Vegetable and Fruit Intake and Fracture-Related Hospitalisations: A Prospective Study of Older Women

Nutrients

Richard J. Woodman¹  Joshua R. Lewis²  Germaine Wong²  Amanda Devine³  Kun Zhu⁴  Wai H. Lim⁴  Richard L. Prince⁴  Jonathan M. Hodgson⁵  Catherine P. Bondonno⁵  Natalie C. Ward⁵  Lauren C. Blekkenhorst⁵ 

[1] Centre for Epidemiology and Biostatistics, School of Public Health, Flinders University of South Australia, Adelaide, SA 5042, Australia;Centre for Kidney Research, Children’s Hospital at Westmead, Sydney, NSW 2145, Australia;School of Medical and Health Sciences, Edith Cowan University, Joondalup, WA 6027, Australia;School of Medicine and Pharmacology, QEII Medical Centre Unit, University of Western Australia, Perth, WA 6009, Australia;School of Medicine and Pharmacology, Royal Perth Hospital Unit, University of Western Australia, Perth, WA 6000, Australia;

关键词: vegetables;    fruit;    cruciferous;    allium;    fracture;    bone;    postmenopausal women;   

DOI  :  10.3390/nu9050511

来源: DOAJ

【 摘 要 】

The importance of vegetable and fruit intakes for the prevention of fracture in older women is not well understood. Few studies have explored vegetable and fruit intakes separately, or the associations of specific types of vegetables and fruits with fracture hospitalisations. The objective of this study was to examine the associations of vegetable and fruit intakes, separately, and specific types of vegetables and fruits with fracture-related hospitalisations in a prospective cohort of women aged ≥70 years. Vegetable and fruit intakes were assessed at baseline (1998) in 1468 women using a food frequency questionnaire. The incidence of fracture-related hospitalisations over 14.5 years of follow-up was determined using the Hospital Morbidity Data Collection, linked via the Western Australian Data Linkage System. Fractures were identified in 415 (28.3%) women, of which 158 (10.8%) were hip fractures. Higher intakes of vegetables, but not fruits, were associated with lower fracture incidence. In multivariable-adjusted models for vegetable types, cruciferous and allium vegetables were inversely associated with all fractures, with a hazard ratio (HR) (95% confidence interval) of 0.72 (0.54, 0.95) and 0.66 (0.49, 0.88), respectively, for the highest vs. lowest quartiles. Increasing vegetable intake, with an emphasis on cruciferous and allium vegetables, may prevent fractures in older postmenopausal women.

【 授权许可】

Unknown