Association between Dairy Product intake and Risk of Osteoporotic Fractures in Postmenopausal Japanese Women: Secondary Analysis of 15-Year Follow-Up data from the Japanese Population-Based Osteoporosis (JPOS) Cohort Study

Objectives Few prospective cohort studies have evaluated the relationship between dairy product intake frequency and risk of osteoporotic fractures in Asians. This study aimed to investigate the association between habitual dairy product intake and risk of osteoporotic fractures. Design Secondary an...

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Veröffentlicht in:The Journal of nutrition, health & aging health & aging, 2023-03, Vol.27 (3), p.228-237
Hauptverfasser: Kojima, A., Kamiya, K., Kajita, E., Tachiki, T., Sato, Y., Kouda, K., Uenishi, K., Tamaki, Junko, Kagamimori, S., Iki, M.
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container_title The Journal of nutrition, health & aging
container_volume 27
creator Kojima, A.
Kamiya, K.
Kajita, E.
Tachiki, T.
Sato, Y.
Kouda, K.
Uenishi, K.
Tamaki, Junko
Kagamimori, S.
Iki, M.
description Objectives Few prospective cohort studies have evaluated the relationship between dairy product intake frequency and risk of osteoporotic fractures in Asians. This study aimed to investigate the association between habitual dairy product intake and risk of osteoporotic fractures. Design Secondary analysis of prospective cohort study. Setting Five municipalities of Japan. Participants This study included 1,429 postmenopausal Japanese women (age ≥45 years at baseline). Measurements Baseline milk-intake frequency was obtained using nurse-administered questionnaires. Intakes of yogurt and cheese, and estimated calcium intake, were assessed using a validated food frequency questionnaire. Osteoporotic fracture was defined as a clinical fracture diagnosed using radiography. Hazard ratios (HRs) with 95% confidence intervals (CIs) were estimated using Cox proportional hazards models. Results Over a median follow-up period of 15.1 years (interquartile range [IQR], 10.1–15.4 years; total, 18,118 person-years), 172 women sustained at least one osteoporotic fracture. The proportions of participants with milk intakes
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This study aimed to investigate the association between habitual dairy product intake and risk of osteoporotic fractures. Design Secondary analysis of prospective cohort study. Setting Five municipalities of Japan. Participants This study included 1,429 postmenopausal Japanese women (age ≥45 years at baseline). Measurements Baseline milk-intake frequency was obtained using nurse-administered questionnaires. Intakes of yogurt and cheese, and estimated calcium intake, were assessed using a validated food frequency questionnaire. Osteoporotic fracture was defined as a clinical fracture diagnosed using radiography. Hazard ratios (HRs) with 95% confidence intervals (CIs) were estimated using Cox proportional hazards models. Results Over a median follow-up period of 15.1 years (interquartile range [IQR], 10.1–15.4 years; total, 18,118 person-years), 172 women sustained at least one osteoporotic fracture. The proportions of participants with milk intakes &lt;1, 1, and ≥2 cups/d were 34.4%, 48.0%, and 17.6%, respectively. After adjustment for age, frequency of yogurt intake, frequency of cheese intake, body mass index, history of osteoporotic fractures, and frequency of natto intake, the HRs compared with that for milk intake &lt;1 cup/d were 0.71 (95% CI: 0.51–0.98) and 0.57 (95% CI: 0.35–0.92) for 1 cup/d and ≥2 cups/d, respectively. After adjustment for bone mineral density, HR significance for milk intakes ≥2 cups/d remained significant. Yogurt and cheese intakes were not related to the risk of osteoporotic fractures. Conclusion High habitual milk intake, but not a habitual yogurt or cheese intake is associated with a decreased risk of osteoporotic fractures, independent of bone mineral density, in postmenopausal Japanese women.</description><identifier>ISSN: 1279-7707</identifier><identifier>EISSN: 1760-4788</identifier><identifier>DOI: 10.1007/s12603-023-1898-1</identifier><identifier>PMID: 36973932</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Aging ; Bone Density ; Cohort analysis ; Dairy Products ; East Asian People ; Female ; Follow-Up Studies ; Fractures ; Geriatrics/Gerontology ; Humans ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Milk ; Neurosciences ; Nutrition ; Original Research ; Osteoporosis ; Osteoporosis - complications ; Osteoporosis - etiology ; Osteoporotic Fractures - epidemiology ; Osteoporotic Fractures - etiology ; Population-based studies ; Postmenopause ; Primary Care Medicine ; Prospective Studies ; Quality of Life Research ; Risk Factors ; Yogurt</subject><ispartof>The Journal of nutrition, health &amp; aging, 2023-03, Vol.27 (3), p.228-237</ispartof><rights>Serdi and Springer-Verlag International SAS, part of Springer Nature 2023</rights><rights>Serdi and Springer-Verlag International SAS, part of Springer Nature 2023.