Dietary glycemic and insulin indices with the risk of osteoporosis: results from the Iranian teachers cohort study

Bibliographic Details
Title: Dietary glycemic and insulin indices with the risk of osteoporosis: results from the Iranian teachers cohort study
Authors: Anahita HoushiarRad, Danial Fotros, Mina Esmaili, Mohammad Hassan Sohouli, Marjan Ajami, Morteza Abdollahi, Motahare Hatami Marbini
Source: Frontiers in Nutrition, Vol 11 (2025)
Publisher Information: Frontiers Media S.A., 2025.
Publication Year: 2025
Collection: LCC:Nutrition. Foods and food supply
Subject Terms: osteoporosis, glycemic index, insulin index, glycemic load, insulin load, Nutrition. Foods and food supply, TX341-641
More Details: BackgroundOsteoporosis is a chronic condition characterized by reduced bone strength and an elevated risk of fractures. The influence of diet and glucose metabolism on bone health and the development of osteoporosis has been an area of interest. This study aimed to investigate the potential association between dietary glycemic index (DGI), dietary glycemic load (DGL), dietary insulin index (DII), dietary insulin load (DIL), and the odds of osteoporosis among Iranian adults.MethodsData from 12,696 Iranian teachers (35–50 years) in a cross-sectional study on diet, nutrition, physical activity, and diseases were analyzed. The participants had no history of diabetes, cardiovascular diseases, stroke, thrombosis, or cancer and consumed between 800 and 4,200 kcal/day. We estimated DGI, DGL, DII, and DIL from a validated semi-quantitative food-frequency questionnaire (FFQ). We also diagnosed osteoporosis using dual-energy X-ray absorptiometry.ResultsIn the fully adjusted model, higher DGI and DGL were significantly associated with increased odds of osteoporosis (OR = 1.78 and 1.46 for the highest vs. the lowest tertile; P trend < 0.05). Nonetheless, no significant association was found between DII or DIL and osteoporosis prevalence. Moreover, higher DIL and DGL were associated with a higher intake of calorie-dense/nutrient-poor foods and a lower intake of antioxidant-rich foods.ConclusionAlthough our study showed that high DGI/DGL increased osteoporosis risk in Iranian teachers, no association was found between DII/DIL and osteoporosis prevalence. More research is needed to confirm these results and understand the mechanisms involved.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2296-861X
Relation: https://www.frontiersin.org/articles/10.3389/fnut.2024.1415817/full; https://doaj.org/toc/2296-861X
DOI: 10.3389/fnut.2024.1415817
Access URL: https://doaj.org/article/1f5a768226634831851e979ca8efdf90
Accession Number: edsdoj.1f5a768226634831851e979ca8efdf90
Database: Directory of Open Access Journals
More Details
ISSN:2296861X
DOI:10.3389/fnut.2024.1415817
Published in:Frontiers in Nutrition
Language:English