Dietary patterns in an elderly population and their relation with bone mineral density: the Rotterdam Study

Purpose: Our aim was to identify dietary patterns that are associated with bone mineral density (BMD) against a background of relatively high dairy intake in elderly Dutch subjects. Methods: Participants were 55 years of age and older (n = 5144) who were enrolled in The Rotterdam Study, a population-based prospective cohort study. Baseline intake of 28 pre-defined food groups was determined using a validated food frequency questionnaire. Dietary patterns were identified using principal component analysis. BMD was measured using dual-energy X-ray absorptiometry at baseline and at three subsequent visits (between 1993 and 2004). Linear mixed modelling was used to longitudinally analyse associations of adherence to each pattern with repeatedly measured BMD (both in Z scores). Results: After adjustment for confounders, two dietary patterns were associated with high BMD: a “Traditional” pattern, characterized by high intake of potatoes, meat and fat (β = 0.06; 95 % CI 0.03, 0.09) and a “Health conscious” pattern, characterized by high intake of fruits, vegetables, poultry and fish (β = 0.06; 95 % CI 0.04, 0.08). The “Processed” pattern, characterized by high intake of processed meat and alcohol, was associated with low BMD (β = −0.03; 95 % CI −0.06, −0.01). Associations of adherence to the “Health conscious” and “Processed” pattern with BMD were independent of body weight and height, whereas the association between adherence to the “Traditional” pattern with BMD was not. Conclusions: Against a background of high dairy intake and independent of anthropometrics, a “Health conscious” dietary pattern may have benefits for BMD, whereas a “Processed” dietary pattern may pose a risk for low BMD

Quantum Interference on the Kagom\'e Lattice

We study quantum interference effects due to electron motion on the Kagom\'e lattice in a perpendicular magnetic field. These effects arise from the interference between phase factors associated with different electron closed-paths. From these we compute, analytically and numerically, the superconducting-normal phase boundary for Kagom\'e superconducting wire networks and Josephson junction arrays. We use an analytical approach to analyze the relationship between the interference and the complex structure present in the phase boundary, including the origin of the overall and fine structure. Our results are obtained by exactly summing over one thousand billion billions ($\sim 10^{21}$) closed paths, each one weighted by its corresponding phase factor representing the net flux enclosed by each path. We expect our computed mean-field phase diagrams to compare well with several proposed experiments.Comment: 9 pages, Revtex, 3 figures upon reques

Bone health and coronary artery calcification: The Rotterdam Study

Objectives: Vascular calcification has been associated inconsistently to low bone mineral density and fractures. The aims of the present study were to investigate the associations between coronary artery calcification (CAC) and BMD change, BMD and fracture risk in elderly subjects of the population-based Rotterdam Study. Methods: BMD was assessed through dual-energy X-ray absorptiometry and CAC through Electron-Beam Computed Tomography in 582 men and 694 women. We investigated the associations between BMD change (6.4 years follow-up) and CAC at follow-up and between BMD and CAC (measured simultaneously). In sensitivity analyses we stratified analyses for estradiol levels in women. The association between CAC and fracture risk (9 years follow-up) was tested through competing-risks models. Models were sex-stratified and adjusted for age, body mass index, smoking, bisphosphonate use and age at menopause. Results: There was no association between BMD change and CAC in men. In women, each 1% increase in annual BMD loss was significantly associated with higher follow-up CAC [β = 0.22 (0.06-0.38), p. =. 0.006; prevalence ratio: 4%]. Stratified analyses showed significant associations between BMD loss and follow-up CAC only in women with lower estradiol levels. We found no association between CAC and fracture risk and no association between BMD and CAC cross-sectionally. Conclusions: BMD loss was associated with higher follow-up CAC in women, which might be related to low estrogen levels. No association between CAC and BMD or fracture risk was found. Further studies are required to elucidate the mechanisms that might underlie the association between BMD change and coronary calcification in women

Introduction and Evaluation of Tropical Forages in the Savannas of Colombia

The well-drained isohyperthermic savannas occupy an area of 98 million hectares, and are distributed in Colombia, Venezuela, northern Brazil, and Guyana. This extensive region of tropical America is characterized by a total wet season potential evapotranspiration of 901 to 1060 mn, an average monthly temperature in the wet season above 23.5 °C, and a wet season of six to eight months. The soils are Oxisols of low fertility and the predominant production system is extensive cattle ranching on native pastures of low nutritive value (Coch­rane et al., 1985). The Tropical Pastures Program of CIAT began a series of regional trials in the savannas of Colombia (Eastern Plains) in 1980, to identify iaroductive forages adapted to the environ­mental conditions in this ecosystem. This article present results obtained between 1980 and 1987 from adaptation trials at eight experimental sites

Development of a food group-based diet score and its association with bone mineral density in the elderly: The Rotterdam study

No diet score exists that summarizes the features of a diet that is optimal for bone mineral density (BMD) in the elderly. Our aims were (a) to develop a BMD-Diet Score reflecting a diet that may be beneficial for BMD based on the existing literature, and (b) to examine the association of the BMD-Diet Score and the Healthy Diet Indicator, a score based on guidelines of the World Health Organization, with BMD in Dutch elderly participating in a prospective cohort study, the Rotterdam Study (n = 5144). Baseline dietary intake, assessed using a food frequency questionnaire, was categorized into food groups. Food groups that were consistently associated with BMD in the literature were included in the BMD-Diet Score. BMD was measured repeatedly and was assessed using dual energy X-ray absorptiometry. The BMD-Diet Score considered intake of vegetables, fruits, fish, whole grains, legumes/beans and dairy products as “high-BMD” components and meat and confectionary as “low-BMD” components. After adjustment, the BMD-Diet Score was positively associated with BMD (β (95% confidence interval) = 0.009 (0.005, 0.012) g/cm2 per standard deviation). This effect size was approximately three times as large as has been observed for the Healthy Diet Indicator. The food groups included in our BMD-Diet Score could be considered in the development of future dietary guidelines for healthy ageing

Infant dietary patterns and bone mass in childhood: the Generation R Study

Conclusions: An infant dietary pattern characterized by high intakes of dairy and cheese, whole grains, and eggs is positively associated with bone development in childhood. Further research is needed to investigate the consequences for bone health in later life.Results: Higher adherence score to a “dairy and whole grains” pattern was positively associated with BMD and aBMC, but not with BMC and BA. Accordingly, children in the highest quartile of the “dairy and whole grains” pattern had higher BMD (difference 3.98 mg/cm2, 95 % confidence interval (CI) 0.36 to 7.61) and aBMC (difference 4.96 g, 95 % CI 1.27 to 8.64) than children in the lowest quartile. Stratificati