Relationship between the Mediterranean dietary pattern and musculoskeletal health in children, adolescents, and adults: systematic review and evidence map.

Relationship between the Mediterranean dietary pattern and musculoskeletal health in children, adolescents, and adults: systematic review and evidence map.
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DOI:
10.1093/nutrit/nux042
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发表时间:
2017-10-01
期刊:
影响因子:
6.1
通讯作者:
Welch AA
Welch AA
中科院分区:
医学2区
文献类型:
--
作者:
Craig JV;Bunn DK;Hayhoe RP;Appleyard WO;Lenaghan EA;Welch AA

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背景:了解饮食在生命过程中对骨骼和骨骼肌质量和力量的可调节影响,将有助于制定降低年龄相关骨折风险的策略。地中海饮食含有丰富的营养物质,可能对最佳肌肉骨骼健康很重要。目的:本系统综述的目的是调查地中海饮食与各年龄组肌肉骨骼结果(骨折、骨密度、骨质疏松症、骨质疏松症)之间的关系。资料来源:共检索到10个电子数据库。研究选择:研究传统地中海饮食的随机对照试验和前瞻性队列研究符合条件,均以任何语言发表。使用其他设计或地中海饮食的其他定义的研究在证据地图中单独进行了整理。资料提炼:研究设计、方法、人群、饮食干预或暴露、随访时间、对肌肉骨骼结果的影响或与其相关的细节被提炼出来。结果:检索到1738篇参考文献。符合条件的随机对照试验(n = 0)和前瞻性队列研究(n = 3)的数据按结果进行叙述性综合,以进行系统评价。其中两项研究报告了髋部骨折的发生率,但结果相互矛盾。第三项研究发现,地中海饮食和石棺减少症的发生率之间没有关联。结论:总体而言,系统回顾和证据地图显示,缺乏研究来了解地中海饮食和所有年龄段的肌肉骨骼健康之间的关系。系统评审注册:PROSPERO注册编号:IDCRD42016037038。
Context: An understanding of the modifiable effects of diet on bone and skeletal muscle mass and strength over the life course will help inform strategies to reduce age-related fracture risk. The Mediterranean diet is rich in nutrients that may be important for optimal musculoskeletal health. Objective: The aim of this systematic review was to investigate the relationship between a Mediterranean diet and musculoskeletal outcomes (fracture, bone density, osteoporosis, sarcopenia) in any age group. Data Sources: Ten electronic databases were searched. Study Selection: Randomized controlled trials and prospective cohort studies that investigated a traditional Mediterranean diet, published in any language, were eligible. Studies using other designs or other definitions of the Mediterranean diet were collated separately in an evidence map. Data Extraction: Details on study design, methods, population, dietary intervention or exposure, length of follow-up, and effect on or association with musculoskeletal outcomes were extracted. Results: The search yielded 1738 references. Data from eligible randomized controlled trials (n = 0) and prospective cohort studies (n = 3) were synthesized narratively by outcome for the systematic review. Two of these studies reported on hip fracture incidence, but results were contradictory. A third study found no association between the Mediterranean diet and sarcopenia incidence. Conclusions: Overall, the systematic review and evidence map demonstrate a lack of research to understand the relationship between the Mediterranean diet and musculoskeletal health in all ages. Systematic Review Registration: PROSPERO registration number IDCRD42016037038.
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