Wang XL, Zhao YR, Yu Y, Mao ZF, Tan SX, Yu SS. Impact of dietary nutrition regimens based on body composition analysis on bone metabolism in Alzheimer’s disease patients. World J Psychiatry 2025; 15(2): 99008 [DOI: 10.5498/wjp.v15.i2.99008]
Corresponding Author of This Article
Shan-Shan Yu, BMed, Doctor, Department of Geriatric Psychiatry, The Third Hospital of Quzhou, No. 226 Baiyun North Avenue, Baiyun Street, Kecheng District, Quzhou 324000, Zhejiang Province, China. 17015041@qq.com
Research Domain of This Article
Geriatrics & Gerontology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Psychiatry. Feb 19, 2025; 15(2): 99008 Published online Feb 19, 2025. doi: 10.5498/wjp.v15.i2.99008
Table 1 Comparison of general information, mean ± SD/n (%)
Characterization
Routine diet group
Personalized nutrition group
χ2/t value
P value
Age
69.17 ± 6.77
68.42 ± 6.36
0.559
0.577
Sex
0.168
0.682
Male
27 (56.25)
25 (52.08)
Female
21 (43.75)
23 (47.92)
Height (cm)
169.28 ± 11.08
170.67 ± 12.42
0.579
0.564
Body mass index
21.98 ± 1.46
22.09 ± 1.35
0.385
0.701
Smoking history
With
6 (12.50)
8 (16.67)
Without
42 (87.50)
40 (83.33)
Alcoholism history
0.103
0.749
With
5 (10.42)
6 (12.50)
Without
43 (89.58)
42 (87.50)
History of underlying diseases
Hypertension
0.844
0.358
With
11 (22.92)
15 (31.25)
Without
37 (77.08)
33 (68.75)
Diabetes
0.182
0.670
With
18 (37.50)
16 (33.33)
Without
30 (62.50)
32 (66.67)
Mini-mental state examination score
21.46 ± 3.86
21.42 ± 3.74
0.054
0.957
Serum osteocalcin (ng/L)
3.45 ± 1.33
3.65 ± 1.08
0.813
0.418
25-hydroxyvitamin D (ng/mL)
15.34 ± 4.02
15.15 ± 3.87
0.236
0.814
Serum calcium (mg/dL)
8.46 ± 2.34
8.62 ± 2.12
0.352
0.726
Procollagen type I N-terminal propeptide (ng/mL)
73.27 ± 5.28
73.18 ± 5.67
0.080
0.936
Beta C-terminal telopeptide of type I collagen (ng/mL)
0.76 ± 0.13
0.75 ± 0.15
0.327
0.744
Bone mineral density score
1.603
0.588
T score > -1
5 (10.42)
6 (12.50)
-2.5 ≤ T score ≤ -1
29 (60.42)
24 (50.00)
T score < -2.5
14 (29.16)
18 (37.50)
Table 2 Intra-group comparison of bone mineral density in the routine dietary group before and 12 weeks after intervention, n (%)
After treatment
T score > -1
-2.5 ≤ T score ≤ -1
T score < -2.5
Total
P value
Before treatment
0.000
T score > -1
8 (16.67)
0 (0.00)
0 (0.00)
8 (16.67)
-2.5 ≤ T score ≤ -1
16 (33.34)
13 (27.08)
0 (0.00)
29 (60.42)
T score < -2.5
0 (0.00)
4 (8.34)
7 (14.58)
11 (22.92)
Total
24 (50.00)
17 (35.42)
7 (14.58)
48 (100)
Table 3 Intra-group comparison of bone mineral density in the personalized nutrition group before and 12 weeks after intervention, n (%)
After treatment
T score > -1
-2.5 ≤ T score ≤ -1
T score < -2.5
Total
P value
Before treatment
0.001
T score > -1
6 (12.50)
0 (0.00)
0 (0.00)
6 (12.50)
-2.5 ≤ T score ≤ -1
13 (27.08)
11 (22.92)
0 (0.00)
24 (50.00)
T score < -2.5
11 (22.92)
3 (6.25)
4 (8.33)
18 (37.50)
Total
30 (62.50)
14 (29.17)
4 (8.33)
Table 4 Inter-group comparison of bone mineral density between the two groups before and 12 weeks after intervention, n (%)
Routine diet group (n = 48)
Personalized nutrition group (n = 48)
χ2 value
P value
6.353
0.042
T score > -1
24 (50.00)
30 (62.50)
-2.5 ≤ T score ≤ -1
17 (35.42)
14 (29.17)
T score < -2.5
7 (14.58)
4 (8.33)
Table 5 Comparison of mini-mental state examination scores between the two groups before and 12 weeks after intervention, mean ± SD
Routine diet group (n = 48)
Personalized nutrition group (n = 48)
t value
P value
Before treatment
21.46 ± 3.86
21.42 ± 3.74
0.054
0.957
After treatment
25.39 ± 2.86
26.48 ± 2.27
2.057
0.042
t value
6.266
8.244
P value
0.000
0.000
Citation: Wang XL, Zhao YR, Yu Y, Mao ZF, Tan SX, Yu SS. Impact of dietary nutrition regimens based on body composition analysis on bone metabolism in Alzheimer’s disease patients. World J Psychiatry 2025; 15(2): 99008