Diet-derived nutrient patterns and components of metabolic syndrome: a cross-sectional community-based study. BMC Endocr. Disord. 20, 69 (2020) PubMedPubMedCentralCrossRef
49.
Zurück zum Zitat Y.Z. Liu, Y.J. Liu, R.R. Recker, H.W. Deng, Molecular studies of identification of genes for osteoporosis: the 2002 update. J. Endocrinol. 177, 147–196 (2003) PubMedCrossRef Y.Z. Liu, Y.J. Liu, R.R. Recker, H.W. Deng, Molecular studies of identification of genes for osteoporosis: the 2002 update. J. Endocrinol. 177, 147–196 (2003) PubMedCrossRef
50.
Zurück zum Zitat A.C. Hardcastle, L. Aucott, W.D. Fraser, D.M. Reid, H.M. MacDonald, Dietary patterns, bone resorption and bone mineral density in early post-menopausal Scottish women. Eur. J. Clin. Nutr. 65, 378–385 (2011) PubMedCrossRef A.C. Hardcastle, L. Aucott, W.D. Fraser, D.M. Reid, H.M. MacDonald, Dietary patterns, bone resorption and bone mineral density in early post-menopausal Scottish women. Eur. J. Clin. Nutr. 65, 378–385 (2011) PubMedCrossRef
51.
Zurück zum Zitat N. Shivappa, J.R. Hébert, M. Karamati, S.E. Shariati-Bafghi, B. Rashidkhani, Increased inflammatory potential of diet is associated with bone mineral density among postmenopausal women in Iran. Eur. J. Nutr. 55, 561–568 (2016) PubMedCrossRef N. Shivappa, J.R. Hébert, M. Karamati, S.E. Shariati-Bafghi, B. Rashidkhani, Increased inflammatory potential of diet is associated with bone mineral density among postmenopausal women in Iran. Eur. J. Nutr. 55, 561–568 (2016) PubMedCrossRef
52.
Zurück zum Zitat R. da Silva, A. Bach-Faig, B. Raidó Quintana, G. Buckland, M.D. Vaz De Almeida, L. Serra-Majem, Worldwide variation of adherence to the Mediterranean diet, in 1961–1965 and 2000–2003. Public Health Nutr. 12, 1676–1684 (2009) PubMedCrossRef R. da Silva, A. Bach-Faig, B. Raidó Quintana, G. Buckland, M.D. Vaz De Almeida, L. Serra-Majem, Worldwide variation of adherence to the Mediterranean diet, in 1961–1965 and 2000–2003. Public Health Nutr. 12, 1676–1684 (2009) PubMedCrossRef
Metadaten
Titel
Dietary inflammatory index and osteoporosis: the National Health and Nutrition Examination Survey, 2017–2018
verfasst von
Saisai Zhao
Wenhui Gao
Jingsong Li
Mengzi Sun
Jiaxin Fang
Li Tong
Yue He
Yanfang Wang
Yuan Zhang
Yan Xu
Shuman Yang
Lina Jin
Publikationsdatum
31.08.2022
Verlag
Springer US
Erschienen in
Endocrine / Ausgabe 3/2022
Print ISSN: 1355-008X
Elektronische ISSN: 1559-0100
DOI
https://doi.org/10.1007/s12020-022-03178-6

Weitere Artikel der Ausgabe 3/2022

Endocrine 3/2022 Zur Ausgabe

Update Innere Medizin

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.