Osteoporosis International

, Volume 28, Issue 4, pp 1295–1303 | Cite as

Adherence to the 2006 American Heart Association’s Diet and Lifestyle Recommendations for cardiovascular disease risk reduction is associated with bone mineral density in older Chinese

  • G. D. Chen
  • D. Ding
  • H. Y. Tian
  • Y. Y. Zhu
  • W. T. Cao
  • C. Wang
  • Y. M. ChenEmail author
Original Article



This cross-sectional study investigated the association between the modified 2006 American Heart Association Diet and Lifestyle Recommendations (AHA-DLR) and bone mineral density in Chinese adults. We found that better adherence to the AHA-DLR associated with higher bone mineral density (BMD) at multiple sites.


Accumulating evidence shows that cardiovascular disease (CVD) and osteoporosis are associated with each other, yet little research has focused on whether strategies to reduce CVD risk could also benefit bone health. We aimed to assess the association between adherence to the modified 2006 American Heart Association Diet and Lifestyle Recommendations (AHA-DLR) and BMD in Chinese adults.


We included 2092 women and 1051 men aged 40–75 years in this community-based cross-sectional study. Dietary information was assessed using a 79-item food frequency survey through face-to-face interviews at baseline (2008–2010) and 3 years later (2011–2013). Adherence to the AHA-DLR was assessed using modified diet and lifestyle scores (American Heart Association Diet and Lifestyle Score (AHA-DLS)) adjusted for bone health. BMD for the whole body, lumbar spine, total hip, femur neck, and trochanter sites was measured using dual-energy X-ray absorptiometry in 2011–2013.


After adjusting for potential covariates, greater adherence to the modified AHA-DLS was positively and dose-dependently associated with BMD. The mean BMD was 1.93–3.11% higher in quartile 4 (vs. 1) (all p values <0.01) at multiple sites. Five-unit increases in the modified AHA-DLS score were associated with 4.20–6.07, 4.44–8.51, and 3.36–4.67 mg/cm2 increases in BMD at multiple sites for the total subjects, males, and females, respectively (all p values <0.01).


Better adherence to the AHA-DLR shows protective associations with BMD at multiple sites in the middle-aged and elderly Chinese population.


Adults American Heart Association Diet and Lifestyle Recommendations Bone mineral density Chinese 



This study was jointly supported by the National Natural Science Foundation of China (81472965, 81130052), the 5010 Program for Clinical Researches (No. 2007032) of the Sun Yat-sen University (Guangzhou, China), and Danone Institute China Diet Nutrition Research & Communication Grant in 2012.

Conflicts of interest



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Copyright information

© International Osteoporosis Foundation and National Osteoporosis Foundation 2016

Authors and Affiliations

  • G. D. Chen
    • 1
  • D. Ding
    • 1
  • H. Y. Tian
    • 1
  • Y. Y. Zhu
    • 1
  • W. T. Cao
    • 1
  • C. Wang
    • 1
  • Y. M. Chen
    • 1
    Email author
  1. 1.Department of Medical Statistics and Epidemiology, Guangdong Provincial Key Laboratory of Food, Nutrition, and Health, School of Public HealthSun Yat-sen UniversityGuangzhouPeople’s Republic of China

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