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Dietary patterns and risk of hip fractures in postmenopausal women and men over 50 years.
Osteoporos Int 2015; 26(6):1825-30OI

Abstract

We followed 74,540 postmenopausal women and 35,451 men above age 50 for up to 30 years. Neither the prudent pattern, characterized by higher intakes of whole grains, fruits, and vegetables, nor the Western pattern, characterized by higher intakes of red/processed meats, and refined grains were associated with hip fracture risk.

INTRODUCTION

We examined the association between predominant dietary patterns and risk of hip fractures in postmenopausal women and men over 50 years.

METHODS

We used data from 74,540 women in the Nurses' Health Study followed between 1980 and 2010, and 35,451 men from the Health Professionals Follow-up Study followed between 1986 and 2012 for this analysis. Health and lifestyle information was assessed every 2 years. Diet was assessed approximately every 4 years with a food frequency questionnaire. Two major dietary patterns were previously derived using principal component analysis. The prudent pattern is characterized by higher intakes of fruits, vegetables, whole grains, and poultry, and the Western pattern is characterized by higher intakes of red and processed meats, sweets, and refined grains. We computed relative risks (RR) for hip fracture by dietary pattern scores using Cox proportional hazards models, adjusting for potential confounders.

RESULTS

During follow-up, there were 1891 hip fractures in women and 596 in men. No association was observed between the prudent or Western pattern and risk of hip fractures in either men or women. We also did not find an association among lean (body mass index (BMI) <25) or overweight (BMI ≥25) individuals or among those with higher or lower levels of physical activity.

CONCLUSION

Neither the prudent nor the Western dietary pattern was associated with risk of hip fractures in postmenopausal women or men over 50 years of age.

Authors+Show Affiliations

Department of Nutrition, Simmons College, Boston, MA, USA. fung@simmons.edu. Department of Nutrition, Harvard School of Public Health, Boston, MA, USA. fung@simmons.edu.Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

25731807

Citation

Fung, T T., and D Feskanich. "Dietary Patterns and Risk of Hip Fractures in Postmenopausal Women and Men Over 50 Years." Osteoporosis International : a Journal Established as Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, vol. 26, no. 6, 2015, pp. 1825-30.
Fung TT, Feskanich D. Dietary patterns and risk of hip fractures in postmenopausal women and men over 50 years. Osteoporos Int. 2015;26(6):1825-30.
Fung, T. T., & Feskanich, D. (2015). Dietary patterns and risk of hip fractures in postmenopausal women and men over 50 years. Osteoporosis International : a Journal Established as Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 26(6), pp. 1825-30. doi:10.1007/s00198-015-3081-6.
Fung TT, Feskanich D. Dietary Patterns and Risk of Hip Fractures in Postmenopausal Women and Men Over 50 Years. Osteoporos Int. 2015;26(6):1825-30. PubMed PMID: 25731807.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dietary patterns and risk of hip fractures in postmenopausal women and men over 50 years. AU - Fung,T T, AU - Feskanich,D, Y1 - 2015/03/03/ PY - 2014/10/14/received PY - 2015/02/13/accepted PY - 2015/3/4/entrez PY - 2015/3/4/pubmed PY - 2016/5/18/medline KW - Diet KW - Dietary pattern KW - Fractures KW - Postmenopause SP - 1825 EP - 30 JF - Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA JO - Osteoporos Int VL - 26 IS - 6 N2 - UNLABELLED: We followed 74,540 postmenopausal women and 35,451 men above age 50 for up to 30 years. Neither the prudent pattern, characterized by higher intakes of whole grains, fruits, and vegetables, nor the Western pattern, characterized by higher intakes of red/processed meats, and refined grains were associated with hip fracture risk. INTRODUCTION: We examined the association between predominant dietary patterns and risk of hip fractures in postmenopausal women and men over 50 years. METHODS: We used data from 74,540 women in the Nurses' Health Study followed between 1980 and 2010, and 35,451 men from the Health Professionals Follow-up Study followed between 1986 and 2012 for this analysis. Health and lifestyle information was assessed every 2 years. Diet was assessed approximately every 4 years with a food frequency questionnaire. Two major dietary patterns were previously derived using principal component analysis. The prudent pattern is characterized by higher intakes of fruits, vegetables, whole grains, and poultry, and the Western pattern is characterized by higher intakes of red and processed meats, sweets, and refined grains. We computed relative risks (RR) for hip fracture by dietary pattern scores using Cox proportional hazards models, adjusting for potential confounders. RESULTS: During follow-up, there were 1891 hip fractures in women and 596 in men. No association was observed between the prudent or Western pattern and risk of hip fractures in either men or women. We also did not find an association among lean (body mass index (BMI) <25) or overweight (BMI ≥25) individuals or among those with higher or lower levels of physical activity. CONCLUSION: Neither the prudent nor the Western dietary pattern was associated with risk of hip fractures in postmenopausal women or men over 50 years of age. SN - 1433-2965 UR - https://www.unboundmedicine.com/medline/citation/25731807/Dietary_patterns_and_risk_of_hip_fractures_in_postmenopausal_women_and_men_over_50_years_ L2 - https://dx.doi.org/10.1007/s00198-015-3081-6 DB - PRIME DP - Unbound Medicine ER -