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-33c414296c8f4926b3a35fd16f6d4f28fd4d8c5e37585491c0fc3b6e798f5b063</citedby><cites>FETCH-LOGICAL-c372t-33c414296c8f4926b3a35fd16f6d4f28fd4d8c5e37585491c0fc3b6e798f5b063</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12603-023-1898-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12603-023-1898-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36973932$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kojima, A.</creatorcontrib><creatorcontrib>Kamiya, K.</creatorcontrib><creatorcontrib>Kajita, E.</creatorcontrib><creatorcontrib>Tachiki, T.</creatorcontrib><creatorcontrib>Sato, Y.</creatorcontrib><creatorcontrib>Kouda, K.</creatorcontrib><creatorcontrib>Uenishi, K.</creatorcontrib><creatorcontrib>Tamaki, Junko</creatorcontrib><creatorcontrib>Kagamimori, S.</creatorcontrib><creatorcontrib>Iki, M.</creatorcontrib><title>Association between Dairy Product intake and Risk of Osteoporotic Fractures in Postmenopausal Japanese Women: Secondary Analysis of 15-Year Follow-Up data from the Japanese Population-Based Osteoporosis (JPOS) Cohort Study</title><title>The Journal of nutrition, health &amp; aging</title><addtitle>J Nutr Health Aging</addtitle><addtitle>J Nutr Health Aging</addtitle><description>Objectives Few prospective cohort studies have evaluated the relationship between dairy product intake frequency and risk of osteoporotic fractures in Asians. This study aimed to investigate the association between habitual dairy product intake and risk of osteoporotic fractures. Design Secondary analysis of prospective cohort study. Setting Five municipalities of Japan. Participants This study included 1,429 postmenopausal Japanese women (age ≥45 years at baseline). Measurements Baseline milk-intake frequency was obtained using nurse-administered questionnaires. Intakes of yogurt and cheese, and estimated calcium intake, were assessed using a validated food frequency questionnaire. Osteoporotic fracture was defined as a clinical fracture diagnosed using radiography. Hazard ratios (HRs) with 95% confidence intervals (CIs) were estimated using Cox proportional hazards models. Results Over a median follow-up period of 15.1 years (interquartile range [IQR], 10.1–15.4 years; total, 18,118 person-years), 172 women sustained at least one osteoporotic fracture. The proportions of participants with milk intakes &lt;1, 1, and ≥2 cups/d were 34.4%, 48.0%, and 17.6%, respectively. After adjustment for age, frequency of yogurt intake, frequency of cheese intake, body mass index, history of osteoporotic fractures, and frequency of natto intake, the HRs compared with that for milk intake &lt;1 cup/d were 0.71 (95% CI: 0.51–0.98) and 0.57 (95% CI: 0.35–0.92) for 1 cup/d and ≥2 cups/d, respectively. After adjustment for bone mineral density, HR significance for milk intakes ≥2 cups/d remained significant. Yogurt and cheese intakes were not related to the risk of osteoporotic fractures. Conclusion High habitual milk intake, but not a habitual yogurt or cheese intake is associated with a decreased risk of osteoporotic fractures, independent of bone mineral density, in postmenopausal Japanese women.</description><subject>Aging</subject><subject>Bone Density</subject><subject>Cohort analysis</subject><subject>Dairy Products</subject><subject>East Asian People</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Fractures</subject><subject>Geriatrics/Gerontology</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Middle Aged</subject><subject>Milk</subject><subject>Neurosciences</subject><subject>Nutrition</subject><subject>Original Research</subject><subject>Osteoporosis</subject><subject>Osteoporosis - complications</subject><subject>Osteoporosis - etiology</subject><subject>Osteoporotic Fractures - epidemiology</subject><subject>Osteoporotic Fractures - etiology</subject><subject>Population-based studies</subject><subject>Postmenopause</subject><subject>Primary Care Medicine</subject><subject>Prospective Studies</subject><subject>Quality of Life Research</subject><subject>Risk