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Nutrients, 2019; 11(3): 555, PMID: 30841631

Adherence to a Mediterranean Diet and Bone Mineral Density in Spanish Premenopausal Women.

Year: 2019

Perez-Rey J, Roncero-Martin R, Rico-Martin S, Rey-Sanchez P, Pedrera-Zamorano JD, Pedrera-Canal M, Lopez-Espuela F, Lavado Garcia JM
Metabolic Bone Disease Research Group, University of Extremadura, 10003 Caceres, Spain.


The Mediterranean diet (MD) has been associated with an improvement in health and an increase in longevity. Certain components of a MD can play a role in the prevention of osteoporosis and/or hip fracture. We investigated the association between the degree of adherence to a MD and bone mineral density (BMD) measured in several bone areas in a population of Spanish premenopausal women. We analyzed 442 premenopausal women aged 42.73 +/- 6.67 years. Bone measurements were obtained using quantitative bone ultrasound (QUS) for the phalanx, dual energy X-ray absorptiometry (DXA) for the lumbar spine, Ward"s triangle, trochanter, and hip, and peripheral quantitative computed tomography (pQCT) for the non-dominant distal forearm. MD adherence was evaluated with MedDietScore. Amplitude-dependent speed of sound (Ad-SOS), BMD, and volumetric bone mineral density (vBMD) (total, trabecular, and cortical bone density) were positively associated with higher adherence to the MD (p < 0.05). Adherence to the MD was significantly associated with QUS, BMD, and vBMD in multiple regression analysis; QUS: Ad-SOS (m/s) beta = 0.099 (p = 0.030); BMD (g/cm(2)): femur neck beta = 0.114 (p = 0.010) and Ward"s triangle beta = 0.125 (p = 0.006); vBMD (mg/cm(3)): total density beta = 0.119 (p = 0.036), trabecular density beta = 0.120 (p = 0.035), and cortical density beta = 0.122 (p = 0.032). We conclude that the adherence to the MD was positively associated with better bone mass in Spanish premenopausal women.

GID: 4871; Last update: 11.03.2019
More information: Original Article