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BMI reduction and vitamin D insufficiency mediated osteoporosis and fragility fractures in patients at nutritional risk: a cross-sectional study

European Journal of Clinical Nutrition volume 72, pages 455–459 (2018)Cite this article

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Abstract

It seemed to be common sense that malnutrition was associated with osteoporosis, but there were few studies with detailed data proving that. Additionally, the association between BMI and osteoporosis was still under discussion. In our study of 138 patients, we first confirmed the association between nutrition and osteoporosis with propensity score matching method reducing the confounding bias, then discovered that body mass index (BMI) and 25OHD level acted as two crucial factors of nutrition risk-mediated osteoporosis. Moreover, a new BMI classification was proposed in our article to do more help for nutrition management and anti-osteoporosis treatment for the old in China. Consequently, nutrition is important to bone health, with BMI and 25OHD level playing key roles.

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Author contributions

Li was in charge of the clinical data collection and analysis, and Hui was in charge of PSM analysis and logistic regression analysis in our study; Zhang was in charge of the surgical treatment of osteoporotic fractures, and Yu was in charge of clinical nutritional treatment. Xiao Chang helped in data collection and analysis; ML and YW gave many necessary suggestions in the aspect of osteoporosis, 25OHD and Ca treatment.

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Author notes

  1. Yatong Li and Min Hui contributed equally to this work and are co-first authors.

Authors and Affiliations

  1. Department of General Surgery, Peking Union Medical College Hospital, Beijing, China

    Yatong Li, Min Hui & Jianchun Yu

  2. Department of Orthopedics, Peking Union Medical College Hospital, Beijing, China

    Xiao Chang, Yipeng Wang & Baozhong Zhang

  3. Department of Endocrinology, Peking Union Medical College Hospital, Beijing, China

    Mei Li

Authors
  1. Yatong Li
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  2. Min Hui
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  3. Xiao Chang
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  4. Mei Li
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  5. Yipeng Wang
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  6. Baozhong Zhang
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  7. Jianchun Yu
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Corresponding authors

Correspondence to Baozhong Zhang or Jianchun Yu.

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The authors declare that they have no conflict of interest.

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Li, Y., Hui, M., Chang, X. et al. BMI reduction and vitamin D insufficiency mediated osteoporosis and fragility fractures in patients at nutritional risk: a cross-sectional study. Eur J Clin Nutr 72, 455–459 (2018). https://doi.org/10.1038/s41430-017-0067-9

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  • DOI: https://doi.org/10.1038/s41430-017-0067-9

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