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J Am Med Dir Assoc. 2015 Apr;16(4):309-15. doi: 10.1016/j.jamda.2014.11.001. Epub 2014 Dec 15.

Greater fruit intake was associated with better bone mineral status among Chinese elderly men and women: results of Hong Kong Mr. Os and Ms. Os studies.

Author information

1
Division of Family Medicine and Primary Care, Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong SAR. Electronic address: liuzhaomin@cuhk.edu.hk.
2
Jockey Club Centre for Osteoporosis Care and Control, The Chinese University of Hong Kong, Shatin, Hong Kong SAR.
3
Division of Family Medicine and Primary Care, Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong SAR.
4
Department of Medicine and Therapeutics, and the Centre for Nutritional Studies, The Chinese University of Hong Kong, Shatin, Hong Kong SAR.
5
Department of Medicine and Therapeutics, and the Centre for Nutritional Studies, The Chinese University of Hong Kong, Shatin, Hong Kong SAR. Electronic address: jeanwoowong@cuhk.edu.hk.

Abstract

OBJECTIVES:

Although studies in white populations have reported the beneficial effects of intakes of fruit and vegetables (F&V) on bone mass, limited data are available in Asians, especially among the elderly population. We examined the association of F&V intakes and bone mineral status in Chinese elderly adults and explored the potential mechanisms.

DESIGN, SETTING, AND PARTICIPANTS:

The study was a population-based cross-sectional study among 4000 Hong Kong Chinese men and women aged 65 years and older.

MEASUREMENTS:

Habitual F&V intakes were ascertained from a validated food frequency questionnaire. Bone mineral measurements of the whole body, hip, lumber spine, and femoral neck were made by dual-energy X-ray absorptiometry. Information on demographic, health, and lifestyles factors was obtained by standardized questionnaire. Relations between F&V intakes and bone mass at various sites were assessed by regression models.

RESULTS:

Whole-body and femoral neck bone mineral density and content were significantly and positively associated with fruit intake in both men and women, even when adjustment for a range of potential confounders was made. A daily increase of 100 g/kcal total fruit intake was associated with 4.5% and 6.4% increase of BMD at whole body, and 3.9% and 4.8% increase at the femoral neck in men and women, respectively. No significant association was found between vegetable intake and bone mass. The adjustment for vitamin C intake, but not dietary acid load, attenuated the association between fruit intake and bone mass.

CONCLUSIONS:

Greater fruit intake was independently associated with better bone mineral status among Chinese elderly men and women. The association is probably modified by dietary vitamin C.

KEYWORDS:

Chinese elderly population; Fruits and vegetables; bone mineral content; bone mineral density

PMID:
25523283
DOI:
10.1016/j.jamda.2014.11.001
[Indexed for MEDLINE]

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