Associação entre conteúdo mineral ósseo e padrões alimentares em adultos de Viçosa, Minas Gerais

um estudo de base populacional

Autores

Palavras-chave:

Adulto, Densidade óssea, Ingestão alimentar, Epidemiologia nutricional

Resumo

Objetivo

Investigar se há associação entre padrões alimentares e conteúdo mineral ósseo em adultos brasileiros.

Métodos

Este é um estudo transversal de base populacional. A saúde óssea de indivíduos adultos (20-59 anos) de ambos os sexos, residentes na cidade de Viçosa, MG, Brasil, (n=572) foi avaliada por meio da absorciometria de raios-X de dupla energia. O padrão alimentar foi obtido através de um questionário de frequência alimentar; a análise fatorial exploratória foi aplicada para obter os padrões alimentares e a regressão linear foi usada para a análise multivariada.

Resultados

Foram identificados dois padrões alimentares distintos: um padrão “carne e bebidas alcóolicas”, composto por condimentos, bebidas alcoólicas, alimentos à base de massa e salgadinhos, e um padrão “local tradicional”, composto de ovos, feijões, feijão tropeiro, margarina, manteiga, azeite, café e chá, cereais e tubérculos (cargas fatoriais ≥0,20). Verificadas as associações considerando os fatores de confusão, identificou-se que o conteúdo mineral ósseo para o sexo masculino se associou positivamente ao padrão alimentar “local tradicional” (β=0,058; 95% CI: 0,003–0,112; p=0,036), e para o sexo feminino foi encontrada associação inversa com o padrão “carne e bebidas alcóolicas” (β=-0,057; 95% CI: -0,110 -0,003; p=0,037).

Conclusão

Uma associação positiva entre o padrão alimentar “local tradicional” e a saúde óssea foi identificada.

Palavras-chave: Adulto. Densidade óssea. Ingestão alimentar. Epidemiologia nutricional.

Referências

Kanis JA. Assessment of fracture risk and its application to screening for postmenopausal osteoporosis: synopsis of a WHO report. WHO Study Group. Osteoporosis Int. 1994;4(6):368-81. https://doi.org/10.1007/BF01622200

Segheto KJ, Juvanhol, LL, Carvalho CJ, Silva DCG, Kakehasi AM, Longo GZ. Factors associated with bone mineral content in adults: A population-based study. Einstein. 2020;18:1-7. https://doi.org/10.31744/einstein_ journal/2020AO4694

Correa-Rodríguez M, Valle SRV, Fuente-Vílchez A, Rueda-Medina B. Analysis of lifestyle and bone mineralization in a population of Spanish young adults. Colomb Med. 2018;49(3):213-18. https://doi.org/10.25100/cm.v49i2.2056

Silva ACV, Rosa MI, Fernandes B, Fernandes B, Lumertz, S, Diniz RM, et al. Factors associated with osteopenia and osteoporosis in women undergoing bone mineral density test. Rev Bras Reumatol. 2015;55(3):223-8. https://doi. org/10.1016/j.rbr.2014.08.012

Baxter-Jones AD, Faulkner RA, Forwood MR, Mirwald RL, Bailey DA. Bone mineral accrual from 8 to 30 years of age: an estimation of peak bone mass. J Bone Miner Res. 2011;26(8):1729-39. https://doi.org/10.1002/jbmr.412

Weaver CM, Gordon CM, Janz KF, Kalkwarf HJ, Lappe JM, Lewis R, et al. The National Osteoporosis Foundation’s position statement on peak bone mass development and lifestyle factors: a systematic review and implementation recommendations. Osteoporos Inter. 2016;27(4):1281-386. https://doi.org/10.1007/s00198-015-3440-3

Valtuena J, Garcia-Marco L, Vicente-Rodriguez G, González-Gross M, Huybrechts I, Rey-López JP, et al. Vitamin D status and physical activity interact to improve bone mass in adolescents: the HELENA Study. Osteoporos Int. 2012;23(8):2227-37. https://doi.org/10.1007/s00198-011-1884-7

