78072 20230830110635.0 doi 10.1007/s00198-018-4427-7 sideral 105789 ART-2018-105789 eng Julián, C. (orcid)0000-0002-8374-3410 Mediterranean diet, diet quality, and bone mineral content in adolescents: the HELENA study 2018 Access copy available to the general public Unrestricted Summary: Dietary scores, rather than individual nutrients, allow exploring associations between overall diet and bone health. The aim of the present study was to assess the associations between the Mediterranean Diet Score for Adolescents (MDS-A) and the Diet Quality Index for Adolescents (DQI-A) and bone mineral content (BMC) among Spanish adolescents. Our results do not support an association between dietary scores or indices and BMC in adolescents. Introduction: To assess the associations between the MDS-A and a DQI-A with the BMC measured with dual-energy X-ray absorptiometry. Methods: The MDS-A and the DQI-A were calculated in 179 Spanish adolescents, based on two 24-h dietary recalls from the HELENA cross-sectional study. The associations between the diet scores and the BMC outcomes [total body less head (TBLH), femoral neck (FN), lumbar spine (LS), and hip] were analyzed using logistic regression models adjusting for several confounders. Results: Four hundred ninety-two models were included and only fruits and nuts and cereal and roots were found to provide significant ORs with regard to BMC. The risk of having low BMC reduced by 32% (OR 0.684; CI 0.473–0.988) for FN when following the ideal MDS-A, but this association lost significance when adjusting for lean mass and physical activity. For every 1-point increase in the cereal and root and the fruit and nut components, the risk of having low FN diminished by 56% (OR 0.442; CI 0.216–0.901) and by 67% (OR 0.332; CI 0.146–0.755), respectively. Conclusion: An overall dietary score or index is not associated with BMC in our adolescent Spanish sample. info:eu-repo/grantAgreement/EUR/FP6/FOOD-CT-2005-007034 info:eu-repo/grantAgreement/ES/MEC/FPU13-00421 info:eu-repo/semantics/openAccess All rights reserved http://www.europeana.eu/rights/rr-f/ 3.819 2018 ENDOCRINOLOGY & METABOLISM 42 / 145 = 0.29 2018 Q2 T1 1.378 2018 Medicine (miscellaneous) 2018 Q1 Endocrinology, Diabetes and Metabolism 2018 Q1 info:eu-repo/semantics/article info:eu-repo/semantics/acceptedVersion Huybrechts, I. Gracia-Marco, L. (orcid)0000-0002-4020-0256 González-Gil, E.M. Universidad de Zaragoza (orcid)0000-0003-2005-8229 Gutiérrez, Á. González-Gross, M. Marcos, A. Widhalm, K. Kafatos, A. Vicente-Rodríguez, G. Universidad de Zaragoza (orcid)0000-0002-4303-4097 Moreno, L.A. Universidad de Zaragoza (orcid)0000-0003-0454-653X 1006 255 Universidad de Zaragoza Dpto. Fisiatría y Enfermería Área Enfermería 1006 245 Universidad de Zaragoza Dpto. Fisiatría y Enfermería Área Educación Física y Depor. 29, 6 (2018), 1329-1340 Osteoporos. int. OSTEOPOROSIS INTERNATIONAL 0937-941X 489565 http://zaguan.unizar.es/record/78072/files/texto_completo.pdf Postprint 9915 http://zaguan.unizar.es/record/78072/files/texto_completo.jpg?subformat=icon icon Postprint oai:zaguan.unizar.es:78072 articulos driver 2023-08-30-10:57:11 ARTICLE