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TABLE 3 Multivariate Linear Regression Models for Relationship of Diet and BMC to PMI or Lactose Maldigestion Status Among 10- to 13-Year-Old Girls

Adjusted Differences Between Girls With and Without PMI or LM 95% Confidence Interval P

Dietary calcium or milk intake
    PMI (independent variable) and separate models for dependent variables (n = 210)a
        Total calcium from food, mg –212 –394 to –29 .023
        Calcium exclusively from dairy foods, mg –168 –303 to –34 .015
        Total dairy calcium, mgb –188 –352 to –24 .025
        Calcium from nondairy foods, mg –23 –61 to 14 .222
        Calcium from mixed foods, mgb –20 –100 to 60 .625
        Servings of milk, cups per d –0.48 –0.82 to –0.14 .006
    LM status (independent variable) and separate models for dependent variables (n = 219)c
        Total calcium from food, mg –6 –184 to 172 .945
        Calcium exclusively from dairy foods, mg 9 –121 to 139 .889
        Servings of milk, cups per d 0.14 –0.19 to 0.47 .410
Bone status as BMC
    PMI (independent variable) and separate models for dependent variables (n = 246)a
        Total body BMC, g –69.65 –147.74 to 8.45 .080
        Spine (L2–L4) BMC, g –2.52 –4.39 to –0.64 .009
        Total hip BMC, g –0.95 –2.05 to 0.15 .089
        Femoral neck BMC, g –0.14 –0.30 to 0.02 .083
    LM status (independent variable) and separate models for dependent variables (n = 220)c
        Total body BMC, g, 30.88 –45.07 to 106.82 .424
        Spine (L2–L4) BMC, g –0.12 –1.94 to 1.71 .898
        Total hip BMC, g 0.21 –0.83 to 1.26 .689
        Femoral neck BMC, g 0.078 –0.08 to 0.23 .317

LM indicates lactose maldigestion.

a With PMI was coded as 1 and without PMI as 0. Results were adjusted for location (California or Indiana), race/ethnic group (Asian, Hispanic, or non-Hispanic white), and age (years). Diet models were also adjusted for weight. Bone models were also adjusted for BMI and Tanner score. A negative adjusted difference indicates lower BMC among girls with PMI, compared with girls without PMI.

b For mixed foods, such as pizza, some of the calcium would be from dairy sources (cheese) and some of the calcium from nondairy sources (crust, sauce, and vegetables). Total dairy calcium is the sum of calcium exclusively from dairy foods (milk) and calcium from mixed foods.

c Lactose maldigester was coded as 0 and lactose digester as 1. Results were adjusted for location, race/ethnic group, and age. Diet models were also adjusted for weight. Bone models were also adjusted for BMI and Tanner score. A positive adjusted difference indicates higher BMC among lactose maldigesters, compared with digesters.





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