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Article

Greater Consumption of Total and Individual Lignans and Dietary Fibers Were Significantly Associated with Lowered Risk of Hip Fracture—A 1:1 Matched Case–Control Study among Chinese Elderly Men and Women

1
Guangdong Provincial Key Laboratory of Food, Nutrition and Health, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China
2
Department of Bone Surgery, The 1st Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China
3
Guangzhou Orthopaedics Trauma Hospital, Guangzhou 510045, China
4
Department of Epidemiology, School of Public Health, Hainan Medical University, Haikou 571199, China
5
Department of Epidemiology, School of Basic Medical Science, Jinan University, Guangzhou 510623, China
6
Department of Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China
*
Author to whom correspondence should be addressed.
Academic Editor: Connie Weaver
Nutrients 2022, 14(5), 1100; https://doi.org/10.3390/nu14051100
Received: 14 February 2022 / Revised: 1 March 2022 / Accepted: 2 March 2022 / Published: 5 March 2022
(This article belongs to the Special Issue Dietary Factors on Cardiovascular and Endocrine Health)
The study aims to examine the association of dietary intake of lignans with the risk of hip fractures in Chinese older adults. This was a 1:1 age- and gender- matched case–control study. Dietary survey was conducted by face-to-face interviews using a 79-item validated food frequency questionnaire. Habitual intake of total and individual lignans (matairesinol, secoisolariciresinol, pinoresinol, and lariciresinol) was estimated based on the available lignans databases. Conditional logistic regression was used to examine the relationship of dietary total and individual lignans, lignan-rich foods (vegetables, fruits, nuts, and cereals) and dietary fibers with the risk of hip fracture. A total of 1070 pairs of hip fracture incident cases and controls were recruited. Compared with the lowest quartile, the highest quartile group showed a reduced hip fracture risk by 76.3% (0.237, 95% CI: 0.103–0.544, Ptrend < 0.001) for total lignans, and 62.5% (0.375, 95% CI: 0.194–0.724, Ptrend = 0.001) for dietary fibers. Similar findings were observed for individual lignans, the estimated enterolactone level, as well as lignans from vegetables and nuts. We concluded that greater consumption of total and individual lignans, and lignan-rich foods were significantly associated with decreased risk of hip fracture. View Full-Text
Keywords: lignans; hip fracture; Chinese older adults; case–control study lignans; hip fracture; Chinese older adults; case–control study
MDPI and ACS Style

Liu, Z.; Chen, B.; Li, B.; Wang, C.; Li, G.; Cao, W.; Zeng, F.; Chen, Y. Greater Consumption of Total and Individual Lignans and Dietary Fibers Were Significantly Associated with Lowered Risk of Hip Fracture—A 1:1 Matched Case–Control Study among Chinese Elderly Men and Women. Nutrients 2022, 14, 1100. https://doi.org/10.3390/nu14051100

AMA Style

Liu Z, Chen B, Li B, Wang C, Li G, Cao W, Zeng F, Chen Y. Greater Consumption of Total and Individual Lignans and Dietary Fibers Were Significantly Associated with Lowered Risk of Hip Fracture—A 1:1 Matched Case–Control Study among Chinese Elderly Men and Women. Nutrients. 2022; 14(5):1100. https://doi.org/10.3390/nu14051100

Chicago/Turabian Style

Liu, Zhaomin, Bailing Chen, Baolin Li, Cheng Wang, Guoyi Li, Wenting Cao, Fangfang Zeng, and Yuming Chen. 2022. "Greater Consumption of Total and Individual Lignans and Dietary Fibers Were Significantly Associated with Lowered Risk of Hip Fracture—A 1:1 Matched Case–Control Study among Chinese Elderly Men and Women" Nutrients 14, no. 5: 1100. https://doi.org/10.3390/nu14051100

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