{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T12:12:46Z","timestamp":1781871166623,"version":"3.54.5"},"reference-count":66,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2017,7,6]],"date-time":"2017-07-06T00:00:00Z","timestamp":1499299200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004515","name":"Universiti Kebangsaan Malaysia","doi-asserted-by":"publisher","award":["GGPM-2015-036"],"award-info":[{"award-number":["GGPM-2015-036"]}],"id":[{"id":"10.13039\/501100004515","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004515","name":"Universiti Kebangsaan Malaysia","doi-asserted-by":"publisher","award":["FF-2015-412"],"award-info":[{"award-number":["FF-2015-412"]}],"id":[{"id":"10.13039\/501100004515","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Risk factors for osteoporosis may vary according to different populations. We aimed to investigate the relationship between risk factors of osteoporosis and bone health indices determined via calcaneal quantitative ultrasound (QUS) in a group of Malaysian women aged 50 years or above. A cross-sectional study was performed on 344 Malaysian women recruited from a tertiary medical centre in Kuala Lumpur, Malaysia. They answered a self-administered questionnaire on their social-demographic details, medical history, lifestyle, and physical activity status. Their height was measured using a stadiometer, and their body composition estimated using a bioelectrical impedance device. Their bone health status was determined using a water-based calcaneal QUS device that generated three indices, namely speed of sound (SOS), broadband ultrasound attenuation (BUA), and stiffness index (SI). A T-score was computed from SI values using a reference database from a mainland Chinese population. Women with three or more lifetime pregnancies, who were underweight and not drinking coffee had a significantly lower BUA. Stepwise multiple linear regression showed that SOS was predicted by age alone, BUA and SI by years since menopause, body mass index (BMI), and number of lifetime pregnancies, and T-score by years since menopause and percentage of body fat. As a conclusion, suboptimal bone health in middle-aged and elderly Malaysian women as indicated by QUS is associated with old age, being underweight, having a high body fat percentage, and a high number of lifetime pregnancies. Women having several risk factors should be monitored more closely to protect their bones against accelerated bone loss.<\/jats:p>","DOI":"10.3390\/ijerph14070736","type":"journal-article","created":{"date-parts":[[2017,7,6]],"date-time":"2017-07-06T10:55:45Z","timestamp":1499338545000},"page":"736","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Factors Associated with Bone Health in Malaysian Middle-Aged and Elderly Women Assessed via Quantitative Ultrasound"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6628-1552","authenticated-orcid":false,"given":"Kok-Yong","family":"Chin","sequence":"first","affiliation":[{"name":"Department of Pharmacology, Universiti Kebangsaan Malaysia Medical Centre, Cheras 56000, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nie","family":"Low","sequence":"additional","affiliation":[{"name":"ASASIpintar, PERMATApintar National Gifted Centre, Universiti Kebangsaan Malaysia, Bangi 43600, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wan","family":"Dewiputri","sequence":"additional","affiliation":[{"name":"ASASIpintar, PERMATApintar National Gifted Centre, Universiti Kebangsaan Malaysia, Bangi 43600, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soelaiman","family":"Ima-Nirwanaa","sequence":"additional","affiliation":[{"name":"Department of Pharmacology, Universiti Kebangsaan Malaysia Medical Centre, Cheras 56000, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2017,7,6]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"2618","DOI":"10.1002\/jcp.25001","article-title":"Determinants of muscle and bone aging","volume":"230","author":"Curtis","year":"2015","journal-title":"J. Cell. Physiol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"576","DOI":"10.1016\/j.tem.2012.03.008","article-title":"Estrogen and the skeleton","volume":"23","author":"Khosla","year":"2012","journal-title":"Trends Endocrinol. Metab."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"3569","DOI":"10.1210\/jc.2010-0856","article-title":"Update on estrogens and the skeleton","volume":"95","author":"Khosla","year":"2010","journal-title":"J. Clin. Endocrinol. Metab."