Osteoporosis & bone health

Ultra-processed food intake and prevalence of osteoporosis in US adults aged 50 years and older: a cross-sectional analysis

Osteoporos IntPublished Cross-sectional study

Main finding · Osteopenia or osteoporosisResult — go to the resultOdds ratio 1.52 95% CI 1.28–1.79

Authors' conclusion

These findings indicate an association between osteoporosis and osteopenia and the intake of UPF as a proportion of total daily energy.

Study context

Population
US adults aged 50 years and older, NHANES
Exposure
Highest vs lowest quintile of ultra-processed foods (UPF) intake as a proportion of daily energy intake
Outcome
Prevalence of osteopenia or osteoporosis
Methodological detailsregression analysis adjusted for covariates, four NHANES cycles, 24-h dietary recall
  • Regression analysis adjusted for covariates
  • Four NHANES cycles
  • 24-h dietary recall

Main finding

Osteopenia or osteoporosis

Odds ratio

1.52

95% CI 1.28–1.79

Highest quintilevs Lowest quintile
OR 1.52 (95% CI 1.28–1.79)

As reported in the abstract

Observational data: associations, not effects.

Further findings

Prevalence of osteopenia and osteoporosis by sex

Osteopenia, women
50.5%
Osteopenia, men
28.0%
Osteoporosis, women
8.2%
Osteoporosis, men
1.8%

Self-reported prior hip, wrist or spine fracture in women, per percentage increase in UPF intake

Increase in odds per percentage increase in UPF proportion
1.9% (95% CI 1.003, 1.035)

Fracture in men

Increased risk of fracture not observed among men

Original publication

Ultra-processed food intake and prevalence of osteoporosis in US adults aged 50 years and older: a cross-sectional analysis. Osteoporos Int. Published 28 January 2025. doi:10.1007/s00198-025-07394-4

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