Vlachopoulos D, Ubago-Guisado E, Barker AR, Metcalf BS, Fatouros IG, Avloniti A, et al. Determinants of Bone Outcomes in Adolescent Athletes at Baseline: the PRO-BONE Study. Med Sci Sports Exerc. 2017;49(6):1389-96. https://doi.org/10.1249/MSS.0000000000001233

Cosso R, Falchetti A. Vitamin K and bone metabolism: the myth and the truth. Expert Rev Precis Med Drug Dev. 2016;1(3):301-17. https://doi.org/10.11138/ccmbm/2017.14.1.200

Denova-Gutiérrez E, Méndez-Sánchez L, Muñoz-Aguirre P, Tucker KL, Clark P. Dietary patterns, bone mineral density, and risk of fractures: a systematic review and meta-analysis. Nutrients. 2018;10(12):1922. https://doi.org/10.3390/ nu10121922

Hu FB. Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol. 2002;13(1):3-9. https://doi.org/10.1097/00041433-200202000-00002

Kant AK. Dietary patterns and health outcomes. J Am Diet Assoc. 2004;104(4):615-35. https://doi.org/10.1016/j. jada.2004.01.010

Rogers TS, Harrison S, Judd S, Orwoll ES, Marshall LM, ShannonJ, et al. Dietary patterns and longitudinal change in hip bone mineral density among older men. Osteoporos Int. 2018;29(5):1135-45. https://doi.org/10.1007/s00198- 018-4388-x

Shah ZA, Mukhtar F, Ismail T. Correlation between Dietary Patterns & Bone Mineral Density in Women from Adulthood to Menopause: a descriptive study. J Food Nutr. 2019;5:104.

Mazid M, Kengne AP, Vatanparast H. Association dietary patterns of American adults with bone mineral density and fracture. Public Health Nutr. 2018;21(13):2417-23. https://doi.org/10.1017/S1368980018000939

Melaku YA, Gill TK, Adams R, Shi Z. Association between dietary patterns and low bone mineral density among adults aged 50 years and above: findings from the North West Adelaide Health Study (NWAHS). Br J Nutr. 2016;116(8):1437-46. https://doi.org/10.1017/S0007114516003366

Hardcastle AC, Aucott L, Fraser WD, Reid DM, Macdonald HM. Dietary patterns, bone resorption and bone mineral density in early post-menopausal Scottish women. Eur J Clin Nutr. 2011;65(3):378-85. https://doi.org/10.1038/ ejcn.2010.264

França NAG, Camargo, MBR, Lazaretti-Castro, M, Petters BSE, Martini LA. Dietary patterns and bone mineral density in Brazilian postmenopausal women with osteoporosis: a cross-sectional study. Eur J Clin Nutr. 2015;70(1):85-90. https://doi.org/10.1038/ejcn.2015.27

Ward KA, Prentice A, Kuh DL, Adams JE, Ambrosini GL. Life course dietary patterns and bone health in later life in a British birth cohort study. J Bone Miner Res. 2016;31(6):1167-76. https://doi.org/10.1002/jbmr.2798

Segheto W, Silva DCG, Coelho FA, Reis VG, Morais SHO, Marin JCB, et al. Body adiposity index and associated factors in adults: method and logistics of a population-based study. Nutr Hosp. 2015;32(1):101-9. https://doi.org/10.3305/ nh.2015.32.1.8391

Lewiecki EM, Binkley N, Morgan SL, Shuhart CR, Camargos BM, Carey JJ, et al. Best practices for dual-energy X-ray absorptiometry measurement and reporting: International Society for Clinical Densitometry Guidance. J Clin Densitom. 2016;19(2):127-40. https://doi.org/10.1016/j.jocd.2016.03.003

Silva DCG, Segheto W, Lima MFC, Pessoa MC, Pelúzio MCG, Marchioni DML, et al. Using the method of triads in the validation of a food frequency questionnaire to assess the consumption of fatty acids in adults. J Hum Nutr Diet. 2018;31(1):85-95. https://doi.org/10.1111/jhn.12497

