000 01966nam a2200145 4500
008 250911b |||||||| |||| 00| 0 eng d
100 _aManel Fa-Binefa
245 _aMediterranean Diet and Risk of Hip Fracture: A Systematic Review and Dose-Response Meta-Analysis
300 _a Pages 1133–1143
520 _aContext Hip fractures are a major public health concern. Understanding their epidemiologic and biological links with diet and cardiovascular risk may have important implications for prevention. Objective To assess the dose-response association of Mediterranean diet (MD) adherence with the risk of hip fracture. Data Sources A systematic search was conducted in the PubMed, Scopus, and Web of Science databases for prospective studies. Search terms were “Mediterranean Diet” and “Fracture.” Data extraction Data were extracted from 8 studies, encompassing 15 cohorts that included 503 174 individuals. Methodological quality was assessed using the Risk of Bias in Nonrandomized Studies of Interventions. Data Analysis The “meta” and “dosresmeta” packages were used in R Studio Software. The results demonstrated that high and moderate MD adherence were associated with a reduced risk of hip fracture (relative risk [RR] = 0.71 [95% CI, 0.55-0.91]; and RR = 0.78[(95% CI, 0.65-0.93], respectively). The effect of the association was similar in men and women. The dose-response pattern of the association was linear: each point increase in MD adherence was associated with a 5.25% reduction in hip fracture risk. Conclusions Adherence to MD is associated with a reduction in hip fracture risk, following a linear dose-response pattern. This supports the promotion of this dietary pattern for improving bone health.
654 _aMediterranean diet
_a hip fracture
_a meta-analysis
_a systematic review
700 _aAlbert Clara
773 0 _025311
_9113494
_d2009
_tNutrition Reviews
_x0029-6643
942 _cJA
999 _c132787
_d132787