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1097\/OGX.0b013e3181fc6d30","article-title":"Assessment of postmenopausal women and significant risk factors for osteoporosis","volume":"65","author":"Schnatz","year":"2010","journal-title":"Obstet. Gynecol. Surv."},{"key":"ref_5","first-page":"1387","article-title":"A study of risk factors and t- score variability in Romanian women with postmenopausal osteoporosis","volume":"42","author":"ToRo","year":"2013","journal-title":"Iran. J. Public Health"},{"key":"ref_6","unstructured":"World Health Organization (1994). Assessment of Fracture Risk and Its Application to Screening for Postmenopausal Osteoporosis: Report of a World Health Organization Study Group, World Health Organization."},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Mithal, A., and Ebeling, P. (2013). The Asia-Pacific Regional Audit: Epidemiology, Costs & Burden of Osteoporosis in 2013, International Osteoporosis Foundation.","DOI":"10.4103\/2230-8210.137485"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1778","DOI":"10.7150\/ijms.6765","article-title":"Calcaneal quantitative ultrasound as a determinant of bone health status: What properties of bone does it reflect?","volume":"10","author":"Chin","year":"2013","journal-title":"Int. J. Med. Sci."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1016\/j.jocd.2007.12.011","article-title":"Quantitative ultrasound in the management of osteoporosis: The 2007 iscd official positions","volume":"11","author":"Krieg","year":"2008","journal-title":"J. Clin. Densitom."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1007\/s00198-011-1817-5","article-title":"Quantitative ultrasound of the heel and fracture risk assessment: An updated meta-analysis","volume":"23","author":"Moayyeri","year":"2012","journal-title":"Osteoporos. Int."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1015","DOI":"10.1007\/s00198-012-2001-2","article-title":"Quantitative ultrasound and fracture risk prediction in non-osteoporotic men and women as defined by who criteria","volume":"24","author":"Chan","year":"2013","journal-title":"Osteoporos. Int."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1007\/s11657-012-0091-2","article-title":"The effects of age, physical activity level, and body anthropometry on calcaneal speed of sound value in men","volume":"7","author":"Chin","year":"2012","journal-title":"Arch. Osteoporos."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"911","DOI":"10.6061\/clinics\/2012(08)10","article-title":"Serum testosterone, sex hormone-binding globulin and total calcium levels predict the calcaneal speed of sound in men","volume":"67","author":"Chin","year":"2012","journal-title":"Clinics"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1016\/j.jocd.2012.03.004","article-title":"Discrepancy between the quantitative ultrasound value of Malaysian men and the manufacturer\u2019s reference and the impact on classification of bone health status","volume":"16","author":"Chin","year":"2013","journal-title":"J. Clin. Densitom."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3923\/ijom.2014.1.11","article-title":"Association between risk factors of osteoporosis and bone mineral density in women of different ethnic groups in a Malaysian hospital","volume":"7","author":"Chan","year":"2014","journal-title":"Int. J. Osteoporos. Metab. Disord."},{"key":"ref_16","first-page":"161","article-title":"Bone health status and lipid profile among post-menopausal malay women in Cheras, Kuala Lumpur","volume":"18","author":"Hasnah","year":"2012","journal-title":"Malays. J. Nutr."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"767","DOI":"10.2147\/CIA.S108772","article-title":"Effects of age, sex, and ethnicity on bone health status of the elderly in Kuala Lumpur, Malaysia","volume":"11","author":"Chin","year":"2016","journal-title":"Clin. Interv. Aging"},{"key":"ref_18","unstructured":"National Health Service (2017, July 06). Alcohol Units. Available online: http:\/\/www.nhs.uk\/Livewell\/alcohol\/Pages\/alcohol-units.aspx."},{"key":"ref_19","unstructured":"The International Physical Activity Questionnaire Group (2017, July 06). Downloadable IPAQ Questionnaires. Available online: https:\/\/sites.google.com\/site\/theipaq\/questionnaire_links."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"NP2381","DOI":"10.1177\/1010539512444120","article-title":"Reliability and validity of the Malay international physical activity questionnaire (IPAQ-M) among a Malay population in Malaysia","volume":"27","author":"Chu","year":"2015","journal-title":"Asia Pac. J. Public Health"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1359\/jbmr.070209","article-title":"Variation of ultrasonic parameters with microstructure and material properties of trabecular bone: A 3d model simulation","volume":"22","author":"Haiat","year":"2007","journal-title":"J. Bone Miner. Res."