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

Barrea, Luigi

Colao, Annamaria

DI SOMMA, Carolina

Falco, Andrea

Macchia, PAOLO EMIDIO

Nettore, IMMACOLATA CRISTINA

Renzullo, Andrea

Savanelli, MARIA CRISTINA

Savastano, Silvia

Scarano, Elisabetta

Journal of Translational Medicine

Maria Cristina Savanelli

Luigi Barrea

Paolo Emidio Macchia

Silvia Savastano

Andrea Falco

Andrea Renzullo

Elisabetta Scarano

Immacolata Cristina Nettore

Annamaria Colao

Carolina Di Somma

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Preliminary results demonstrating the impact of Mediterranean diet on bone health

SAVANELLI, MARIA CRISTINA

BARREA, LUIGI

MACCHIA, PAOLO EMIDIO

SAVASTANO, SILVIA

FALCO, ANDREA

SCARANO, ELISABETTA

NETTORE, IMMACOLATA CRISTINA

COLAO, ANNAMARIA

DI SOMMA, CAROLINA

Archivio della ricerca - Università degli studi di Napoli Federico II

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

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Preliminary results demonstrating the impact of Mediterranean diet on bone health

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Archivio della ricerca - Università degli studi di Napoli Federico II

Directory of Open Access Journals