Association of eating out with bone density in Taiwan

Y.-H. Huang, C.-C. Lin, C.-I. Lin, S.-H. Lin

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objective The present study analysed data derived from the 2004-2008 Nutrition and Health Survey in Taiwan, conducted by the Ministry of Health and Welfare, to understand the relationship among eating-out behaviour, related non-nutritional factors and osteopenia in the Taiwanese population. Design/Setting/Subjects Data of 1140 adults who had been evaluated with dual-energy X-ray absorptiometry in June 2007 were included. The data were analysed through descriptive and inferential statistics to determine the association of osteopenia with the frequency of eating out, demographic variables (i.e. age, sex, level of education, marital status and place of birth), BMI, waist circumference and food consumption. Results Gender, age, education level, personal income and waist circumference were all factors found to be significantly associated with eating-out frequency and the incidence of osteopenia. Eating-out frequency was negatively associated with the incidence of osteopenia. Individuals with BMI>27 kg/m2 had a lower frequency of eating out and a lower incidence of osteopenia. Individuals with a lower monthly income had a significantly greater chance of developing osteopenia. Men living without spouses had significantly higher chances of osteopenia. Ca intake was negatively associated with breakfast eating-out frequency. Conclusions Eating-out frequency was not associated with an increasing incidence of osteopenia, but affected the Ca intake in the Taiwanese population. Having a balanced selection of food is crucial to reduce the incidence of osteopenia. Improving nutritional knowledge for those under higher risk of osteopenia is necessary to prevent osteopenia and Ca deficiency. © The Authors 2017.
Original languageEnglish
Pages (from-to)3151-3155
Number of pages5
JournalPublic Health Nutrition
Volume20
Issue number17
DOIs
Publication statusPublished - 2017

Fingerprint

Metabolic Bone Diseases
Taiwan
Bone Density
Eating
Incidence
Waist Circumference
Food Preferences
Sex Education
Breakfast
Nutrition Surveys
Photon Absorptiometry
Marital Status
Feeding Behavior
Health Surveys
Spouses
Population
Demography
Education
Food

Keywords

  • BMI
  • Calcium
  • Dual-energy X-ray absorptiometry
  • Eating out
  • Osteopenia
  • adult
  • age
  • aged
  • bone density
  • cross-sectional study
  • educational status
  • feeding behavior
  • female
  • human
  • income
  • male
  • middle aged
  • photon absorptiometry
  • sex factor
  • statistics and numerical data
  • Taiwan
  • waist circumference
  • young adult
  • Absorptiometry, Photon
  • Adult
  • Age Factors
  • Aged
  • Bone Density
  • Cross-Sectional Studies
  • Educational Status
  • Feeding Behavior
  • Female
  • Humans
  • Income
  • Male
  • Middle Aged
  • Sex Factors
  • Waist Circumference
  • Young Adult

Cite this

Association of eating out with bone density in Taiwan. / Huang, Y.-H.; Lin, C.-C.; Lin, C.-I.; Lin, S.-H.

In: Public Health Nutrition, Vol. 20, No. 17, 2017, p. 3151-3155.