Fornes NS; Martins IS; Velásquez-Meléndez G, Latorre MRDO. Escores de consumo alimentar e níveis lipêmicos em população de São Paulo, Brasil. Rev Saude Publica. 2002;36(1):12-8. https://doi.org/10.1590/S0034- 89102002000100003

Hoffmann M, Mendes KG, Canuto R, Garcez AS, Theodoro H, Rodrigues AD, et al. Dietary patterns in menopausal women receiving outpatient care in Southern Brazil. Cienc Saude Coletiva. 2015;20(5):1565-74. citdhttps://doi. org/10.1590/1413-81232015205.07942014

Word Heath Organization. Obesity: preventing and managing the global epidemic. Gevebe: Organization; 2000 [cited 2021 Mar 13]. Available from: https://www.who.int/nutrition/publications/obesity/WHO_TRS_894/en/

Holick MF, Binkley NC, Bischoff-Ferrari HA, Gordon CM, Hanley DA, Heaney RP, et al. Guidelines for preventing and treating vitamin D deficiency and insufficiency revisited. J Clin Endocrinol Metab. 2012;97(4):1153-58. https://doi. org/10.1210/jc.2011-2601

Shin JY, Kim JM, Kim Y. Associations between dietary patterns and hypertension among Korean adults: the Korean National Health and Nutrition Examination Survey (2008-2010). Nutr Res Pract. 2013;7(3):224-32. https://doi. org/10.4162/nrp.2013.7.3.224

Safari A, Shariff ZM, Kandiah M, Rashidkhani B, Fereidooni F. Dietary patterns and risk of colorectal cancer in Tehran Province: a case–control study. BMC Public Health 2013;13:222. https://doi.org/10.1186/1471-2458-13-222

Instituto Brasileiro de Geografia e Estatística. Censo Demográfico de 2010. Rio de Janeiro: Instituto; 2010 [cited 2021 Mar 13]. Available from: https://censo2010.ibge.gov.br/

Lee T, Suh HS. Association between dietary fiber intake and bone mineral density in the adult Korean population: analysis of National Health and Nutrition Examination Survey in 2011. J Bone Metab. 2019;26(3):151-60. https:// doi.org/10.11005/jbm.2019.26.3.151

Jonge EAL, Rivadeneira F, Erler NS, Hofman A, Uitterlinden AG, Franco OH, et al. Dietary patterns in an elderly population and their relation with bone mineral density: the Rotterdan Study. Eur J Nutr. 2018;57(1);61-73. https:// doi.org/10.1007/s00394-016-1297-7

Kontogianni MD, Melistas L, Yannakoulia M, Malgaris I, Panagiotakos DB, Yiannakouris N. Association between dietary patterns and indices of bone mass in a sample of Mediterranean women. Nutrition. 2009;25(2):165-71. https://doi.org/10.1016/j.nut.2008.07.019

Okubo H, Sasaki S, Horiguchi H, Oguma E, Miyamoto K, Hosoi Y, et al. Dietary patterns associated with bone mineral density in premenopausal Japanese farmwomen. Am J Clin Nutr. 2006;83(5):1185-92. https://doi.org/10.1093/ ajcn/83.5.1185

McNaughton SA, Wattanapenpaiboon N, Wark JD, Nowson CA. An energy-dense, nutrient-poor dietary pattern is inversely associated with bone health in women. J Nutr. 2011;141(8):1516-23. https://doi.org/10.3945/ jn.111.138271

Melaku YA, Gill TK, Appleton, SL, Taylor AW, Adams R, Zumin S. Prospective Associations of Dietary and Nutrient Patterns with Fracture Risk: a 20-Year Follow-Up Study. Nutrients. 2017;9(11):1198. https://doi.org/10.3390/ nu9111198

Gaddini GW, Turner RT, Grant KA, Iwaniec UT. alcohol: a simple nutrient with complex actions on bone in the adult skeleton. Alcohol Clin Exp Res. 2016;40(4):657-71. https://doi.org/10.1111/acer.13000

