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Mediterranean diet, diet quality, and bone mineral content in adolescents: the HELENA study

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Abstract

Summary

Dietary scores, rather than individual nutrients, allow exploring associations between overall diet and bone health. The aim of the present study was to assess the associations between the Mediterranean Diet Score for Adolescents (MDS-A) and the Diet Quality Index for Adolescents (DQI-A) and bone mineral content (BMC) among Spanish adolescents. Our results do not support an association between dietary scores or indices and BMC in adolescents.

Introduction

To assess the associations between the MDS-A and a DQI-A with the BMC measured with dual-energy X-ray absorptiometry.

Methods

The MDS-A and the DQI-A were calculated in 179 Spanish adolescents, based on two 24-h dietary recalls from the HELENA cross-sectional study. The associations between the diet scores and the BMC outcomes [total body less head (TBLH), femoral neck (FN), lumbar spine (LS), and hip] were analyzed using logistic regression models adjusting for several confounders.

Results

Four hundred ninety-two models were included and only fruits and nuts and cereal and roots were found to provide significant ORs with regard to BMC. The risk of having low BMC reduced by 32% (OR 0.684; CI 0.473–0.988) for FN when following the ideal MDS-A, but this association lost significance when adjusting for lean mass and physical activity. For every 1-point increase in the cereal and root and the fruit and nut components, the risk of having low FN diminished by 56% (OR 0.442; CI 0.216–0.901) and by 67% (OR 0.332; CI 0.146–0.755), respectively.

Conclusion

An overall dietary score or index is not associated with BMC in our adolescent Spanish sample.

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Acknowledgments

This work was performed as part of the HELENA study. We gratefully acknowledge the financial support of the European Community sixth RTD Framework Programme (contact FOOD-CT-2005-007034). CJ received a Grant FPU13/00421 from the “Ministerio de Educación, Cultura y Deporte.”

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Authors and Affiliations

  1. GENUD (Growth, Exercise, Nutrition and Development) Research Group, Faculty of Health Science, University of Zaragoza, Pedro Cerbuna 12, 50007, Zaragoza, Spain

    C. Julián, L. Gracia-Marco, E. M. González-Gil, G. Vicente-Rodríguez & L. A. Moreno

  2. Instituto Agroalimentario de Aragón (IA2), Zaragoza, Spain

    C. Julián, E. M. González-Gil & L. A. Moreno

  3. Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Zaragoza, Spain

    C. Julián, E. M. González-Gil & L. A. Moreno

  4. Instituto de Investigación Sanitaria de Aragón (IIS Aragón), Zaragoza, Spain

    C. Julián, E. M. González-Gil & L. A. Moreno

  5. International Agency for Research on Cancer, Lyon, France

    I. Huybrechts

  6. PROFITH “PROmoting FITness and Health through physical activity” Research Group, Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Granada, Spain

    L. Gracia-Marco

  7. Department of Physiology, School of Medicine, University of Granada, Granada, Spain

    Á. Gutiérrez

  8. ImFine Research Group, Department of Health and Human Performance, Faculty of Physical Activity and Sport Sciences–INEF, Universidad Politécnica de Madrid, Madrid, Spain

    M. González-Gross

  9. Department of Metabolism and Nutrition, ICTAN Spanish National Research Council, Madrid, Spain

    A. Marcos

  10. Department of Pediatrics, Medical University of Vienna, Vienna, Austria

    K. Widhalm

  11. Preventive Medicine and Nutrition Unit, University of Crete School of Medicine, Heraklion, Greece

    A. Kafatos

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  1. C. Julián
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  2. I. Huybrechts
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  4. E. M. González-Gil
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  10. G. Vicente-Rodríguez
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  11. L. A. Moreno
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Correspondence to C. Julián.

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Julián, C., Huybrechts, I., Gracia-Marco, L. et al. Mediterranean diet, diet quality, and bone mineral content in adolescents: the HELENA study. Osteoporos Int 29, 1329–1340 (2018). https://doi.org/10.1007/s00198-018-4427-7

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