{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T17:11:20Z","timestamp":1778865080906,"version":"3.51.4"},"reference-count":51,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2019,3,5]],"date-time":"2019-03-05T00:00:00Z","timestamp":1551744000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100014181","name":"Junta de Extremadura","doi-asserted-by":"publisher","award":["GR15144"],"award-info":[{"award-number":["GR15144"]}],"id":[{"id":"10.13039\/501100014181","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>The Mediterranean diet (MD) has been associated with an improvement in health and an increase in longevity. Certain components of a MD can play a role in the prevention of osteoporosis and\/or hip fracture. We investigated the association between the degree of adherence to a MD and bone mineral density (BMD) measured in several bone areas in a population of Spanish premenopausal women. We analyzed 442 premenopausal women aged 42.73 \u00b1 6.67 years. Bone measurements were obtained using quantitative bone ultrasound (QUS) for the phalanx, dual energy X-ray absorptiometry (DXA) for the lumbar spine, Ward\u2019s triangle, trochanter, and hip, and peripheral quantitative computed tomography (pQCT) for the non-dominant distal forearm. MD adherence was evaluated with MedDietScore. Amplitude-dependent speed of sound (Ad-SOS), BMD, and volumetric bone mineral density (vBMD) (total, trabecular, and cortical bone density) were positively associated with higher adherence to the MD (p &lt; 0.05). Adherence to the MD was significantly associated with QUS, BMD, and vBMD in multiple regression analysis; QUS: Ad-SOS (m\/s) \u03b2 = 0.099 (p = 0.030); BMD (g\/cm2): femur neck \u03b2 = 0.114 (p = 0.010) and Ward\u2019s triangle \u03b2 = 0.125 (p = 0.006); vBMD (mg\/cm3): total density \u03b2 = 0.119 (p = 0.036), trabecular density \u03b2 = 0.120 (p = 0.035), and cortical density \u03b2 = 0.122 (p = 0.032). We conclude that the adherence to the MD was positively associated with better bone mass in Spanish premenopausal women.<\/jats:p>","DOI":"10.3390\/nu11030555","type":"journal-article","created":{"date-parts":[[2019,3,5]],"date-time":"2019-03-05T11:19:50Z","timestamp":1551784790000},"page":"555","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":38,"title":["Adherence to a Mediterranean Diet and Bone Mineral Density in Spanish Premenopausal Women"],"prefix":"10.3390","volume":"11","author":[{"given":"Jes\u00fas","family":"P\u00e9rez-Rey","sequence":"first","affiliation":[{"name":"Metabolic Bone Disease Research Group, University of Extremadura, 10003 C\u00e1ceres, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ra\u00fal","family":"Roncero-Mart\u00edn","sequence":"additional","affiliation":[{"name":"Metabolic Bone Disease Research Group, University of Extremadura, 10003 C\u00e1ceres, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sergio","family":"Rico-Mart\u00edn","sequence":"additional","affiliation":[{"name":"Metabolic Bone Disease Research Group, University of Extremadura, 10003 C\u00e1ceres, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8073-4981","authenticated-orcid":false,"given":"Purificaci\u00f3n","family":"Rey-S\u00e1nchez","sequence":"additional","affiliation":[{"name":"Metabolic Bone Disease Research Group, University of Extremadura, 10003 C\u00e1ceres, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8073-4981","authenticated-orcid":false,"given":"Juan D.","family":"Pedrera-Zamorano","sequence":"additional","affiliation":[{"name":"Metabolic Bone Disease Research Group, University of Extremadura, 10003 C\u00e1ceres, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8073-4981","authenticated-orcid":false,"given":"Mar\u00eda","family":"Pedrera-Canal","sequence":"additional","affiliation":[{"name":"Metabolic Bone Disease Research Group, University of Extremadura, 10003 C\u00e1ceres, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7509-1192","authenticated-orcid":false,"given":"Fidel","family":"L\u00f3pez-Espuela","sequence":"additional","affiliation":[{"name":"Metabolic Bone Disease Research Group, University of Extremadura, 10003 C\u00e1ceres, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8073-4981","authenticated-orcid":false,"given":"Jes\u00fas M.","family":"Lavado-Garc\u00eda","sequence":"additional","affiliation":[{"name":"Metabolic Bone Disease Research Group, University of Extremadura, 10003 C\u00e1ceres, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2019,3,5]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1097\/00002281-200307000-00017","article-title":"Nutritional considerations in osteoporosis","volume":"15","author":"Kitchin","year":"2003","journal-title":"Curr. 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