Sommer I, Erkkila AT, Jarvinen R, Mursu J, Sirola J, Jurvelin JS, et al. Alcohol consumption and bone mineral density in elderly women. Public Health Nutrition. 2013;16(4):704-12. https://doi.org/10.1017/S136898001200331X

Marrone JA, Maddalozzo GF, Branscum AJ, Hardin K, Cialdella-Kam L, Philbrick KA, et al. Moderate alcohol intake lowers biochemical markers of bone turnover in postmenopausal women. Menopause. 2012;19(9):974-79. https:// doi.org/10.1097/GME.0b013e31824ac071

Hyeon JH, Gwak JS, Hong SW, Kwon H, Seung-Won O, Lee CM. Relationship between bone mineral density and alcohol consumption in Korean men: the fourth Korea national health and nutrition examination survey (KNHANES), 2008-2009. Asia Pac J Clin Nutr. 2016;25(2):308-15. https://doi.org/10.6133/apjcn.2016.25.2.17

Seo S, Chun S, Newell MA, Yun M. Association between alcohol consumption and Korean young women’s bone health: a cross sectional study from the 2008 to 2011 Korea National Health and Nutrition Examination Survey. BMJ Open. 2015;5(10):e007914. https://doi.org/10.1136/bmjopen-2015-007914

Ilesanmi-Oyelere BL, Brough L, Coad J, Roy N, Kruger MC. The relationship between nutrient patterns and bone mineral density in Postmenopausal Women. Nutrients. 2019;11(6):1262. https://doi.org/10.3390/nu11061262

Langsetmo L, Poliquin S, Hanley DA, Prior JC, Barr S, Anastassiades T, et al. Dietary patterns in Canadian men and women ages 25 and older: relationship to demographics, body mass index, and bone mineral density. BMC Musculoskelet Disord. 2010;11(1):1-11. https://doi.org/10.1186/1471-2474-11-20

Corwin RL, Hartman TJ, Maczuga SA, Graubard BI. Dietary saturated fat intake is inversely associated with bone density in humans: analysis of NHANES III. J Nutr. 2006;136(1):159-65. https://doi.org/10.1093/jn/136.1.159

Hunter GR, Plaisance EP, Fisher G. Weight loss and bone mineral density. Curr Opin Endocrinol Diabetes Obes. 2014;21(5):358-62. https://doi.org/10.1097/MED.0000000000000087

Segheto KJ, Silva DCG, Ferreira FG, Carvalho MR, Longo GZ. Excessive abdominal adiposity and body fat are associated with lower serum vitamin D level: a population study. Rev Nutr. 2018;31(6):523-33. https://doi.org/10.1590/1678- 98652018000600002

Barja-Fernández S, Concepción AM, Martínez- Silva I, Vasquez R, Gil-Campos M, Olza J, et al. 25-Hydroxyvitamin D levels of children are inversely related to adiposity assessed by body mass index. J Physiol Biochem. 2017;74(1):111-8. https://doi.org/10.1007/s13105-017-0581-1

Leão ALM, Santos LC. Micronutrient consumption and overweight: Is there a relationship? Rev Bras Epidemiol. 2012;15(1):85-95. https://doi.org/10.1590/s1415-790x2012000100008

Schuch NJ, Garcia VC, Martini LA. Vitamin D and endocrine diseases. Arq Bras Endocrinol Metab. 2009;53(5):625-33. https://doi.org/10.1590/S004-27302009000500015

Downloads

Publicado

27-07-2023

Como Citar

SEGHETO, K. J., SILVA, D. C. G. da, FERREIRA, F. G. ., JORGE, E. L. G. de M., & LONGO, G. Z. . (2023). Associação entre conteúdo mineral ósseo e padrões alimentares em adultos de Viçosa, Minas Gerais: um estudo de base populacional. Revista De Nutrição, 35. Recuperado de https://periodicos.puc-campinas.edu.br/nutricao/article/view/8934

Edição

Seção

ARTIGOS ORIGINAIS