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1016\/j.actaastro.2012.08.032","article-title":"Prediction of trabecular bone qualitative properties using scanning quantitative ultrasound","volume":"92","author":"Qin","year":"2013","journal-title":"Acta Astronaut."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"672","DOI":"10.1007\/s00774-010-0170-7","article-title":"Characteristics of age-related changes in bone compared between male and female reference Chinese populations in Hong Kong: A PQCT study","volume":"28","author":"Yuen","year":"2010","journal-title":"J. Bone Miner. Metab."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1016\/j.steroids.2014.12.010","article-title":"Estrogen and bone health in men and women","volume":"99","author":"Cauley","year":"2015","journal-title":"Steroids"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1007\/s00198-002-1352-5","article-title":"The effect of age, weight, and lifestyle factors on calcaneal quantitative ultrasound: The ESOPO study","volume":"14","author":"Adami","year":"2003","journal-title":"Osteoporos. Int."},{"key":"ref_26","unstructured":"Ding, Z., Chen, Y., Xu, Y., Zhou, X., Xu, Y., Ma, Z., and Sun, Y. (2016). Impact of age, gender, and body composition on bone quality in an adult population from the middle areas of china. J. Clin. Densitom."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1016\/j.maturitas.2006.10.004","article-title":"Body mass index and gynecological factors as determinants of bone mass in healthy Moroccan women","volume":"56","author":"Guerboub","year":"2007","journal-title":"Maturitas"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1007\/s00223-012-9657-7","article-title":"Temporal changes in bone composition, architecture, and strength following estrogen deficiency in osteoporosis","volume":"91","author":"Brennan","year":"2012","journal-title":"Calcif. Tissue Int."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"1174","DOI":"10.1007\/s00198-006-0117-y","article-title":"Body composition: Gender-specific risk factor of reduced quantitative ultrasound measures in older people","volume":"17","author":"Assantachai","year":"2006","journal-title":"Osteoporos. Int."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1007\/s00774-006-0741-9","article-title":"Identifying osteoporosis in a primary care setting with quantitative ultrasound: Relationship to anthropometric and lifestyle factors","volume":"25","author":"Gemalmaz","year":"2007","journal-title":"J. Bone Miner. Metab."},{"key":"ref_31","unstructured":"Society, M.O. (2015). Clinical Guidance on Management of Osteoporosis 2012, Malaysian Osteoporosis Society."},{"key":"ref_32","first-page":"513","article-title":"Evaluation of the prevalence and correlated factors for decreased bone mass density among pre- and post-menopausal educated working women in Saudi Arabia","volume":"32","author":"Mahboub","year":"2014","journal-title":"J. Health Popul. Nutr."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1007\/s00198-015-3351-3","article-title":"Parity and osteoporotic fracture risk in postmenopausal women: A dose-response meta-analysis of prospective studies","volume":"27","author":"Wang","year":"2016","journal-title":"Osteoporos. Int."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"1213","DOI":"10.1007\/s00198-011-1654-6","article-title":"Changes in bone mineral density and body composition during pregnancy and postpartum. A controlled cohort study","volume":"23","author":"Moller","year":"2012","journal-title":"Osteoporos. Int."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1016\/j.bone.2014.12.013","article-title":"Parity, lactation, bone strength, and 16-year fracture risk in adult women: Findings from the study of women\u2019s health across the nation (swan)","volume":"73","author":"Mori","year":"2015","journal-title":"Bone"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"1351","DOI":"10.1007\/s00198-011-1693-z","article-title":"Lumbar spine bone mineral density in us adults: Demographic patterns and relationship with femur neck skeletal status","volume":"23","author":"Looker","year":"2012","journal-title":"Osteoporos. Int."