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Dietary Calcium Intake Among Iranian Adults: Iranian Multicenter Osteoporosis Study (Imos-2021) Publisher Pubmed



Ghazbani A1, 2 ; Namazi N3 ; Mansourzadeh MJ2 ; Khalagi K2, 4 ; Ostovar N5 ; Sanjari M2 ; Panahi N6, 7 ; Razi F8 ; Hajivalizadeh F9 ; Hajivalizadeh S2 ; Hesari E2 ; Aghakhani A1, 2 ; Farzadfar F10 ; Raiesi A11 Show All Authors
Authors
  1. Ghazbani A1, 2
  2. Namazi N3
  3. Mansourzadeh MJ2
  4. Khalagi K2, 4
  5. Ostovar N5
  6. Sanjari M2
  7. Panahi N6, 7
  8. Razi F8
  9. Hajivalizadeh F9
  10. Hajivalizadeh S2
  11. Hesari E2
  12. Aghakhani A1, 2
  13. Farzadfar F10
  14. Raiesi A11
  15. Fahimfar N1, 2
  16. Ostovar A2, 7
Show Affiliations
Authors Affiliations
  1. 1. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Osteoporosis Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Diabetes Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Obesity and Eating Habits Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Food and Beverage Safety Research Center, Urmia University of Medical Sciences, Urmia, Iran
  6. 6. Metabolic Disorders Research Center, Endocrinology and Metabolism Cellular and Molecular Institute, Tehran University of Medical Sciences, Tehran, Iran
  7. 7. Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  8. 8. Metabolomics and Genomics Research Center, Endocrinology and Metabolism Molecular-Cellular Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  9. 9. Center for Non-Communicable Disease Control & Prevention, Deputy of Public Health, Ministry of Health and Medical Education, Tehran, Iran
  10. 10. Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  11. 11. Department of Internal Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran

Source: PLoS ONE Published:2024


Abstract

Background Adequate dietary consumption of calcium is crucial in the preservation of bone health and the prevention of osteoporosis. This study investigated the prevalence of insufficient dietary calcium intake among individuals aged ≥50 years in Iran. Methods We analyzed data from the Iranian Multicenter Osteoporosis Study (IMOS-2021). Participants aged 50 years and older completed a 168-item food frequency questionnaire. Insufficient dietary calcium intake was characterized as a daily calcium intake of <1000 mg for men aged 50-70 years, and <1200 mg for men over 70 years and women over 50 years and older. Stata v17 statistical software facilitated a survey set analysis to estimate the population's mean and median dietary calcium intake and the prevalence of insufficient dietary calcium intake. Results The study included 1450 participants with a mean age of 60.7±7.9 years. The estimated mean dietary calcium intake in Iran was 1062.7 mg/day (95% CI: 1029.6-1095.8), with a median intake of 943.5 mg/d (95% CI: 910.5-976.4). The prevalence of insufficient dietary calcium intake in Iran was estimated to be 62.9% (95% CI: 60.0%-65.7%). Notably, the prevalence was higher among women at 75.5% (95% CI: 71.9%-78.8%), compared to men at 47.8% (95% CI: 43.4%-52.3%) with a significant difference (P<0.001). In age-related findings, individuals aged 65 years and older had a higher prevalence of insufficient intake, at 69.0% (95% CI: 63.9%-74.0%), versus those under 65 years, at 60.3% (95% CI: 56.9%- 63.8%), with this difference being statistically significant (P = 0.007). Furthermore, a significant inverse relationship was identified between both educational years and socioeconomic status and the prevalence of insufficient dietary calcium intake (Ps for trends<0.001). Conclusion Our findings revealed a significant prevalence of insufficient dietary calcium intake in women and those aged 65 and older. We advocate for targeted public health strategies to ensure sufficient dietary calcium intake across these populations. © 2024 Ghazbani et al.