Associations between Dietary Fiber Intake and Bone Mineral Density in Adult Korean Population: Analysis of National Health and Nutrition Examination Survey in 2011
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Background: The correlations between the amount of daily fiber intake and bone mineral densities (BMDs) in Korean adult population were investigated in our study. Methods: Utilizing the Korean National Health and Nutrition Examination Survey in 2011, multivariable linear regression was performed to explore the association between fiber consumption and BMD of lumbar vertebrae 1 to 4 (L1-4 total), L1, L2, L3, and L4 vertebrae, femur neck, femur total, and trochanter. All models were adjusted for age, body mass index, vitamin D level, smoking, physical activity, alcohol use, contraceptive use, hormonal replacement therapy, consumption of carbohydrate, protein, fat, calcium, phosphate, iron, thiamine, riboflavin, niacin, and vitamin C. Results: In males aged between 18 and 45, fiber intake significantly increased BMDs of L1 (coefficient β=0.004, P=0.040) and L2 (β=0.004, P=0.038) while daily protein consumption significantly lowered BMDs of femur neck (β=-0.001, P=0.009), femur total (β=-0.001, P=0.008), and trochanter (β=-0.001, P=0.008). In males aged 65 and older, nutrient intake shows no significant correlations with BMDs except fat consumption was inversely associated with BMD of trochanter (β=-0.001, P=0.017). In females aged between 18 and 45, fiber intake shows no significant relationship with BMDs while daily fat consumption significantly increased BMDs of L1 (β=0.001, P=0.028), L2 (β=0.001, P=0.024), L3 (β=0.001, P=0.033), and L1-4 total (β=0.001, P=0.017). Conclusions: Fiber intake was a protective factor of lumbar spine (L1 and L2) BMD in male aged between 18 and 45 but not in female participants of any age groups.
Abstract
Background: The correlations between the amount of daily fiber intake and bone mineral densities (BMDs) in Korean adult population were investigated in our study. Methods: Utilizing the Korean National Health and Nutrition Examination Survey in 2011, multivariable linear regression was performed to explore the association between fiber consumption and BMD of lumbar vertebrae 1 to 4 (L1-4 total), L1, L2, L3, and L4 vertebrae, femur neck, femur total, and trochanter. All models were adjusted for age, body mass index, vitamin D level, smoking, physical activity, alcohol use, contraceptive use, hormonal replacement therapy, consumption of carbohydrate, protein, fat, calcium, phosphate, iron, thiamine, riboflavin, niacin, and vitamin C. Results: In males aged between 18 and 45, fiber intake significantly increased BMDs of L1 (coefficient β=0.004, P=0.040) and L2 (β=0.004, P=0.038) while daily protein consumption significantly lowered BMDs of femur neck (β=-0.001, P=0.009), femur total (β=-0.001, P=0.008), and trochanter (β=-0.001, P=0.008). In males aged 65 and older, nutrient intake shows no significant correlations with BMDs except fat consumption was inversely associated with BMD of trochanter (β=-0.001, P=0.017). In females aged between 18 and 45, fiber intake shows no significant relationship with BMDs while daily fat consumption significantly increased BMDs of L1 (β=0.001, P=0.028), L2 (β=0.001, P=0.024), L3 (β=0.001, P=0.033), and L1-4 total (β=0.001, P=0.017). Conclusions: Fiber intake was a protective factor of lumbar spine (L1 and L2) BMD in male aged between 18 and 45 but not in female participants of any age groups.
