■适当的营养是预防骨质疏松症的关键因素,与骨骼无力有关的重要病理原因;这项研究调查了绝经后妇女的饮食多样性评分和食物组多样性评分与骨质疏松症之间的关系。
■这项病例对照研究是对德黑兰的378名年龄在45-85岁的更年期妇女进行的,伊朗。使用年龄匹配方法来控制年龄的混杂效应。采用双能X线骨密度仪(DXA)评估腰椎和股骨颈的骨密度。根据WHO标准评估骨量状态。根据T评分将所有受试者分为骨质疏松组和非骨质疏松组。采用方便抽样的方法选择参与者,其中包括两组:病例(n=189)和对照组(n=189)。数据是使用人口统计和人体测量信息问卷收集的,有效的147项食物频率问卷,和身体活动问卷。使用SPSS-26进行统计学分析,并且小于0.05的p值被认为是统计学显著的。
■结果表明体重存在显著差异,身体质量指数,身体活动,吸烟,两组之间使用酒精。骨质疏松症患者(病例)的饮食多样性评分(DDS)的平均值±标准差(3.31±1.26)低于对照组(4.64±1.33)(p<0.001)。谷物多样性得分的平均值±标准差,水果,骨质疏松组(分别为:0.71±0.21、0.94±0.76和0.45±0.44)低于对照组(分别为:0.80±0.21、1.64±0.55和0.87±0.42)(p<0.001)。调整混杂变量后,骨质疏松症的风险与蔬菜的多样性评分呈负相关(OR=0.16;95CI:0.07-0.35),面包和谷物(OR=0.21;95%CI:0.05-0.87)和水果(OR=0.35;95CI:0.22-0.56)(p<0.05)。然而,DDS的三元之间没有明显的相关性,乳制品和肉类多样性评分,和骨质疏松症。
■我们发现了水果多样性得分之间的相关性,蔬菜,还有谷物和骨质疏松症.然而,DDS三联征与乳制品和肉类骨质疏松的多样性得分之间没有显着相关性。
UNASSIGNED: Proper nutrition is a crucial factor in preventing osteoporosis, a significant pathological cause linked to skeletal weakness; this study investigated the relationship between dietary diversity score and food group diversity score with osteoporosis in postmenopausal women.
UNASSIGNED: This case-control study was conducted on 378 menopausal women aged 45-85 in Tehran, Iran. The age-matching method to control the confounding effect of age was used. The method of dual-energy X-ray absorptiometry (DXA) was used for assessing the bone mineral density of lumbar vertebrae and femoral neck. The bone mass status was evaluated with WHO criteria. All subjects were divided into the osteoporosis group and the non-osteoporosis group according to their T-score. A convenience sampling method was utilized to select the participants, which included two groups: case (n = 189) and control (n = 189). Data was collected using demographic and anthropometric information questionnaires, a valid 147 item food frequency questionnaire, and a physical activity questionnaire. Statistical analyses were conducted using SPSS-26, and p-values less than 0.05 were deemed to be statistically significant.
UNASSIGNED: The results indicated significant differences in weight, body mass index, physical activity, smoking, and alcohol use between the two groups. The mean ± standard deviation of dietary diversity score (DDS) was lower in participants with osteoporosis (case) (3.31 ± 1.26) than in control (4.64 ± 1.33) (p < 0.001). The mean ± standard deviation of diversity score of cereals, fruits, and vegetables in the osteoporosis group (respectively: 0.71 ± 0.21, 0.94 ± 0.76, and 0.45 ± 0.44) was less than the control group (respectively: 0.80 ± 0.21, 1.64 ± 0.55 and 0.87 ± 0.42) (p < 0.001). After adjusting the confounding variables, the risk of osteoporosis had an inverse relationship with the diversity score of vegetable (OR = 0.16; 95%CI: 0.07-0.35), bread and cereal (OR = 0.21; 95% CI: 0.05-0.87) and fruit (OR = 0.35; 95%CI: 0.22-0.56) (p < 0.05). Nevertheless, no discernible correlation was seen between the tertiles of DDS, dairy and meat diversity score, and osteoporosis.
UNASSIGNED: We found a correlation between the diversity score of fruits, vegetables, and grains and osteoporosis. However, there is no significant correlation between the DDS triads and the diversity score of dairy products and meats with osteoporosis.