Fruit and vegetable intakes and bone mineral status: A cross sectional study in 5 age and sex cohorts
Open accessAbstract
Background Evidence is increasing for positive effects of fruit and vegetable intakes on bone health. However, most of the studies to date were conducted in adults, and few reports included adolescents.Objective We explored the association between bone mineral status and fruit and vegetable intakes in adolescent boys and girls (aged 16-18 y), young women (aged 23-37 y), and older men and women (aged 60-83 y).Design Bone mineral measurements of the whole body, hip, and spine were made in all subjects by using dual-energy X-ray absorptiometry. Information on health and lifestyle and physical activity was obtained by questionnaire. Fruit, vegetable, and nutrient intakes were ascertained from 7-d food diaries.Results In adolescent boys and girls and older women, significant positive associations were observed between spine size-adjusted bone mineral content (SA-BMC) and fruit intake. In boys only, femoral neck SA-BMC was also significantly and positively associated with the intakes of both fruit and dietary vitamin C. No significant associations were found in the young women or older men, or between bone measurements and intake of vegetables alone (after adjustments) in any of the groups.Conclusions Higher fruit and vegetable intakes may have positive effects on bone mineral status in both younger and older age groups, especially at the spine and femoral neck. The specific mechanisms remain to be ascertained, but vitamin C, other fruit-specific antioxidants, and lifestyle may play a role.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Organic nitrate NO donors such as glycerol trinitrate, isosorbide dinitrate, and mononitrate all have beneficial effects on experimental and clinical osteoporosis, and a number of epidemiological studies indicated that high fruit and vegetable intake appears protective against osteoporosis in men and pre- and postmenopausal women.
“In this context, it has been shown that organic nitrate NO donors, such as glycerol trinitrate, isosorbide dinitrate and mononitrate all have beneficial effects on experimental and clinical osteoporosis [161,162,163], and a number of epidemiological studies also indicated that a high fruit and vegetable intake appears to have a protective effect against osteoporosis in men and pre- and post”
From NO-Rich Diet for Lifestyle-Related Diseases (2015) · cites this paper as [164]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Diet, nutrition and the prevention of chronic diseases
Joint, W. (2002) · Medical Entomology and Zoology · Cited by 4,889 · see citing works
McCance and Widdowson's The Composition of Foods
England, P. H. (2002) · Royal Society of Chemistry eBooks · doi:10.1039/9781849735551 · Cited by 2,209 · see citing works
Goldberg, G. R., Black, A., Jebb, S. A., Cole, T. J., Pr, M., Coward, W. A., & Prentice, A. M. (1991) · PubMed · Cited by 1,927 · see citing works
Self-citationHeaney, R., Abrams, S., Dawson-Hughes, B., Looker, A., Marcus, R., Matkovic, V., & Weaver, C. (2000) · Osteoporosis International · doi:10.1007/s001980070020 · Cited by 784 · see citing works
Tucker, K. L., Hannan, M. T., Chen, H., Cupples, L. A., Wilson, P. W., & Kiel, D. P. (1999) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/69.4.727 · Cited by 705 · see citing works
Prentice, A., Parsons, T., & Cole, T. J. (1994) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/60.6.837 · Cited by 578 · see citing works
Self-citationAssociation between Oxidative Stress and Bone Mineral Density
Basu, S., Michaëlsson, K., Olofsson, H., Johansson, S., & Melhus, H. (2001) · Biochemical and Biophysical Research Communications · doi:10.1006/bbrc.2001.5747 · Cited by 522 · see citing works
New, S. A., Robins, S. P., Campbell, M., Martin, J. C., Garton, M. J., Bolton-Smith, C., Grubb, D. A., Lee, S. J., & Reid, D. M. (2000) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/71.1.142 · Cited by 482 · see citing works
Franceschi, R. T., Iyer, B. S., & Cui, Y. (1994) · Journal of Bone and Mineral Research · doi:10.1002/jbmr.5650090610 · Cited by 442 · see citing works
National diet and nutrition survey: young people aged 4 to 18 years
Robinson, S. F. (2001) · Cited by 426 · see citing works
Nutritional influences on bone mineral density: a cross-sectional study in premenopausal women
New, S., Bolton-Smith, C., Grubb, D. A., & Reid, D. M. (1997) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/65.6.1831 · Cited by 393 · see citing works
McCance and Widdowson's The Composition of Foods
Royal Society of Chemistry (2003) · Nutrition & Food Science · doi:10.1108/nfs.2003.33.6.294.1 · Cited by 367 · see citing works