Factors</subject><subject>Yogurt</subject><issn>1279-7707</issn><issn>1760-4788</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kctu1DAUhiMEohd4ADbIEpuyMPgWO2E3DB2gqjQjhgqxihz7mKbNxMF2VM3L8ix4OoWRkFjZsr_z-fj8RfGCkjeUEPU2UiYJx4RxTKu6wvRRcUyVJFioqnqc90zVWCmijoqTGG8IEWVdyafFEZe14jVnx8WvWYzedDp1fkAtpDuAAX3QXdiiVfB2Mgl1Q9K3gPRg0Zcu3iLv0DIm8KMPPnUGLYI2aQoQM4lWPqYNDH7UU9Q9utCjHiAC-ubz6Tu0BuMHq7N9Nuh-G7u409ESfwcd0ML3vb_DVyOyOmnkgt-gdA0Hy8qPU3_fK36vI9hDIzvT2cVquX6N5v7ah4TWabLbZ8UTp_sIzx_W0-Jqcf51_glfLj9-ns8useGKJcy5EVSwWprKiZrJlmteOkulk1Y4VjkrbGVK4KqsSlFTQ5zhrQRVV65sieSnxdneOwb_c4KYmk0XDfR97ttPsclBsJKUiqqMvvoHvfFTyNO4p6jgORiRKbqnTP5bDOCaMXSbPLiGkmYXfrMPv8nhN7vwG5prXj6Yp3YD9m_Fn7QzwPZAzFfDDwiHp_9v_Q24cb0Q</recordid><startdate>20230301</startdate><enddate>20230301</enddate><creator>Kojima, A.</creator><creator>Kamiya, K.</creator><creator>Kajita, E.</creator><creator>Tachiki, T.</creator><creator>Sato, Y.</creator><creator>Kouda, K.</creator><creator>Uenishi, K.</creator><creator>Tamaki, Junko</creator><creator>Kagamimori, S.</creator><creator>Iki, M.</creator><general>Springer Paris</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20230301</creationdate><title>Association between Dairy Product intake and Risk of Osteoporotic Fractures in Postmenopausal Japanese Women: Secondary Analysis of 15-Year Follow-Up data from the Japanese Population-Based Osteoporosis (JPOS) Cohort Study</title><author>Kojima, A. ; 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aging</jtitle><stitle>J Nutr Health Aging</stitle><addtitle>J Nutr Health Aging</addtitle><date>2023-03-01</date><risdate>2023</risdate><volume>27</volume><issue>3</issue><spage>228</spage><epage>237</epage><pages>228-237</pages><issn>1279-7707</issn><eissn>1760-4788</eissn><abstract>Objectives Few prospective cohort studies have evaluated the relationship between dairy product intake frequency and risk of osteoporotic fractures in Asians. This study aimed to investigate the association between habitual dairy product intake and risk of osteoporotic fractures. Design Secondary analysis of prospective cohort study. Setting Five municipalities of Japan. Participants This study included 1,429 postmenopausal Japanese women (age ≥45 years at baseline). Measurements Baseline milk-intake frequency was obtained using nurse-administered questionnaires. Intakes of yogurt and cheese, and estimated calcium intake, were assessed using a validated food frequency questionnaire. Osteoporotic fracture was defined as a clinical fracture diagnosed using radiography. Hazard ratios (HRs) with 95% confidence intervals (CIs) were estimated using Cox proportional hazards models. Results Over a median follow-up period of 15.1 years (interquartile range [IQR], 10.1–15.4 years; total, 18,118 person-years), 172 women sustained at least one osteoporotic fracture. The proportions of participants with milk intakes &lt;1, 1, and ≥2 cups/d were 34.4%, 48.0%, and 17.6%, respectively. After adjustment for age, frequency of yogurt intake, frequency of cheese intake, body mass index, history of osteoporotic fractures, and frequency of natto intake, the HRs compared with that for milk intake &lt;1 cup/d were 0.71 (95% CI: 0.51–0.98) and 0.57 (95% CI: 0.35–0.92) for 1 cup/d and ≥2 cups/d, respectively. After adjustment for bone mineral density, HR significance for milk intakes ≥2 cups/d remained significant. Yogurt and cheese intakes were not related to the risk of osteoporotic fractures. Conclusion High habitual milk intake, but not a habitual yogurt or cheese intake is associated with a decreased risk of osteoporotic fractures, independent of bone mineral density, in postmenopausal Japanese women.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>36973932</pmid><doi>10.1007/s12603-023-1898-1</doi><tpages>10</tpages></addata></record>
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subjects Aging
Bone Density
Cohort analysis
Dairy Products
East Asian People
Female
Follow-Up Studies
Fractures
Geriatrics/Gerontology
Humans
Medicine
Medicine & Public Health
Middle Aged
Milk
Neurosciences
Nutrition
Original Research
Osteoporosis
Osteoporosis - complications
Osteoporosis - etiology
Osteoporotic Fractures - epidemiology
Osteoporotic Fractures - etiology
Population-based studies
Postmenopause
Primary Care Medicine
Prospective Studies
Quality of Life Research
Risk Factors
Yogurt
title Association between Dairy Product intake and Risk of Osteoporotic Fractures in Postmenopausal Japanese Women: Secondary Analysis of 15-Year Follow-Up data from the Japanese Population-Based Osteoporosis (JPOS) Cohort Study
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