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1359\/JBMR.041007","article-title":"Osteoporosis and fracture risk in women of different ethnic groups","volume":"20","author":"Siris","year":"2005","journal-title":"J. Bone Miner. Res."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1007\/s11657-014-0193-0","article-title":"Bone density in black and white South African women: Contribution of ethnicity, body weight and lifestyle","volume":"9","author":"Conradie","year":"2014","journal-title":"Arch. Osteoporos."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"2069","DOI":"10.1007\/s00198-005-2003-4","article-title":"Bone health in urban midlife malaysian women: Risk factors and prevention","volume":"16","author":"Lim","year":"2005","journal-title":"Osteoporos. Int."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1111\/j.1479-8077.2007.00314.x","article-title":"The incidence of hip fracture in Malaysians above 50 years of age: Variation in different ethnic groups","volume":"10","author":"Lee","year":"2007","journal-title":"APLAR J. Rheumatol."},{"key":"ref_41","first-page":"111","article-title":"Sarcopenia and fragility fractures","volume":"49","author":"Cederholm","year":"2013","journal-title":"Eur. J. Phys. Rehabil. Med."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1016\/S8756-3282(02)00864-5","article-title":"Relationships among body mass, its components, and bone","volume":"31","author":"Reid","year":"2002","journal-title":"Bone"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1007\/s11657-009-0029-5","article-title":"Quantitative ultrasound in relation to risk factors for low bone mineral density in south African pre-menopausal women","volume":"4","author":"Constant","year":"2009","journal-title":"Arch. Osteoporos."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1007\/s00223-011-9534-9","article-title":"The association of body composition and sex hormones with quantitative ultrasound parameters at the calcaneus and phalanxes in elderly women","volume":"89","author":"Gonnelli","year":"2011","journal-title":"Calcif. Tissue Int."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"3","DOI":"10.4149\/endo_2013_01_3","article-title":"Better association of waist circumference with insulin resistance and some cardiovascular risk factors than body mass index","volume":"47","author":"Elbassuoni","year":"2013","journal-title":"Endocr. Regul."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1186\/1749-799X-6-30","article-title":"Effects of obesity on bone metabolism","volume":"6","author":"Cao","year":"2011","journal-title":"J. Orthop. Surg. Res."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1007\/s12603-016-0746-6","article-title":"Factors influencing serum-hydroxivitamin d levels and other bone metabolism parameters in healthy older women","volume":"21","author":"Trevisan","year":"2017","journal-title":"J. Nutr. Health Aging"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"861","DOI":"10.1016\/j.biopha.2017.05.013","article-title":"Vitamin D: Correlation with biochemical and body composition changes in a southern Brazilian population and induction of cytotoxicity in mesenchymal stem cells derived from human adipose tissue","volume":"91","author":"Pesarini","year":"2017","journal-title":"Biomed. Pharmacother."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"5419","DOI":"10.3390\/nu6125419","article-title":"Vitamin D status in malaysian men and its associated factors","volume":"6","author":"Chin","year":"2014","journal-title":"Nutrients"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"1640","DOI":"10.1210\/jc.2006-0572","article-title":"Relationship of obesity with osteoporosis","volume":"92","author":"Zhao","year":"2007","journal-title":"J. Clin. Endocrinol. Metab."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1093\/ajcn\/83.1.146","article-title":"Relation of body composition, fat mass, and serum lipids to osteoporotic fractures and bone mineral density in Chinese men and women","volume":"83","author":"Hsu","year":"2006","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_52","doi-asserted-by":"crossref","unstructured":"Han, G., Chen, Y.M., Huang, H., Chen, Z., Jing, L., and Xiao, S.M. (2017). Fat mass is positively associated with estimated hip bone strength among Chinese men aged 50 years and above with low levels of lean mass. Int. J. Environ. Res. Public Health, 14.","DOI":"10.3390\/ijerph14040453"},{"key":"ref_53","doi-asserted-by":"crossref","unstructured":"Wang, J., Yan, D., Hou, X., Chen, P., Sun, Q., Bao, Y., Hu, C., Zhang, Z., and Jia, W. (2017). Association of adiposity indices with bone density and bone turnover in the Chinese population. Osteoporos. Int.","DOI":"10.1007\/s00198-017-4081-5"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"176","DOI":"10.4103\/2230-8229.142972","article-title":"The impact of adding weight-bearing exercise versus nonweight bearing programs to the medical treatment of elderly patients with osteoporosis","volume":"21","author":"Shanb","year":"2014","journal-title":"J. Fam. Community Med."