{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T13:41:52Z","timestamp":1777902112578,"version":"3.51.4"},"reference-count":38,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100004480","name":"Natural Science Foundation of Shanxi Province","doi-asserted-by":"publisher","award":["202403021221251"],"award-info":[{"award-number":["202403021221251"]}],"id":[{"id":"10.13039\/501100004480","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Science Progress"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Adolescence is a critical window for optimizing peak bone mass. This study evaluated the independent association between dietary fiber intake and total body bone mineral density (BMD) in a representative sample of U.S. adolescents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross-sectional study analyzed 2476 participants (aged 12\u201319 years) from the National Health and Nutrition Examination Survey 2011\u20132018. Dietary fiber intake was calculated as the average of two 24-h recalls. Total BMD was measured using dual-energy X-ray absorptiometry. Multivariable linear regression, generalized additive models, and stratified analyses were utilized, adjusting for sociodemographics, body mass index (BMI), physical activity, renal function markers (creatinine, blood urea nitrogen), and dietary variables (calcium, vitamin C, and energy intake).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Dietary fiber intake was positively associated with total BMD in the fully adjusted model (\u03b2\u2009=\u20090.001\u2005g\/cm\n                      <jats:sup>2<\/jats:sup>\n                      , 95% CI: 0.001\u20130.002;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.029). Compared to the lowest tertile (T1), the highest tertile (T3) exhibited significantly higher BMD (\u03b2\u2009=\u20090.016\u2005g\/cm\n                      <jats:sup>2<\/jats:sup>\n                      , 95% CI: 0.001\u20130.031;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.038;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      for trend = 0.039). Generalized additive models confirmed a stable linear relationship (effective degrees of freedom = 1.0,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      for nonlinearity = 0.158). Significant interactions were identified for gender, age, race, and BMI (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      for interaction &lt; 0.05), with the association being most pronounced among Non-Hispanic White participants and those in the medium-BMI tertile. Conversely, no significant interactions were observed for poverty\u2013income ratio and physical activity (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      for interaction &gt; 0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Higher dietary fiber intake is independently associated with increased total body BMD in U.S. adolescents. Optimizing fiber consumption may be a strategic approach for enhancing bone mass accrual, particularly among those with a healthy body weight.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00368504261426436","type":"journal-article","created":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T14:56:04Z","timestamp":1771340164000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Association between dietary fiber intake and total bone mineral density in adolescents: A cross-sectional analysis of the NHANES 2011\u20132018"],"prefix":"10.1177","volume":"109","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-9550-3799","authenticated-orcid":false,"given":"Penghui","family":"Lv","sequence":"first","affiliation":[{"name":"Third Hospital of Shanxi Medical University, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Taiyuan, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jincheng","family":"Bai","sequence":"additional","affiliation":[{"name":"Third Hospital of Shanxi Medical University, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Taiyuan, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lu","family":"Li","sequence":"additional","affiliation":[{"name":"Third Hospital of Shanxi Medical University, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Taiyuan, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chenglong","family":"Zhang","sequence":"additional","affiliation":[{"name":"Third Hospital of Shanxi Medical University, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Taiyuan, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuaiwei","family":"Wei","sequence":"additional","affiliation":[{"name":"Third Hospital of Shanxi Medical University, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Taiyuan, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jianjun","family":"Chang","sequence":"additional","affiliation":[{"name":"Third Hospital of Shanxi Medical University, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Taiyuan, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,2,17]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.7326\/AITC201708010"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11154-010-9154-0"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/joim.12369"},{"key":"e_1_3_3_5_2","first-page":"105","article-title":"The epidemiology of osteoporosis","volume":"133","author":"Clynes MA","year":"2020","unstructured":"Clynes MA, Harvey NC, Curtis EM, et al. 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