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Title: DOES DIAGNOSIS OF OSTEOPOROSIS INCREASE MUSCULOSKELETAL NUTRIENT INDEX SCORES IN OLDER ADULTS?

Author
item McCabe Sellers, Beverly
item Staggs, Cathleen
item SHARKEY, JOSEPH - TEXAS A&M UNIVERSITY
item CHAMPAGNE, CATHERINE - PENNINGTON BIOMED RES CNT
item ALLEN, RAY - PENNINGTON BIOMED RES CNT
item Bogle, Margaret

Submitted to: Journal of Federation of American Societies for Experimental Biology
Publication Type: Abstract Only
Publication Acceptance Date: 1/20/2006
Publication Date: 3/7/2006
Citation: McCabe Sellers, B.J., Staggs, C.G., Sharkey, J.R., Champagne, C.M., Allen, R., Bogle, M.L. 2006. Does diagnosis of osteoporosis increase musculoskeletal nutrient index scores in older adults [abstract]? Journal of Federation of American Societies for Experimental Biology. 20(5):A992.

Interpretive Summary:

Technical Abstract: The Surgeon General’s report on osteoporosis among Americans emphasizes prevention through better nutrition. The Dietary Reference Intakes began with nutrients associated with bone health. calcium, phosphorus, magnesium, Vitamin D, and fluoride. A musculoskeletal nutrient index (MNI) using four bone" nutrients has been calibrated with physical performance to assess dietary intake for bone health. The purpose was to compare MNI scores by self-reports of a physician's diagnosis of osteoporosis. A sample of 557 adults (58% Caucasian; 38% African-Americans) over age 55 in the Lower Mississippi Delta was drawn from the Foods of Our Delta (FOODS) 2000 study. A factor analysis of relative nutrient intakes led to a summary MNI by summing the nutrients' quartiles and separating into three categories to assess if a diagnosis of osteoporosis was associated with a better MNI score. Previous focus groups reported Delta residents would change diets with a disease diagnosis. Mean MNI score for 50 subjects with an osteoporosis diagnosis (71% Caucasian, 84% female) was 6.62 ±3.8 compared to 5.98 ± 3.8 for the 507 subjects without a diagnosis. Dietary vitamin D intake was below measurable amounts for over 10%.Calcium scores improved with a diagnosis, the other three nutrient scores did not. These data suggest that diagnosis is unlikely to improve intake beyond calcium without specific counseling on the other "bone" nutrients. Supported by USDA, ARS 6251-53000-004-00D.