},{"key":"ref_55","doi-asserted-by":"crossref","unstructured":"Bielemann, R.M., Martinez-Mesa, J., and Gigante, D.P. (2013). Physical activity during life course and bone mass: A systematic review of methods and findings from cohort studies with young adults. BMC Musculoskelet. Disord., 14.","DOI":"10.1186\/1471-2474-14-77"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1007\/s00223-010-9426-4","article-title":"Effects of nicotine administration and nicotine cessation on bone histomorphometry and bone biomarkers in sprague-dawley male rats","volume":"88","author":"Hapidin","year":"2011","journal-title":"Calcif. Tissue Int."},{"key":"ref_57","doi-asserted-by":"crossref","unstructured":"Baheiraei, A., Pocock, N.A., Eisman, J.A., Nguyen, N.D., and Nguyen, T.V. (2005). Bone mineral density, body mass index and cigarette smoking among Iranian women: Implications for prevention. BMC Musculoskelet. Disord., 6.","DOI":"10.1186\/1471-2474-6-34"},{"key":"ref_58","doi-asserted-by":"crossref","unstructured":"Huitron-Bravo, G., Denova-Gutierrez, E., Talavera, J.O., Moran-Villota, C., Tamayo, J., Omana-Covarrubias, A., and Salmeron, J. (2016). Levels of serum estradiol and lifestyle factors related with bone mineral density in premenopausal Mexican women: A cross-sectional analysis. BMC Musculoskelet. Disord., 17.","DOI":"10.1186\/s12891-016-1273-7"},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1007\/s00508-015-0867-7","article-title":"Assessment of smoking for low bone mineral density in postmenopausal Turkish women","volume":"128","author":"Ugurlu","year":"2016","journal-title":"Wien. Klin. Wochenschr."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"898","DOI":"10.1093\/aje\/kwt062","article-title":"Long-term coffee consumption in relation to fracture risk and bone mineral density in women","volume":"178","author":"Hallstrom","year":"2013","journal-title":"Am. J. Epidemiol."},{"key":"ref_61","doi-asserted-by":"crossref","unstructured":"Choi, E., Choi, K.H., Park, S.M., Shin, D., Joh, H.K., and Cho, E. (2016). The benefit of bone health by drinking coffee among Korean postmenopausal women: A cross-sectional analysis of the fourth & fifth Korea national health and nutrition examination surveys. PLoS ONE, 11.","DOI":"10.1371\/journal.pone.0147762"},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1620\/tjem.239.95","article-title":"Association between dietary intake and bone mineral density in Japanese postmenopausal women: The Yokogoshi cohort study","volume":"239","author":"Hirata","year":"2016","journal-title":"Tohoku J. Exp. Med."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1080\/15287398709530960","article-title":"Studies on the estrogenic activity of a coffee extract","volume":"20","author":"Kitts","year":"1987","journal-title":"J. Toxicol. Environ. Health"},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1093\/ajcn\/84.1.95","article-title":"Content of redox-active compounds (ie, antioxidants) in foods consumed in the united states","volume":"84","author":"Halvorsen","year":"2006","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1002\/biof.5520260103","article-title":"Inhibitory effect of the coffee diterpene kahweol on carrageenan-induced inflammation in rats","volume":"26","author":"Kim","year":"2006","journal-title":"Biofactors"},{"key":"ref_66","doi-asserted-by":"crossref","unstructured":"Moy, F.M., Hoe, V.C., Hairi, N.N., Vethakkan, S.R., and Bulgiba, A. (2016). Vitamin D deficiency and depression among women from an urban community in a tropical country. Public Health Nutr., 1\u20137.","DOI":"10.1017\/S1368980016000811"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/14\/7\/736\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T18:41:42Z","timestamp":1760208102000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/14\/7\/736"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,7,6]]},"references-count":66,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2017,7]]}},"alternative-id":["ijerph14070736"],"URL":"https:\/\/doi.org\/10.3390\/ijerph14070736","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,7,6]]}}}