Is there a relationship between diet quality and bone health in elderly women? A cross-sectional study

Destefani, Silvia Andréa; Kurokawa, Cilmery Suemi; Rodrigues, Sérgio Augusto; Corrente, José Eduardo; Padovani, Carlos Roberto; Paiva, Sérgio Alberto Rupp de; Mazeto, Gláucia Maria Ferreira da Silva

doi:10.20945/2359-3997000000394

Silvia Andréa Destefani

Departamento de Nutrição, Universidade Paulista (Unip), Bauru, SP, Brasil

https://orcid.org/0000-0003-1293-8920

Cilmery Suemi Kurokawa

Departamento de Pediatria, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista (Unesp), Botucatu, SP, Brasil

https://orcid.org/0000-0003-1380-7527

Sérgio Augusto Rodrigues

Faculdade de Ciências Agronômicas, Universidade Estadual Paulista (Unesp), Botucatu, SP, Brasil

https://orcid.org/0000-0002-2091-2141

José Eduardo Corrente

Departamento de Bioestatística, Instituto de Biociências, Universidade Estadual Paulista (Unesp), Botucatu, SP, Brasil

https://orcid.org/0000-0001-5478-4996

Carlos Roberto Padovani

Departamento de Bioestatística, Instituto de Biociências, Universidade Estadual Paulista (Unesp), Botucatu, SP, Brasil

https://orcid.org/0000-0002-7719-9682

Sérgio Alberto Rupp de Paiva

Departamento de Clínica Médica, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista (Unesp), Botucatu, SP, Brasil

https://orcid.org/0000-0003-4412-1990

Gláucia Maria Ferreira da Silva Mazeto Correspondence to: Gláucia Maria Ferreira da Silva Mazeto, Departamento de Clínica Médica, Universidade Estadual Paulista (Unesp), Distrito de Rubião Jr., 18618-000 – Botucatu, SP, Brasil. g.mazeto@unesp.br

Departamento de Clínica Médica, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista (Unesp), Botucatu, SP, Brasil

https://orcid.org/0000-0003-2129-7256

Correspondence to: Gláucia Maria Ferreira da Silva Mazeto, Departamento de Clínica Médica, Universidade Estadual Paulista (Unesp), Distrito de Rubião Jr., 18618-000 – Botucatu, SP, Brasil. g.mazeto@unesp.br

Disclosure: no potential conflict of interest relevant to this article was reported.

Bone remodeling markers	Groups
Bone remodeling markers	General n = 105	Needing improvements n = 47	Bad quality n = 58
Age (years) ^* * Mean ± standard deviation, Kruskal-Wallis non-parametric analysis of variance complemented with Dunn’s multiple comparison test.	67.5 ± 7.4	68.0 ± 7.7	67.0 ± 7.2
White referred race n (%) ^ Chi-square test. There was no significant difference between groups (p > 0.05).	79 (75.2)	37 (78.7)	42 (72.4)
Weight (kg) ^* * Mean ± standard deviation, Kruskal-Wallis non-parametric analysis of variance complemented with Dunn’s multiple comparison test.	70.8 ± 12.4	70.7 ± 11.2	70.9 ± 13.3
Height (m) ^* * Mean ± standard deviation, Kruskal-Wallis non-parametric analysis of variance complemented with Dunn’s multiple comparison test.	1.57 ± 0.07	1.58 ± 0.06	1.56 ± 0.08
BMI (kg/m²) ^* * Mean ± standard deviation, Kruskal-Wallis non-parametric analysis of variance complemented with Dunn’s multiple comparison test.	28.5 ± 4.8	28.2 ± 4.2	28.8 ± 5.2

Bone remodeling markers	Serum levels
	Normal	Low	High
	n (%)	n (%)	n (%)
BSAP	60 (57.1)^b	2 (1.9)^a	43 (41.0)^b
CTX	99 (94.3)^b	2 (1.9)^a	4 (3.8)^a