Macdonald, H. M., New, S. A., Golden, M. H., Campbell, M. K., & Reid, D. M. (2004) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/79.1.155 · Cited by 351 · see citing works
The National Diet and Nutrition Survey: people aged 65 years and over
Smithers, G., Finch, S., Doyle, W., Lowe, C., Bates, C. J., Prentice, A., & Clarke, P. C. (1998) · Nutrition & Food Science · doi:10.1108/00346659810209791 · Cited by 339 · see citing works
Self-citationDiet, nutrition and the prevention of osteoporosis
Prentice, A. (2004) · Public Health Nutrition · doi:10.1079/phn2003590 · Cited by 339 · see citing works
Self-citationBone mineral density and dietary patterns in older adults: the Framingham Osteoporosis Study,,
Tucker, K. L., Chen, H., Hannan, M. T., Cupples, L. A., Wilson, P. W. F., Felson, D. T., & Kiel, D. P. (2002) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/76.1.245 · Cited by 279 · see citing works
Knapen, M. H. J., Hamulyák, K., & Vermeer, C. (1989) · Annals of Internal Medicine · doi:10.7326/0003-4819-111-12-1001 · Cited by 272 · see citing works
Serum undercarboxylated osteocalcin correlates with hip bone mineral density in elderly women
Szulc, P., ARLOT, M. E., Chapuy, M. C., Duboeuf, F., Meunier, P. J., & Delmas, P. D. (1994) · Journal of Bone and Mineral Research · doi:10.1002/jbmr.5650091012 · Cited by 268 · see citing works
The DASH Diet and Sodium Reduction Improve Markers of Bone Turnover and Calcium Metabolism in Adults
Lin, P., Ginty, F., Appel, L. J., Aickin, M. G., Bohannon, A., Garnero, P., Barclay, D., & Svetkey, L. P. (2003) · Journal of Nutrition · doi:10.1093/jn/133.10.3130 · Cited by 255 · see citing works
Self-citationDiet Acids and Alkalis Influence Calcium Retention in Bone
Buclin, T., Cosma, M., Appenzeller, M., Jacquet, A. F., Decosterd, L. A., Biollaz, J., & Burckhardt, P. (2001) · Osteoporosis International · doi:10.1007/s001980170095 · Cited by 223 · see citing works
WACHMAN, A., & Bernstein, D. S. (1968) · The Lancet · doi:10.1016/s0140-6736(68)90908-2 · Cited by 199 · see citing works
Luukinen, H., Käkönen, S.-M., Pettersson, K. S. I., Koski, K., Laippala, P. J., Lövgren, T. N.-E., Kivelä, S., & Väänänen, H. K. (2000) · Journal of Bone and Mineral Research · doi:10.1359/jbmr.2000.15.12.2473 · Cited by 197 · see citing works
LONGSTANDING TROPICAL INFECTIONS AMONGST FORMER WAR PRISONERS OF THE JAPANESE
Gill, G. V., & Bell, D. (1982) · The Lancet · doi:10.1016/s0140-6736(82)91952-3 · Cited by 191 · see citing works
Acid-base imbalance and the skeleton
Bushinsky, D. A. (2001) · European Journal of Nutrition · doi:10.1007/s394-001-8351-5 · Cited by 189 · see citing works
Macdonald, H. M., New, S. A., Fraser, W. D., Campbell, M., & Reid, D. M. (2005) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/81.4.923 · Cited by 186 · see citing works
Stear, S. J., Prentice, A., Jones, S. C., & Cole, T. J. (2003) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/77.4.985 · Cited by 177 · see citing works
Self-citationHenderson, L., Gregory, J., & Irving, K. E. (2003) · OpenGrey (Institut de l'Information Scientifique et Technique) · Cited by 167 · see citing works
Ilich, J. Z., Brownbill, R. A., & Tamborini, L. (2003) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1601577 · Cited by 161 · see citing works
The Relation of Dietary Vitamin C Intake to Bone Mineral Density: Results from the PEPI Study
Hall, S. L., & Greendale, G. A. (1998) · Calcified Tissue International · doi:10.1007/s002239900512 · Cited by 156 · see citing works
Milk Products and Eggs: Fourth Supplement to McCance and Widdowson's the Composition of Foods
Holland, B. R., Unwin, I. D., Buss, D. H., McCance, R. A., & Widdowson, E. M. (1989) · Medical Entomology and Zoology · Cited by 154 · see citing works
Price, G., Paul, A. A., Key, F. B., Harter, A. C., Cole, T. J., Day, K. C., & Wadsworth, M. E. J. (1995) · Journal of Human Nutrition and Dietetics · doi:10.1111/j.1365-277x.1995.tb00337.x · Cited by 124 · see citing works
Fruit and vegetable consumption and bone mineral density: the Northern Ireland Young Hearts Project
McGartland, C. P., Robson, P. J., Murray, L., et al. (2004) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/80.4.1019 · Cited by 115 · see citing works
Laskey, M. A., Flaxman, M. E., Barber, R. W., Trafford, S., Hayball, M. P., Lyttle, K. D., Crisp, A. J., & Compston, J. E. (1991) · British Journal of Radiology · doi:10.1259/0007-1285-64-767-1023 · Cited by 114 · see citing works
Self-citationDay, N., Bingham, S. A., Khaw, K., Kaptoge, S., Welch, A. A., McTaggart, A., Mulligan, A. A., Dalzell, N., & REEVE, J. (2003) · Osteoporosis International · doi:10.1007/s00198-003-1391-6 · Cited by 112 · see citing works
Vatanparast, H., Baxter-Jones, A. D. G., Faulkner, R. A., et al. (2005) · American Journal of Clinical Nutrition · doi:10.1093/ajcn.82.3.700 · Cited by 109 · see citing works
