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Preliminary results demonstrating the impact of Mediterranean diet on bone health.
J Transl Med 2017; 15(1):81JT

Abstract

BACKGROUND

Nutrition is an environmental factor affecting bone health. Nutrition is considered essential to achieve and maintain optimal bone mass. Mediterranean diet (MD) has shown to prevent bone disease. Aim of this study is to investigate the relationship between bone health status and adherence the MD.

METHODS

Four-hundred eighteen healthy people (105 males and 313 females, age 50 ± 14 years) were recruited in the outdoor hospital of the "Campus Salute Onlus" held in Piazza del Plebiscito in Naples, October 17-20th 2013 and 09-11th October 2014. All subjects underwent clinical assessment, calcaneal quantitative ultrasound (QUS) scanner and PREvención con DIeta MEDiterránea (PREDIMED) questionnaire.

RESULTS

Globally, prevalence of osteoporosis and osteopenia were 7.7 and 46.0%, respectively. The majority of subjects (60.5%) had an average score (score 6-9) of adherence to MD. The T-score showed positive correlation with PREDIMED score (r = 0.250, p < 0.001). The higher T-scores were positively associated with a higher consumption of extra-virgin olive oil (EVOO), vegetables, fruits, legumes, and fish and negatively associated with consumption of red meat. The higher T-scores were positively associated with the highest odds of PREDIMED scores (higher adherence) (OR 6.91, IC 6.27-7.61, p < 0.001). Multiple regression analysis models indicated that, among the single food items investigated, high T-score can be predicted by consumption of EVOO (p < 0.001), fish (p < 0.001) and fruit (p = 0.002) intake. A PREDIMED score of 3 was found to be predictive for a low T-score (α = 0.05, R-squared index = 0.417).

CONCLUSIONS

The results demonstrate a positive correlation between bone health status and adherence to MD, suggesting that a high adherence to MD promotes bone health. The observations here reported confirmed that a specific dietary approach, such as MD, can represent a modifiable environmental factor for osteoporosis' prevention.

Authors+Show Affiliations

I.O.S. & COLEMAN Srl, Acerra, 80011, Naples, Italy.I.O.S. & COLEMAN Srl, Acerra, 80011, Naples, Italy.Dipartimento di Medicina Clinica e Chirurgia, Unit of Endocrinology, Federico II University Medical School of Napoli, Via Sergio Pansini 5, 80131, Naples, Italy. pmacchia@unina.it.Dipartimento di Medicina Clinica e Chirurgia, Unit of Endocrinology, Federico II University Medical School of Napoli, Via Sergio Pansini 5, 80131, Naples, Italy.I.O.S. & COLEMAN Srl, Acerra, 80011, Naples, Italy.Dipartimento di Medicina Clinica e Chirurgia, Unit of Endocrinology, Federico II University Medical School of Napoli, Via Sergio Pansini 5, 80131, Naples, Italy.Dipartimento di Medicina Clinica e Chirurgia, Unit of Endocrinology, Federico II University Medical School of Napoli, Via Sergio Pansini 5, 80131, Naples, Italy.Dipartimento di Medicina Clinica e Chirurgia, Unit of Endocrinology, Federico II University Medical School of Napoli, Via Sergio Pansini 5, 80131, Naples, Italy.Dipartimento di Medicina Clinica e Chirurgia, Unit of Endocrinology, Federico II University Medical School of Napoli, Via Sergio Pansini 5, 80131, Naples, Italy.IRCCS SDN, Napoli Via Gianturco 113, 80143, Naples, Italy.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

28438173

Citation

Savanelli, Maria Cristina, et al. "Preliminary Results Demonstrating the Impact of Mediterranean Diet On Bone Health." Journal of Translational Medicine, vol. 15, no. 1, 2017, p. 81.
Savanelli MC, Barrea L, Macchia PE, et al. Preliminary results demonstrating the impact of Mediterranean diet on bone health. J Transl Med. 2017;15(1):81.
Savanelli, M. C., Barrea, L., Macchia, P. E., Savastano, S., Falco, A., Renzullo, A., ... Di Somma, C. (2017). Preliminary results demonstrating the impact of Mediterranean diet on bone health. Journal of Translational Medicine, 15(1), p. 81. doi:10.1186/s12967-017-1184-x.
Savanelli MC, et al. Preliminary Results Demonstrating the Impact of Mediterranean Diet On Bone Health. J Transl Med. 2017 04 24;15(1):81. PubMed PMID: 28438173.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Preliminary results demonstrating the impact of Mediterranean diet on bone health. AU - Savanelli,Maria Cristina, AU - Barrea,Luigi, AU - Macchia,Paolo Emidio, AU - Savastano,Silvia, AU - Falco,Andrea, AU - Renzullo,Andrea, AU - Scarano,Elisabetta, AU - Nettore,Immacolata Cristina, AU - Colao,Annamaria, AU - Di Somma,Carolina, Y1 - 2017/04/24/ PY - 2017/02/21/received PY - 2017/04/14/accepted PY - 2017/4/26/entrez PY - 2017/4/26/pubmed PY - 2018/2/17/medline KW - Bone health KW - Calcaneal quantitative ultrasound (QUS) scanner KW - Environmental factors KW - Imaging techniques KW - Mediterranean diet SP - 81 EP - 81 JF - Journal of translational medicine JO - J Transl Med VL - 15 IS - 1 N2 - BACKGROUND: Nutrition is an environmental factor affecting bone health. Nutrition is considered essential to achieve and maintain optimal bone mass. Mediterranean diet (MD) has shown to prevent bone disease. Aim of this study is to investigate the relationship between bone health status and adherence the MD. METHODS: Four-hundred eighteen healthy people (105 males and 313 females, age 50 ± 14 years) were recruited in the outdoor hospital of the "Campus Salute Onlus" held in Piazza del Plebiscito in Naples, October 17-20th 2013 and 09-11th October 2014. All subjects underwent clinical assessment, calcaneal quantitative ultrasound (QUS) scanner and PREvención con DIeta MEDiterránea (PREDIMED) questionnaire. RESULTS: Globally, prevalence of osteoporosis and osteopenia were 7.7 and 46.0%, respectively. The majority of subjects (60.5%) had an average score (score 6-9) of adherence to MD. The T-score showed positive correlation with PREDIMED score (r = 0.250, p < 0.001). The higher T-scores were positively associated with a higher consumption of extra-virgin olive oil (EVOO), vegetables, fruits, legumes, and fish and negatively associated with consumption of red meat. The higher T-scores were positively associated with the highest odds of PREDIMED scores (higher adherence) (OR 6.91, IC 6.27-7.61, p < 0.001). Multiple regression analysis models indicated that, among the single food items investigated, high T-score can be predicted by consumption of EVOO (p < 0.001), fish (p < 0.001) and fruit (p = 0.002) intake. A PREDIMED score of 3 was found to be predictive for a low T-score (α = 0.05, R-squared index = 0.417). CONCLUSIONS: The results demonstrate a positive correlation between bone health status and adherence to MD, suggesting that a high adherence to MD promotes bone health. The observations here reported confirmed that a specific dietary approach, such as MD, can represent a modifiable environmental factor for osteoporosis' prevention. SN - 1479-5876 UR - https://www.unboundmedicine.com/medline/citation/28438173/Preliminary_results_demonstrating_the_impact_of_Mediterranean_diet_on_bone_health_ L2 - https://translational-medicine.biomedcentral.com/articles/10.1186/s12967-017-1184-x DB - PRIME DP - Unbound Medicine ER -