Research output: Contribution to journalArticle

Huang, Y.-H. ; Lin, C.-C. ; Lin, C.-I. ; Lin, S.-H. / Association of eating out with bone density in Taiwan. In: Public Health Nutrition. 2017 ; Vol. 20, No. 17. pp. 3151-3155.
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abstract = "Objective The present study analysed data derived from the 2004-2008 Nutrition and Health Survey in Taiwan, conducted by the Ministry of Health and Welfare, to understand the relationship among eating-out behaviour, related non-nutritional factors and osteopenia in the Taiwanese population. Design/Setting/Subjects Data of 1140 adults who had been evaluated with dual-energy X-ray absorptiometry in June 2007 were included. The data were analysed through descriptive and inferential statistics to determine the association of osteopenia with the frequency of eating out, demographic variables (i.e. age, sex, level of education, marital status and place of birth), BMI, waist circumference and food consumption. Results Gender, age, education level, personal income and waist circumference were all factors found to be significantly associated with eating-out frequency and the incidence of osteopenia. Eating-out frequency was negatively associated with the incidence of osteopenia. Individuals with BMI>27 kg/m2 had a lower frequency of eating out and a lower incidence of osteopenia. Individuals with a lower monthly income had a significantly greater chance of developing osteopenia. Men living without spouses had significantly higher chances of osteopenia. Ca intake was negatively associated with breakfast eating-out frequency. Conclusions Eating-out frequency was not associated with an increasing incidence of osteopenia, but affected the Ca intake in the Taiwanese population. Having a balanced selection of food is crucial to reduce the incidence of osteopenia. Improving nutritional knowledge for those under higher risk of osteopenia is necessary to prevent osteopenia and Ca deficiency. {\circledC} The Authors 2017.",
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author = "Y.-H. Huang and C.-C. Lin and C.-I. Lin and S.-H. Lin",
note = "引用次數:1 Export Date: 25 October 2018 CODEN: PHNUF 通訊地址: Lin, S.-H.; School of Nutrition and Health Sciences, Taipei Medical UniversityTaiwan; 電子郵件: lin5611@tmu.edu.tw 參考文獻: Lin, W.Y., Family changes and family policy in Taiwan (2002) J NTU Soc Work, 6, pp. 35-88; Wang, H.-H., Tsay, S.-F., Elderly and long-term care trends and policy in Taiwan: Challenges and opportunities for health care professionals (2012) Kaohsiung J Med Sci, 28, pp. 465-469; (2010) Ministry of Health and Welfare, , http://www.mohw.gov.tw/cht/DOS/Statistic.aspx?f_list_no=312, Ministry of Health and Welfare (accessed August 2016); Hanson, G.H., The governance of migration policy (2010) J Hum Dev Capabil, 11, pp. 185-207; (2011) Ministry of the Interior, , http://www.sowf.moi.gov.tw/stat/week/list.htm, Ministry of the Interior, Department of Household Registration (accessed August 2016); (2010) Population estimate calculation in Taiwan 2010-2060, , http://eng.dgbas.gov.tw/lp.asp?CtNode=2351&CtUnit=1072&BaseDSD=36, Directorate-General of Budget (accessed August 2016); Chie, W., Yang, R., Liu, J., High incidence rate of hip fracture in Taiwan: Estimated from a nationwide health insurance database (2004) Osteoporos Int, 15, pp. 998-1002; Gallagher, J., Riggs, B., Eisman, J., Diagnosis, prophylaxis, and treatment of osteoporosis (1994) Am J Med, 90, pp. 646-650; Nordin, B., MacGregor, J., Smith, D., The incidence of osteoporosis in normal women: Its relation to age and menopause (1966) QJM, 35, pp. 25-38; Rico, H., Revilla, M., Villa, L., Age-related differences in total and regional bone mass: A cross-sectional study with dxa in 429 normal women (1993) Osteoporos Int, 3, pp. 154-159; Beresford, J., Bennett, J., Devlin, C., Evidence for an inverse relationship between the differentiation of adipocytic and osteogenic cells in rat marrow stromal cell cultures (1992) J Cell Sci, 102, pp. 341-351; Cao, J.J., Effects of obesity on bone metabolism (2011) J Orthop Surg Res, 6, pp. 30-36; Szklarska, A., Lipowicz, A., Bmi, hypertension and low bone mineral density in adult men and women (2012) Homo, 63, pp. 282-291; Dytfeld, J., Ignaszak-Szczepaniak, M., Gowin, E., Influence of lean and fat mass on bone mineral density (bmd) in postmenopausal women with osteoporosis (2011) Arch Gerontol Geriatr, 53, pp. e237-e242; Zhai, F., Wang, H., Du, S., Lifespan nutrition and changing socio-economic conditions in China (2007) Asia Pac J Clin Nutr, 16, pp. 374-382; Chen, T.S., The study of the determinant on food-awayfrom-home expenditure-an application of cohort analysis (2010) J Chaoyang Univ Technol, 15, pp. 45-68; Li, C., (2006) A Study of Relationships Between Restaurant Consumer Purchase Involvement and Purchase Decision, , Master's Thesis, Ming Chuan University; Vallet-Regi, M., Gonz{\'a}lez-Calbet, J.M., Calcium phosphates as substitution of bone tissues (2004) Prog Solid State Chem, 32, pp. 1-31; Yang, S.-S., Zhang, Y.-X., The research of the differences between Chinese and western diet cultures (2010) Cross-Cult Commun, 6, pp. 75-83; (2011) 2004-2008 Nutrition and Health Survey in Taiwan (NAHSIT), , https://srda.sinica.edu.tw/group/sciitem/3/1302, Research Center for Humanities and Social Sciences -Academia Sinica. (accessed September 2012); (2016) BMI Measurement, , http://www.health99.hpa.gov.tw/en/, Ministry of Health and Welfare(accessed August 2016); Pan, Y.-L., Dixon, Z., Himburg, S., Asian students change their eating patterns after living in the United States (1999) J Am Diet Assoc, 99, pp. 54-57; Romero-Gwynn, E., Gwynn, D., Grivetti, L., Dietary acculturation among latinos of mexican descent (1993) Nutr Today, 28, pp. 6-12; Lee, S.-K., Sobal, J., Frongillo, E.A., Acculturation and dietary practices among Korean Americans (1999) J Am Diet Assoc, 99, pp. 1084-1089; G{\"u}ler, T., Sivas, F., Baskan, B.M., The effect of outfitting style on bone mineral density (2007) Rheumatol Int, 27, pp. 723-727; Wardlaw, G.M., Putting body weight and osteoporosis into perspective (1996) Am J Clin Nutr, 63 (3), pp. 433S-436S; Guney, E., Kisakol, G., Ozgen, G., Effect of weight loss on bone metabolism: Comparison of vertical banded gastroplasty and medical intervention (2003) Obes Surg, 13, pp. 383-388; Radak, T.L., Caloric restriction and calcium's effect on bone metabolism and body composition in overweight and obese premenopausal women (2004) Nutr Rev, 62, pp. 468-481; Daan, N.M., Fauser, B.C., Menopause prediction and potential implications (2015) Maturitas, 82, pp. 257-265; Zhao, L.-J., Liu, Y.-J., Liu, P.-Y., Relationship of obesity with osteoporosis (2007) J Clin Endocrinol Metabol, 92, pp. 1640-1646; Lachat, C., Nago, E., Verstraeten, R., Eating out of home and its association with dietary intake: A systematic review of the evidence (2012) Obes Rev, 13, pp. 329-346; Wu, S.-J., Chang, Y.-H., Chang, H.-Y., Food sources of dietary calcium, phosphorus, iron, and sodium: Nutrition and health survey in Taiwan (nahsit) 1993-1996 (2001) Nutr Sci J, 26, pp. 142-158; Roos, E., Lahelma, E., Virtanen, M., Gender, socioeconomic status and family status as determinants of food behaviour (1998) Soc Sci Med, 46, pp. 1519-1529; Cauley, J.A., Osteoporosis: Fracture epidemiology update 2016 (2017) Curr Opin Rheumatol, 29, pp. 150-156; Mangano, K.M., Sahni, S., Kiel, D.P., Bone mineral density and protein-derived food clusters from the framingham offspring study (2015) J Acad Nutr Diet, 115, pp. 1605-1613e1; Sahni, S., Broe, K.E., Tucker, K.L., Association of total protein intake with bone mineral density and bone loss in men and women from the framingham offspring study (2014) Public Health Nutr, 17, pp. 2570-2576",
year = "2017",
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pages = "3151--3155",
journal = "Public Health Nutrition",
issn = "1368-9800",
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TY - JOUR