Cereals and cereal products: third supplement to McCance and Widdowsons the Composition of foods
Holland, B. R., McCance, R. A., Widdowson, E. M., Unwin, I. D., & Buss, D. H. (1988) · Royal Society of Chemistry eBooks · Cited by 108 · see citing works
Calcium Supplementation Increases Stature and Bone Mineral Mass of 16- to 18-Year-Old Boys
Prentice, A., Ginty, F., Stear, S. J., Jones, S. C., Laskey, M. A., & Cole, T. J. (2005) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2004-2114 · Cited by 98 · see citing works
Self-citationVatanparast, H., Baxter-Jones, A. D. G., Faulkner, R. A., et al. (2005) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/82.3.700 · Cited by 97 · see citing works
Relation of Ascorbic Acid to Bone Mineral Density and Self-reported Fractures among US Adults
Simon, J. A. (2001) · American Journal of Epidemiology · doi:10.1093/aje/154.5.427 · Cited by 86 · see citing works
Gunnes, M., & Lehmann, E. (1995) · Acta Paediatrica · doi:10.1111/j.1651-2227.1995.tb13656.x · Cited by 75 · see citing works
Yan, L., Zhou, B., Greenberg, D. C., Wang, L., Nigdikar, S., Prynne, C. J., & Prentice, A. (2004) · British Journal Of Nutrition · doi:10.1079/bjn20041261 · Cited by 46 · see citing works
Self-citationDietary acid–base balance and intake of bone-related nutrients in Cambridge teenagers
Prynne, C. J., Ginty, F., Paul, A. A., Bolton-Smith, C., Stear, S. J., Jones, S. C., & Prentice, A. M. (2004) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1602006 · Cited by 36 · see citing works
Self-citationCalcium supplementation increases height and bone mass of 16-18 year old boys.
Prentice, A., Stear, S. J., Ginty, F., et al. (2002) · UCL Discovery (University College London) · Cited by 14 · see citing works
Self-citationA simple method for converting an odds ratio to effect size for use in meta-analysis
Chinn, S. (2000) · Statistics in Medicine · doi:10.1002/1097-0258(20001130)19:22
Flagged first, then by citations
Research works printed but not linked: 3
- All values are x ; 95% CI in parentheses. Fruit intake and total daily intake of nutrients were assessed from a 7-d diary. Median intakes were 34, 140, and 306 g/d in boys and 40, 134, and 334 g/d in girls in T1, T2, and T3, respectively. ANOVA was used to compare the mean intakes of energy and selected nutrients by thirds of fruit intake. Means in a row with different superscript letters are significantly different, P 0.05 (Scheffe's test). 2 Geometric x . REFERENCES
- Cole T. Sympercents; symmetric percentage differences on the 100 log(e) scale simplify the presentation of log transformed data. Stat Med 2000;19:3109 -25.
- Ginty F, Prynne CJ, Muniz G, et al. No evidence for a negative associ- ation between bone mineral status and indirect estimates of renal net acid excretion in younger and older age groups. Proc Nutr Soc 2006;64:80A (abstr).
Cited by
Sorted by citations
NO-Rich Diet for Lifestyle-Related Diseases
Kobayashi, J., Ohtake, K., & Uchida, H. (2015) · Nutrients · doi:10.3390/nu7064911 · Cited by 94 · see citing works
Macdonald, H. M., McGuigan, F. E., Lanham-New, S. A., Fraser, W. D., Ralston, S. H., & Reid, D. M. (2008) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/87.5.1513 · Cited by 63 · see citing works
- Authors
- Prynne, C. J., Mishra, G. D., O’Connell, M. A., Muniz, G., Laskey, M. A., Yan, L., Prentice, A., & Ginty, F.
- Affiliations
- MRC Elsie Widdowson Laboratory (GB)
- Corresponding author
- Prynne, Celia J
- Venue
- The American Journal of Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 2006-06
- Volume
- 83
- Issue
- 6
- Pages
- 1420-1428
- ISSN
- 0002-9165 (ISSN-L)
- OpenAlex
- W2143398835
- Cited by
- 267
- References
- 45
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 7 · 2023: 5 · 2022: 3 · 2021: 14 · 2020: 14 · 2019: 14 · 2018: 17 · 2017: 12 · 2016: 16 · 2015: 12 · 2014: 14 · 2013: 15 · 2012: 22
- FWCI
- 18.33
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- American Journal of Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- UEA Digital Repository (University of East Anglia) (acceptedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- Medical Research Council
- Topics
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutrition and Health Studies
- Keywords
- fruit consumption, vegetable consumption, bone mineral status, bone mineral content, adolescents, older adults, young women, vitamin C, femoral neck, spine, hip, dietary antioxidants, physical activity
- MeSH terms
- Adolescent, Adult, Aged, Antioxidants, Ascorbic Acid, Energy Intake, Cross-Sectional Studies, Diet, Diet Surveys, Female, Fruit, Humans, Life Style, Male, Middle Aged, Vegetables, Multicenter Studies as Topic, Bone Density, Age Distribution, Sex Distribution
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review