참고문헌 (33)
- National Research Council, "Committee on diet and health: Diet and health: Implications for reducing chronic disease risk" (1989), National Academy Press
- Ha YC, "Economic burden of osteoporosis in South Korea: Claim data of the national health insurance service from 2008 to 2011", Calcif Tissue Int, 101, pp.623~630 (2017)
- Sahni S, "Dietary approaches for bone health: Lessons from the framingham osteoporosis study", Curr Osteoporos Rep, 13, pp.245~255 (2015)
- Heaney RP, "Soybean phytate content: effect on calcium absorption", Am J Clin Nutr, 53, pp.745~747 (1991)
- Barbosa JC, "The relationship among adiposity, diet, and hormone concentrations in vegetarian and nonvegetarian postmenopausal women", Am J Clin Nutr, 51, pp.798~803 (1990)
- Kelsay JL, "A review of research on effects of fiber intake on man", Am J Clin Nutr, 31, pp.142~159 (1978)
- Feng W, "Low follicular oestrogen levels in New Zealand women consuming high fibre diets: a risk factor for osteopenia?", N Z Med J, 106, pp.419~422 (1993)
- Kalem MN, "The relationship between postmenopausal women’s sclerostin levels and their bone density, age, body mass index, hormonal status, and smoking and consumption of coffee and dairy products", Arch Gynecol Obstet, 295, pp.785~793 (2017)
- Jorde R, "No significant effect on bone mineral density by high doses of vitamin D3 given to overweight subjects for one year", Nutr J, 9, pp.1~ (2010)
- Füzéki E, "Health benefits of light-intensity physical activity: A systematic review of accelerometer data of the national health and nutrition examination survey (NHANES)", Sports Med, 47, pp.1769~1793 (2017)
- Hosny IA, "Beneficial impact of aerobic exercises on bone mineral density in obese premenopausal women under caloric restriction", Skeletal Radiol, 41, pp.423~427 (2012)
- Jang HD, "Relationship between bone mineral density and alcohol intake: A nationwide health survey analysis of postmenopausal women", PLoS One, 12, pp.e0180132~ (2017)
- Holm L, "Protein-containing nutrient supplementation following strength training enhances the effect on muscle mass, strength, and bone formation in postmenopausal women", J Appl Physiol, 105, pp.274~281 (2008)
- Remer T, "Dietary protein’s and dietary acid load's influence on bone health", Crit Rev Food Sci Nutr, 54, pp.1140~1150 (2014)
- Isanejad M, "Association of protein intake with bone mineral density and bone mineral content among elderly women: The OSTPRE fracture prevention study", J Nutr Health Aging, 21, pp.622~630 (2017)
- Sukumar D, "Areal and volumetric bone mineral density and geometry at two levels of protein intake during caloric restriction: a randomized, controlled trial", J Bone Miner Res, 26, pp.1339~1348 (2011)
- Gunnes M, "Dietary calcium, saturated fat, fiber and vitamin C as predictors of forearm cortical and trabecular bone mineral density in healthy children and adolescents", Acta Paediatr, 84, pp.388~392 (1995)
- Smith EL, "Calcium supplementation and bone loss in middle-aged women", Am J Clin Nutr, 50, pp.833~842 (1989)
- Kim DE, "Relationship between bone mineral density and dietary intake of beta-carotene, vitamin C, zinc and vegetables in postmenopausal Korean women: a cross-sectional study", J Int Med Res, 44, pp.1103~1114 (2016)
- Dominianni C, "Sex, body mass index, and dietary fiber intake influence the human gut microbiome", PLoS One, 10, pp.e0124599~ (2015)
- Ahmadzadeh A, "Comparison of three different osteoporosis risk assessment tools: ORAI (osteoporosis risk assessment instrument), SCORE (simple calculated osteoporosis risk estimation) and OST (osteoporosis self-assessment tool)", Med J Islam Repub Iran, 28, pp.94~ (2014)
- Ministry of Health and Welfare, The Korean Nutrition Society, "Dietary reference intakes for Koreans 2015" (2015), Ministry of Health and Welfare, The Korean Nutrition Society
- Dai Z, "Association between dietary fiber intake and bone loss in the framingham offspring", J Bone Miner Res, 33, pp.241~249 (2018)
- Albarracin M, "Extruded whole grain diets based on brown, soaked and germinated rice. Effects on cecum health, calcium absorption and bone parameters of growing Wistar rats", Part I. Food Funct, 7, pp.2722~2728 (2016)
- Scholz-Ahrens KE, "Inulin and oligofructose and mineral metabolism: the evidence from animal trials", J Nutr, 137, pp.2513as~2523s (2007)
- Lucas S, Omata Y, Hofmann J, "Short-chain fatty acids regulate systemic bone mass and protect from pathological bone loss", Nat Commun, 9, pp.55~ (2018)
- Byun DW, Yoon HG, "Physician’s guide for osteoporosis" (2018), CDM the Big Publishing Co
- Gordon DT, "Dietary fiber in health and disease. St. Paul", pp.267~293 (1995), Eagan Press
- 임희숙, "Relationship between Bone Density, Eating Habit, and Nutritional Intake in College Students", 대한골대사학회지, 25(3), pp.181~186 (2018), 대한골대사학회[DOI]
- Marini JC, "Components of the collagen prolyl 3-hydroxylation complex are crucial for normal bone development", Cell Cycle, 6, pp.1675~1681 (2007)
- Aghajanian P, "The roles and mechanisms of actions of vitamin C in bone: New developments", J Bone Miner Res, 30, pp.1945~1955 (2015)
- Malvi P, "High fat diet promotes achievement of peak bone mass in young rats", Biochem Biophys Res Commun, 455, pp.133~138 (2014)
- Tian L, "Fat, sugar, and bone health: A complex relationship", Nutrients, 9, pp.E506~ (2017)