T1 - Association of eating out with bone density in Taiwan

AU - Huang, Y.-H.

AU - Lin, C.-C.

AU - Lin, C.-I.

AU - Lin, S.-H.

N1 - 引用次數:1 Export Date: 25 October 2018 CODEN: PHNUF 通訊地址: Lin, S.-H.; School of Nutrition and Health Sciences, Taipei Medical UniversityTaiwan; 電子郵件: lin5611@tmu.edu.tw 參考文獻: Lin, W.Y., Family changes and family policy in Taiwan (2002) J NTU Soc Work, 6, pp. 35-88; Wang, H.-H., Tsay, S.-F., Elderly and long-term care trends and policy in Taiwan: Challenges and opportunities for health care professionals (2012) Kaohsiung J Med Sci, 28, pp. 465-469; (2010) Ministry of Health and Welfare, , http://www.mohw.gov.tw/cht/DOS/Statistic.aspx?f_list_no=312, Ministry of Health and Welfare (accessed August 2016); Hanson, G.H., The governance of migration policy (2010) J Hum Dev Capabil, 11, pp. 185-207; (2011) Ministry of the Interior, , http://www.sowf.moi.gov.tw/stat/week/list.htm, Ministry of the Interior, Department of Household Registration (accessed August 2016); (2010) Population estimate calculation in Taiwan 2010-2060, , http://eng.dgbas.gov.tw/lp.asp?CtNode=2351&CtUnit=1072&BaseDSD=36, Directorate-General of Budget (accessed August 2016); Chie, W., Yang, R., Liu, J., High incidence rate of hip fracture in Taiwan: Estimated from a nationwide health insurance database (2004) Osteoporos Int, 15, pp. 998-1002; Gallagher, J., Riggs, B., Eisman, J., Diagnosis, prophylaxis, and treatment of osteoporosis (1994) Am J Med, 90, pp. 646-650; Nordin, B., MacGregor, J., Smith, D., The incidence of osteoporosis in normal women: Its relation to age and menopause (1966) QJM, 35, pp. 25-38; Rico, H., Revilla, M., Villa, L., Age-related differences in total and regional bone mass: A cross-sectional study with dxa in 429 normal women (1993) Osteoporos Int, 3, pp. 154-159; Beresford, J., Bennett, J., Devlin, C., Evidence for an inverse relationship between the differentiation of adipocytic and osteogenic cells in rat marrow stromal cell cultures (1992) J Cell Sci, 102, pp. 341-351; Cao, J.J., Effects of obesity on bone metabolism (2011) J Orthop Surg Res, 6, pp. 30-36; Szklarska, A., Lipowicz, A., Bmi, hypertension and low bone mineral density in adult men and women (2012) Homo, 63, pp. 282-291; Dytfeld, J., Ignaszak-Szczepaniak, M., Gowin, E., Influence of lean and fat mass on bone mineral density (bmd) in postmenopausal women with osteoporosis (2011) Arch Gerontol Geriatr, 53, pp. e237-e242; Zhai, F., Wang, H., Du, S., Lifespan nutrition and changing socio-economic conditions in China (2007) Asia Pac J Clin Nutr, 16, pp. 374-382; Chen, T.S., The study of the determinant on food-awayfrom-home expenditure-an application of cohort analysis (2010) J Chaoyang Univ Technol, 15, pp. 45-68; Li, C., (2006) A Study of Relationships Between Restaurant Consumer Purchase Involvement and Purchase Decision, , Master's Thesis, Ming Chuan University; Vallet-Regi, M., González-Calbet, J.M., Calcium phosphates as substitution of bone tissues (2004) Prog Solid State Chem, 32, pp. 1-31; Yang, S.-S., Zhang, Y.-X., The research of the differences between Chinese and western diet cultures (2010) Cross-Cult Commun, 6, pp. 75-83; (2011) 2004-2008 Nutrition and Health Survey in Taiwan (NAHSIT), , https://srda.sinica.edu.tw/group/sciitem/3/1302, Research Center for Humanities and Social Sciences -Academia Sinica. (accessed September 2012); (2016) BMI Measurement, , http://www.health99.hpa.gov.tw/en/, Ministry of Health and Welfare(accessed August 2016); Pan, Y.-L., Dixon, Z., Himburg, S., Asian students change their eating patterns after living in the United States (1999) J Am Diet Assoc, 99, pp. 54-57; Romero-Gwynn, E., Gwynn, D., Grivetti, L., Dietary acculturation among latinos of mexican descent (1993) Nutr Today, 28, pp. 6-12; Lee, S.-K., Sobal, J., Frongillo, E.A., Acculturation and dietary practices among Korean Americans (1999) J Am Diet Assoc, 99, pp. 1084-1089; Güler, T., Sivas, F., Baskan, B.M., The effect of outfitting style on bone mineral density (2007) Rheumatol Int, 27, pp. 723-727; Wardlaw, G.M., Putting body weight and osteoporosis into perspective (1996) Am J Clin Nutr, 63 (3), pp. 433S-436S; Guney, E., Kisakol, G., Ozgen, G., Effect of weight loss on bone metabolism: Comparison of vertical banded gastroplasty and medical intervention (2003) Obes Surg, 13, pp. 383-388; Radak, T.L., Caloric restriction and calcium's effect on bone metabolism and body composition in overweight and obese premenopausal women (2004) Nutr Rev, 62, pp. 468-481; Daan, N.M., Fauser, B.C., Menopause prediction and potential implications (2015) Maturitas, 82, pp. 257-265; Zhao, L.-J., Liu, Y.-J., Liu, P.-Y., Relationship of obesity with osteoporosis (2007) J Clin Endocrinol Metabol, 92, pp. 1640-1646; Lachat, C., Nago, E., Verstraeten, R., Eating out of home and its association with dietary intake: A systematic review of the evidence (2012) Obes Rev, 13, pp. 329-346; Wu, S.-J., Chang, Y.-H., Chang, H.-Y., Food sources of dietary calcium, phosphorus, iron, and sodium: Nutrition and health survey in Taiwan (nahsit) 1993-1996 (2001) Nutr Sci J, 26, pp. 142-158; Roos, E., Lahelma, E., Virtanen, M., Gender, socioeconomic status and family status as determinants of food behaviour (1998) Soc Sci Med, 46, pp. 1519-1529; Cauley, J.A., Osteoporosis: Fracture epidemiology update 2016 (2017) Curr Opin Rheumatol, 29, pp. 150-156; Mangano, K.M., Sahni, S., Kiel, D.P., Bone mineral density and protein-derived food clusters from the framingham offspring study (2015) J Acad Nutr Diet, 115, pp. 1605-1613e1; Sahni, S., Broe, K.E., Tucker, K.L., Association of total protein intake with bone mineral density and bone loss in men and women from the framingham offspring study (2014) Public Health Nutr, 17, pp. 2570-2576

