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Article

Adherence to the Mediterranean Diet and Bone Fracture Risk in Middle-Aged Women: A Case Control Study

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Medicina Familiar i Comunitària (MFiC), Institut Català de la Salut, EAP Santa Clara, 17001 Girona, Spain
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DUI, Institut Català de la Salut, 17001 Girona, Spain
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Faculty of Health Sciences, Universitat Oberta de Catalunya (Open University of Catalonia, UOC), 08018 Barcelona, Spain
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Division of Exercise Science and Sports Medicine, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, 7725 Cape Town, South Africa
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UOC eHealth Center (eHC), Universitat Oberta de Catalunya (UOC), 08018 Barcelona, Spain
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eHealth Lab Research Group, Faculty of Health Sciences, Universitat Oberta de Catalunya (UOC), 08018 Barcelona, Spain
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CIBER de Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Instituto de Salud Carlos III, 28029 Madrid, Spain
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Research Institute of Biomedical and Health Sciences, University of Las Palmas de Gran Canaria, 35001 Las Palmas de Gran Canaria, Spain
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FoodLab Research Group (2017SGR 83), Faculty of Health Sciences, Universitat Oberta de Catalunya (Open University of Catalonia, UOC), 08018 Barcelona, Spain
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Food and Nutrition Area, Barcelona Official College of Pharmacists, 08009 Barcelona, Spain
*
Author to whom correspondence should be addressed.
Nutrients 2019, 11(10), 2508; https://doi.org/10.3390/nu11102508
Received: 17 September 2019 / Revised: 6 October 2019 / Accepted: 10 October 2019 / Published: 18 October 2019
The prevention of bone mass loss and related complications associated with osteoporosis is a significant public health issue. The Mediterranean diet (MD) is favorably associated with bone health, a potentially modifiable risk factor. The objective of this research was to determine MD adherence in a sample of women with and without osteoporosis. In this observational case-control study of 139 women (64 women with and 75 without osteoporosis) conducted in a primary-care health center in Girona (Spain), MD adherence, lifestyle, physical exercise, tobacco and alcohol consumption, pathological antecedents, and FRAX index scores were analyzed. Logistic multilinear regression modeling to explore the relationship between the MD and bone fracture risk indicated that better MD adherence was associated with a lower bone risk fracture. Non-pharmacological preventive strategies to reduce bone fracture risk were also reviewed to explore the role of lifestyle and diet in bone mass maintenance and bone fracture prevention. View Full-Text
Keywords: Mediterranean diet; bone fracture risk; osteoporosis; FRAX; dietary pattern; lifestyle Mediterranean diet; bone fracture risk; osteoporosis; FRAX; dietary pattern; lifestyle
MDPI and ACS Style

Palomeras-Vilches, A.; Viñals-Mayolas, E.; Bou-Mias, C.; Jordà-Castro, M.; Agüero-Martínez, M.; Busquets-Barceló, M.; Pujol-Busquets, G.; Carrion, C.; Bosque-Prous, M.; Serra-Majem, L.; Bach-Faig, A. Adherence to the Mediterranean Diet and Bone Fracture Risk in Middle-Aged Women: A Case Control Study. Nutrients 2019, 11, 2508. https://doi.org/10.3390/nu11102508

AMA Style

Palomeras-Vilches A, Viñals-Mayolas E, Bou-Mias C, Jordà-Castro M, Agüero-Martínez M, Busquets-Barceló M, Pujol-Busquets G, Carrion C, Bosque-Prous M, Serra-Majem L, Bach-Faig A. Adherence to the Mediterranean Diet and Bone Fracture Risk in Middle-Aged Women: A Case Control Study. Nutrients. 2019; 11(10):2508. https://doi.org/10.3390/nu11102508

Chicago/Turabian Style

Palomeras-Vilches, Anna, Eva Viñals-Mayolas, Concepció Bou-Mias, MªÀngels Jordà-Castro, MªÀngels Agüero-Martínez, Montserrat Busquets-Barceló, Georgina Pujol-Busquets, Carme Carrion, Marina Bosque-Prous, Lluís Serra-Majem, and Anna Bach-Faig. 2019. "Adherence to the Mediterranean Diet and Bone Fracture Risk in Middle-Aged Women: A Case Control Study" Nutrients 11, no. 10: 2508. https://doi.org/10.3390/nu11102508

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