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Adherence to the 2006 American Heart Association Diet and Lifestyle Recommendations for cardiovascular disease risk reduction is associated with bone health in older Puerto Ricans

TitleAdherence to the 2006 American Heart Association Diet and Lifestyle Recommendations for cardiovascular disease risk reduction is associated with bone health in older Puerto Ricans
Publication TypeJournal Article
Year of Publication2013
AuthorsBhupathiraju, SN, Lichtenstein, AH, Dawson-Hughes, B, Hannan, MT, Tucker, KL
JournalAm J Clin NutrAm J Clin Nutr
Volume98
Pagination1309-16
Date PublishedNov
ISBN Number1938-3207 (Electronic)<br/>0002-9165 (Linking)
Accession Number24047918
KeywordsAbsorptiometry, Photon, Aged, American Heart Association, Bone and Bones/ metabolism/radiography, Bone Density, Boston/epidemiology, Cardiovascular Diseases/ethnology/ prevention & control, Cross-Sectional Studies, Diet, Female, Food Habits, Guidelines as Topic, Hispanic Americans, Humans, Life Style, Logistic Models, Lumbar Vertebrae, Male, Middle Aged, Nutrition Assessment, Osteoporosis/prevention & control/radiography, Patient Compliance, Prospective Studies, Puerto Rico/ethnology, Risk Factors, United States
AbstractBACKGROUND: Cardiovascular disease (CVD) and osteoporosis are 2 major public health problems that share common pathophysiological mechanisms. It is possible that strategies to reduce CVD risk may also benefit bone health. OBJECTIVE: We tested the hypothesis that adherence to the 2006 American Heart Association Diet and Lifestyle Recommendations (AHA-DLR) is associated with bone health. DESIGN: We previously developed a unique diet and lifestyle score (American Heart Association Diet and Lifestyle Score; AHA-DLS) to assess adherence to the AHA-DLR. In a cross-sectional study of 933 Puerto Ricans aged 47-79 y, we modified the AHA-DLS to test associations with bone health. Bone mineral density (BMD) at the femoral neck, trochanter, total hip, and lumbar spine (L2-L4) was measured by using dual-energy X-ray absorptiometry. RESULTS: For every 5-unit increase in the modified AHA-DLS, BMD at the femoral neck, trochanter, total hip, and lumbar spine (L2-L4) was associated with a 0.005-0.008-g/cm(2) (P