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. 2020 May 9;111(6):1267–1277. doi: 10.1093/ajcn/nqaa090

TABLE 7.

ORs and 95% CIs for the associations of individual components and osteoporosis at the lumbar spine or the femoral neck sites for each dietary index1,2,3

DASH MeDS AHEI
Men Postmenopausal women Men Postmenopausal women Men Postmenopausal women
Component OR (95%CI) OR (95% CI) Component OR (95% CI) OR (95% CI) Component OR (95% CI) OR (95% CI)
Vegetables, servings/d 0.80 (0.51, 1.2) 0.82 (0.65, 1.03) Vegetables, servings/d 0.57 (0.18, 1.8) 0.98 (0.55, 1.7) Vegetables, servings/d 0.86 (0.63, 1.2) 0.86 (0.75, 1.0)
Fruit, servings/d 0.81 (0.54, 1.2) 0.91 (0.73, 1.1) Fruit, servings/d 0.64 (0.21, 1.9) 0.91 (0.51, 1.6) Fruit, servings/d 0.94 (0.72, 1.2) 0.89 (0.76, 1.03)
Whole grains, servings/d 0.97 (0.65, 1.4) 0.66 (0.52, 0.83) Whole grains, g/d 0.73 (0.25, 2.1) 0.36 (0.19, 0.67) Whole grains, g/d 0.98 (0.65, 1.5) 0.77 (0.62, 0.96)
Low-fat dairy, servings/d 0.79 (0.52, 1.2) 0.77 (0.61, 0.98) Dairy, servings/d 0.62 (0.20, 2.0) 1.3 (0.68, 2.4)
Nuts, servings/d 1.0 (0.67, 1.6) 1.0 (0.79, 1.2) Nuts and legumes, servings/d 0.99 (0.34, 2.9) 0.73 (0.41, 1.3) Nuts and legumes, servings/d 0.96 (0.78, 1.2) 0.98 (0.88, 1.1)
Sugar-sweetened beverages, servings/d 0.93 (0.62, 1.4) 0.87 (0.70, 1.1) Fish, servings/d 3.1 (0.92, 10.2) 0.83 (0.51, 1.3) Sugar-sweetened beverages, servings/d 0.93 (0.79, 1.1) 0.98 (0.89, 1.1)
Red and processed meat, servings/d 1.0 (0.51, 2.0) 0.69 (0.48, 0.97) Meat, servings/d 2.0 (0.62, 6.5) 0.29 (0.44, 1.4) Red and processed meat, servings/d 0.82 (0.65, 1.04) 0.92 (0.81, 1.04)
Sodium, mg/d 1.0 (0.51, 2.0) 0.69 (0.48, 0.97) MUFA:SFA ratio 0.50 (0.16, 1.6) 1.2 (0.68, 2.2) Sodium, mg/d 1.1 (0.79, 1.6) 0.81 (0.65, 1.02)
Alcohol, drinks/d 0.81 (0.23, 2.6) 0.79 (0.42, 1.5) Alcohol, drinks/d 0.97 (0.82, 1.2) 0.94 (0.84, 1.1)
PUFA, % of energy Long-chain n–3 fats 1.2 (0.98, 1.5) 0.91 (0.81, 1.02)
Trans fat, % energy 0.73 (0.47, 1.1) 0.74 (0.55, 1.0)
1

*Denotes significant 95% CI.

2

Multivariable logistic regressions were used. Models were adjusted for age, education, BMI, height, smoking status, season of bone mineral density measurement (fall, winter, spring, summer), osteoporosis medication use (yes/no), and calcium intake (mg/d), serum vitamin D status (mg/dL). DASH and AHEI were also adjusted for total energy intake. DASH was also adjusted for alcohol consumption.

3

Postmenopausal women excluding estrogen users.

AHEI, Alternative Health Eating Index-2010; DASH, Dietary Approaches to Stop Hypertension; MeDS, Mediterranean Diet Score.