PY - 2017

Y1 - 2017

N2 - Objective The present study analysed data derived from the 2004-2008 Nutrition and Health Survey in Taiwan, conducted by the Ministry of Health and Welfare, to understand the relationship among eating-out behaviour, related non-nutritional factors and osteopenia in the Taiwanese population. Design/Setting/Subjects Data of 1140 adults who had been evaluated with dual-energy X-ray absorptiometry in June 2007 were included. The data were analysed through descriptive and inferential statistics to determine the association of osteopenia with the frequency of eating out, demographic variables (i.e. age, sex, level of education, marital status and place of birth), BMI, waist circumference and food consumption. Results Gender, age, education level, personal income and waist circumference were all factors found to be significantly associated with eating-out frequency and the incidence of osteopenia. Eating-out frequency was negatively associated with the incidence of osteopenia. Individuals with BMI>27 kg/m2 had a lower frequency of eating out and a lower incidence of osteopenia. Individuals with a lower monthly income had a significantly greater chance of developing osteopenia. Men living without spouses had significantly higher chances of osteopenia. Ca intake was negatively associated with breakfast eating-out frequency. Conclusions Eating-out frequency was not associated with an increasing incidence of osteopenia, but affected the Ca intake in the Taiwanese population. Having a balanced selection of food is crucial to reduce the incidence of osteopenia. Improving nutritional knowledge for those under higher risk of osteopenia is necessary to prevent osteopenia and Ca deficiency. © The Authors 2017.

AB - Objective The present study analysed data derived from the 2004-2008 Nutrition and Health Survey in Taiwan, conducted by the Ministry of Health and Welfare, to understand the relationship among eating-out behaviour, related non-nutritional factors and osteopenia in the Taiwanese population. Design/Setting/Subjects Data of 1140 adults who had been evaluated with dual-energy X-ray absorptiometry in June 2007 were included. The data were analysed through descriptive and inferential statistics to determine the association of osteopenia with the frequency of eating out, demographic variables (i.e. age, sex, level of education, marital status and place of birth), BMI, waist circumference and food consumption. Results Gender, age, education level, personal income and waist circumference were all factors found to be significantly associated with eating-out frequency and the incidence of osteopenia. Eating-out frequency was negatively associated with the incidence of osteopenia. Individuals with BMI>27 kg/m2 had a lower frequency of eating out and a lower incidence of osteopenia. Individuals with a lower monthly income had a significantly greater chance of developing osteopenia. Men living without spouses had significantly higher chances of osteopenia. Ca intake was negatively associated with breakfast eating-out frequency. Conclusions Eating-out frequency was not associated with an increasing incidence of osteopenia, but affected the Ca intake in the Taiwanese population. Having a balanced selection of food is crucial to reduce the incidence of osteopenia. Improving nutritional knowledge for those under higher risk of osteopenia is necessary to prevent osteopenia and Ca deficiency. © The Authors 2017.

KW - BMI

KW - Calcium

KW - Dual-energy X-ray absorptiometry

KW - Eating out

KW - Osteopenia

KW - adult

KW - age

KW - aged

KW - bone density

KW - cross-sectional study

KW - educational status

KW - feeding behavior

KW - female

KW - human

KW - income

KW - male

KW - middle aged

KW - photon absorptiometry

KW - sex factor

KW - statistics and numerical data

KW - Taiwan

KW - waist circumference

KW - young adult

KW - Absorptiometry, Photon

KW - Adult

KW - Age Factors

KW - Aged

KW - Bone Density

KW - Cross-Sectional Studies

KW - Educational Status

KW - Feeding Behavior

KW - Female

KW - Humans

KW - Income

KW - Male

KW - Middle Aged

KW - Sex Factors

KW - Waist Circumference

KW - Young Adult

KW - BMI

KW - Calcium

KW - Dual-energy X-ray absorptiometry

KW - Eating out

KW - Osteopenia

U2 - 10.1017/S1368980017002105

DO - 10.1017/S1368980017002105

M3 - Article

VL - 20

SP - 3151

EP - 3155

JO - Public Health Nutrition

JF - Public Health Nutrition

SN - 1368-9800

IS - 17

ER -