Food groups (number of portions)	Diet quality		p-value
Food groups (number of portions)	Needing improvements n = 47	Bad quality n = 58	p-value
Cereals	2.95 (1.22; 7.75)	2.83 (0.70; 6.50)	0.34
Legumes	0.45 (0.00; 1.70)	0.25 (0.00; 3.75)	0.22
Fruits/Juices	1.55 (0.00; 5.75)	1.00 (0.00; 5.80)	<0.01
Vegetables	1.00 (0.00; 3.20)	0.50 (0.00; 2.40)	<0.01
Milk/Dairy products	1.70 (0.00; 5.05)	1.10 (0.00; 3.40)	<0.01
Meat/Eggs	1.20 (0.30; 3.35)	1.15 (0.00; 4.55)	0.88
Oils/Fats/Seeds	1.00 (0.00; 2.50)	0.50 (0.00; 2.50)	<0.01
Sweets/Added sugars	0.00 (0.00; 2.00)	0.25 (0.00; 4.25)	0.13

Bone mineral density/Remodeling markers	Diet quality		p-value
Bone mineral density/Remodeling markers	Needing improvements n = 47	Bad quality n = 58	p-value
BMD-L1-L4 (g/cm²) ^* * Median (quartile 1-quartile 3), Mann-Whitney’ test.	1.02 (0,93-1.13)	1.04 (0.97-1.19)	0.28
BMD-TF (g/cm²) ^* * Median (quartile 1-quartile 3), Mann-Whitney’ test.	0.89 (0.83-0.98)	0.87 (0.80-1.07)	0.93
BMD-FN (g/cm²) ^* * Median (quartile 1-quartile 3), Mann-Whitney’ test.	0.82 (0.75-0.92)	0.82 (0.73-0.98)	0.91
BSAP (U/L) ^‡ ‡ Mean ± standard deviation, Student’s test.	38.70 ± 12.90	46.10 ± 15.20	<0,01
CTX (ng/mL) ^* * Median (quartile 1-quartile 3), Mann-Whitney’ test.	0.35 (0.24-0.55)	0.52 (0.33-0.66)	0.03

Food groups	Bone mineral density						Bone remodeling markers
	BMD-L1_L4		BMD-TF		BMD-FN		BSAP		CTX
	r	p-value	r	p-value	r	p-value	r	p-value	r	p-value
Cereals	-0.02	0.80	-0.12	0.24	-0.06	0.54	-0.07	0.46	-0.16	0.10
Legumes	-0.02	0.81	-0.09	0.34	-0.12	0.22	0.04	0.67	0.01	0.93
Fruits/Juices	0.01	0.94	-0.01	0.95	0.04	0.69	0.03	0.73	0.03	0.72
Vegetables	-0.12	0.22	-0.12	0.21	-0.13	0.20	0.13	0.18	0.21	0.03
Milk/Dairy products	-0.03	0.80	-0.03	0.75	-0.08	0.41	-0.20	0.04	-0.16	0.11
Meat/Eggs	0.16	0.11	0.09	0.36	0.08	0.44	-0.11	0.24	-0.11	0.28
Oils/Fats/Seeds	-0.15	0.12	-0.13	0.18	-0.11	0.25	0.03	0.77	0.01	0.91
Sweets/Added sugars	-0.05	0.62	-0.06	0.56	-0.02	0.85	0.00	0.98	-0.11	0.28

[1] Correspondence to: Gláucia Maria Ferreira da Silva Mazeto, Departamento de Clínica Médica, Universidade Estadual Paulista (Unesp), Distrito de Rubião Jr., 18618-000 – Botucatu, SP, Brasil. g.mazeto@unesp.br

Brasil

Brasil

Is there a relationship between diet quality and bone health in elderly women? A cross-sectional study

ABSTRACT

Objective:

Subjects and methods:

Results:

Conclusion: