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 |
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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 |
doi_str_mv | 10.1007/s12603-023-1898-1 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2792505717</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2791433934</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-33c414296c8f4926b3a35fd16f6d4f28fd4d8c5e37585491c0fc3b6e798f5b063</originalsourceid><addsrcrecordid>eNp1kctu1DAUhiMEohd4ADbIEpuyMPgWO2E3DB2gqjQjhgqxihz7mKbNxMF2VM3L8ix4OoWRkFjZsr_z-fj8RfGCkjeUEPU2UiYJx4RxTKu6wvRRcUyVJFioqnqc90zVWCmijoqTGG8IEWVdyafFEZe14jVnx8WvWYzedDp1fkAtpDuAAX3QXdiiVfB2Mgl1Q9K3gPRg0Zcu3iLv0DIm8KMPPnUGLYI2aQoQM4lWPqYNDH7UU9Q9utCjHiAC-ubz6Tu0BuMHq7N9Nuh-G7u409ESfwcd0ML3vb_DVyOyOmnkgt-gdA0Hy8qPU3_fK36vI9hDIzvT2cVquX6N5v7ah4TWabLbZ8UTp_sIzx_W0-Jqcf51_glfLj9-ns8useGKJcy5EVSwWprKiZrJlmteOkulk1Y4VjkrbGVK4KqsSlFTQ5zhrQRVV65sieSnxdneOwb_c4KYmk0XDfR97ttPsclBsJKUiqqMvvoHvfFTyNO4p6jgORiRKbqnTP5bDOCaMXSbPLiGkmYXfrMPv8nhN7vwG5prXj6Yp3YD9m_Fn7QzwPZAzFfDDwiHp_9v_Q24cb0Q</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2791433934</pqid></control><display><type>article</type><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><source>MEDLINE</source><source>Alma/SFX Local Collection</source><source>SpringerLink Journals - AutoHoldings</source><creator>Kojima, A. ; Kamiya, K. ; Kajita, E. ; Tachiki, T. ; Sato, Y. ; Kouda, K. ; Uenishi, K. ; Tamaki, Junko ; Kagamimori, S. ; Iki, M.</creator><creatorcontrib>Kojima, A. ; Kamiya, K. ; Kajita, E. ; Tachiki, T. ; Sato, Y. ; Kouda, K. ; Uenishi, K. ; Tamaki, Junko ; Kagamimori, S. ; Iki, M.</creatorcontrib><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 <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 <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 & 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 & 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 & 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 <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 <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 & 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. ; Kamiya, K. ; Kajita, E. ; Tachiki, T. ; Sato, Y. ; Kouda, K. ; Uenishi, K. ; Tamaki, Junko ; Kagamimori, S. ; Iki, M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-33c414296c8f4926b3a35fd16f6d4f28fd4d8c5e37585491c0fc3b6e798f5b063</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Aging</topic><topic>Bone Density</topic><topic>Cohort analysis</topic><topic>Dairy Products</topic><topic>East Asian People</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Fractures</topic><topic>Geriatrics/Gerontology</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Milk</topic><topic>Neurosciences</topic><topic>Nutrition</topic><topic>Original Research</topic><topic>Osteoporosis</topic><topic>Osteoporosis - complications</topic><topic>Osteoporosis - etiology</topic><topic>Osteoporotic Fractures - epidemiology</topic><topic>Osteoporotic Fractures - etiology</topic><topic>Population-based studies</topic><topic>Postmenopause</topic><topic>Primary Care Medicine</topic><topic>Prospective Studies</topic><topic>Quality of Life Research</topic><topic>Risk Factors</topic><topic>Yogurt</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><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><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of nutrition, health & aging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kojima, A.</au><au>Kamiya, K.</au><au>Kajita, E.</au><au>Tachiki, T.</au><au>Sato, Y.</au><au>Kouda, K.</au><au>Uenishi, K.</au><au>Tamaki, Junko</au><au>Kagamimori, S.</au><au>Iki, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>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</atitle><jtitle>The Journal of nutrition, health & 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 <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 <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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source | MEDLINE; Alma/SFX Local Collection; SpringerLink Journals - AutoHoldings |
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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