Daria Masztalerz-Kozubek, Monika A. Zielinska-Pukos, Jadwiga Hamulka
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Quantitative ultrasound (QUS) was used in the assessment of bone properties. In the sex-stratified analysis, significant associations were observed between MVP-aMED score (β = 0.193, 95 % CI: 0.005, 0.237; <em>p</em> = 0.04), BMI z-score (β = −0.318, 95 % CI: −1.455, −0.039; p = 0.04) and QUS z-score, exclusively among girls. After adjustment, only the relationship with diet remained significant (β = 0.209, 95 % CI: 0.007, 0.255; <em>p</em> = 0.04), suggesting that a higher adherence to the Mediterranean Diet may be associated with better bone properties in girls aged 3–7 years old. Our results emphasize the importance of fostering healthy dietary habits and maintaining proper weight in children in order to promote optimal bone development.</p></div>","PeriodicalId":9301,"journal":{"name":"Bone","volume":"189 ","pages":"Article 117252"},"PeriodicalIF":3.5000,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S8756328224002412/pdfft?md5=ccc822044a6438f81f7dc3081e001aa6&pid=1-s2.0-S8756328224002412-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Sex-specific effects of a Mediterranean diet on lower limb bone strength in Polish children\",\"authors\":\"Daria Masztalerz-Kozubek, Monika A. Zielinska-Pukos, Jadwiga Hamulka\",\"doi\":\"10.1016/j.bone.2024.117252\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>Lifestyle factors have the potential to influence bone health in various ways, whether positively or negatively. As osteoporosis is believed to originate in early years, it is therefore essential to indicate factors that may positively affect bone health during childhood. The aim of our study was to investigate the effects of early and current diet, vitamin D supplementation, and BMI z-score on bone properties in a group of children aged 3–7 years. A cross-sectional sample of 205 preschoolers and their parents participated in the study. Dietary assessment was made using a modified version of the Polish-adapted Mediterranean Diet score (MVP-aMED) on the basis of the data from food frequency questionnaire (FFQ), filled out by the parents. Quantitative ultrasound (QUS) was used in the assessment of bone properties. In the sex-stratified analysis, significant associations were observed between MVP-aMED score (β = 0.193, 95 % CI: 0.005, 0.237; <em>p</em> = 0.04), BMI z-score (β = −0.318, 95 % CI: −1.455, −0.039; p = 0.04) and QUS z-score, exclusively among girls. After adjustment, only the relationship with diet remained significant (β = 0.209, 95 % CI: 0.007, 0.255; <em>p</em> = 0.04), suggesting that a higher adherence to the Mediterranean Diet may be associated with better bone properties in girls aged 3–7 years old. 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引用次数: 0
摘要
生活方式因素有可能以各种方式对骨骼健康产生积极或消极的影响。由于骨质疏松症被认为起源于幼年时期,因此有必要指出可能对儿童时期骨骼健康产生积极影响的因素。我们的研究旨在调查早期和当前饮食、维生素 D 补充剂以及体重指数 z 分数对 3-7 岁儿童骨骼特性的影响。共有 205 名学龄前儿童及其家长参与了这项横断面样本研究。根据家长填写的食物频率问卷(FFQ)数据,使用波兰改良版地中海饮食评分(MVP-aMED)进行饮食评估。定量超声(QUS)用于评估骨骼特性。在性别分层分析中,观察到 MVP-aMED 评分(β = 0.193,95 % CI:0.005,0.237;p = 0.04)、体重指数 z 评分(β = -0.318,95 % CI:-1.455,-0.039;p = 0.04)与 QUS z 评分之间存在显著关联,且仅限于女孩。经过调整后,只有与饮食的关系仍然显著(β = 0.209, 95 % CI: 0.007, 0.255; p = 0.04),这表明更多坚持地中海饮食可能与 3-7 岁女孩更好的骨骼特性有关。我们的研究结果表明,培养儿童健康的饮食习惯和保持适当的体重对促进骨骼的最佳发育非常重要。
Sex-specific effects of a Mediterranean diet on lower limb bone strength in Polish children
Lifestyle factors have the potential to influence bone health in various ways, whether positively or negatively. As osteoporosis is believed to originate in early years, it is therefore essential to indicate factors that may positively affect bone health during childhood. The aim of our study was to investigate the effects of early and current diet, vitamin D supplementation, and BMI z-score on bone properties in a group of children aged 3–7 years. A cross-sectional sample of 205 preschoolers and their parents participated in the study. Dietary assessment was made using a modified version of the Polish-adapted Mediterranean Diet score (MVP-aMED) on the basis of the data from food frequency questionnaire (FFQ), filled out by the parents. Quantitative ultrasound (QUS) was used in the assessment of bone properties. In the sex-stratified analysis, significant associations were observed between MVP-aMED score (β = 0.193, 95 % CI: 0.005, 0.237; p = 0.04), BMI z-score (β = −0.318, 95 % CI: −1.455, −0.039; p = 0.04) and QUS z-score, exclusively among girls. After adjustment, only the relationship with diet remained significant (β = 0.209, 95 % CI: 0.007, 0.255; p = 0.04), suggesting that a higher adherence to the Mediterranean Diet may be associated with better bone properties in girls aged 3–7 years old. Our results emphasize the importance of fostering healthy dietary habits and maintaining proper weight in children in order to promote optimal bone development.
期刊介绍:
BONE is an interdisciplinary forum for the rapid publication of original articles and reviews on basic, translational, and clinical aspects of bone and mineral metabolism. The Journal also encourages submissions related to interactions of bone with other organ systems, including cartilage, endocrine, muscle, fat, neural, vascular, gastrointestinal, hematopoietic, and immune systems. Particular attention is placed on the application of experimental studies to clinical practice.