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	Comments on: Bone Fractures among U.K. Vegans: Part 2	</title>
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	<link>https://staging.veganhealth.org/bone-fractures-among-u-k-vegans-part-2/</link>
	<description>Evidence-Based Nutrient Recommendations</description>
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		<title>
		By: JackNorrisRD		</title>
		<link>https://staging.veganhealth.org/bone-fractures-among-u-k-vegans-part-2/#comment-5037</link>

		<dc:creator><![CDATA[JackNorrisRD]]></dc:creator>
		<pubDate>Sun, 14 Feb 2021 17:00:05 +0000</pubDate>
		<guid isPermaLink="false">https://staging.veganhealth.org/?p=8875#comment-5037</guid>

					<description><![CDATA[In reply to &lt;a href=&quot;https://staging.veganhealth.org/bone-fractures-among-u-k-vegans-part-2/#comment-5035&quot;&gt;Carl&lt;/a&gt;.

Carl,
The study by Bjørnerem et al. definitely had a stronger finding in favor of breastfeeding (based on the abstract). Since EPIC-Oxford adjusted for parity, it seems like vegans with children would have to be less likely to breastfeed than meat-eaters for breastfeeding to have impacted the results. I can&#039;t recall any research measuring breastfeeding rates in vegans vs. meat-eaters, but I don&#039;t see a reason to believe vegans with children breastfeed less.]]></description>
			<content:encoded><![CDATA[<p>In reply to <a href="https://staging.veganhealth.org/bone-fractures-among-u-k-vegans-part-2/#comment-5035">Carl</a>.</p>
<p>Carl,<br />
The study by Bjørnerem et al. definitely had a stronger finding in favor of breastfeeding (based on the abstract). Since EPIC-Oxford adjusted for parity, it seems like vegans with children would have to be less likely to breastfeed than meat-eaters for breastfeeding to have impacted the results. I can&#8217;t recall any research measuring breastfeeding rates in vegans vs. meat-eaters, but I don&#8217;t see a reason to believe vegans with children breastfeed less.</p>
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		<title>
		By: Carl		</title>
		<link>https://staging.veganhealth.org/bone-fractures-among-u-k-vegans-part-2/#comment-5035</link>

		<dc:creator><![CDATA[Carl]]></dc:creator>
		<pubDate>Sun, 14 Feb 2021 08:48:39 +0000</pubDate>
		<guid isPermaLink="false">https://staging.veganhealth.org/?p=8875#comment-5035</guid>

					<description><![CDATA[In reply to &lt;a href=&quot;https://staging.veganhealth.org/bone-fractures-among-u-k-vegans-part-2/#comment-5033&quot;&gt;JackNorrisRD&lt;/a&gt;.

Here is the study from Mic‘s video. Breastfeeding reduced the risk of hip fractures by 50%. So if vegan women in the study were younger or had less children then their omnivore counterpart this might impact the results:
 https://asbmr.onlinelibrary.wiley.com/doi/pdf/10.1002/jbmr.496

He also points out that men did not have more fractures, which again makes a case for the breastfeeding theory.

Kind regards from Vienna!

Here is the link to his video, you can delete this part from the comment, if you don‘t want to publish a link to Youtube: https://youtu.be/B3qxQFFLFt8]]></description>
			<content:encoded><![CDATA[<p>In reply to <a href="https://staging.veganhealth.org/bone-fractures-among-u-k-vegans-part-2/#comment-5033">JackNorrisRD</a>.</p>
<p>Here is the study from Mic‘s video. Breastfeeding reduced the risk of hip fractures by 50%. So if vegan women in the study were younger or had less children then their omnivore counterpart this might impact the results:<br />
 <a href="https://asbmr.onlinelibrary.wiley.com/doi/pdf/10.1002/jbmr.496" rel="nofollow ugc">https://asbmr.onlinelibrary.wiley.com/doi/pdf/10.1002/jbmr.496</a></p>
<p>He also points out that men did not have more fractures, which again makes a case for the breastfeeding theory.</p>
<p>Kind regards from Vienna!</p>
<p>Here is the link to his video, you can delete this part from the comment, if you don‘t want to publish a link to Youtube: <a href="https://youtu.be/B3qxQFFLFt8" rel="nofollow ugc">https://youtu.be/B3qxQFFLFt8</a></p>
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		<item>
		<title>
		By: JackNorrisRD		</title>
		<link>https://staging.veganhealth.org/bone-fractures-among-u-k-vegans-part-2/#comment-5033</link>

		<dc:creator><![CDATA[JackNorrisRD]]></dc:creator>
		<pubDate>Sun, 14 Feb 2021 01:01:59 +0000</pubDate>
		<guid isPermaLink="false">https://staging.veganhealth.org/?p=8875#comment-5033</guid>

					<description><![CDATA[In reply to &lt;a href=&quot;https://staging.veganhealth.org/bone-fractures-among-u-k-vegans-part-2/#comment-5032&quot;&gt;Carl&lt;/a&gt;.

Carl,

The EPIC-Oxford results were adjusted for &quot;parity (none, 1–2, ≥ 3, unknown)&quot;. Breastfeeding wasn&#039;t mentioned and I haven&#039;t looked into that. A quick search (just now) for breastfeeding and fractures didn&#039;t reveal a lot of research, but I found this &quot;Although breastfeeding for 12 months or longer was associated with a higher risk of any fractures (aHR, 1.05; 95% CI, 1.03-1.08) and vertebral fractures (aHR, 1.22; 95% CI, 1.17-1.27), it was associated with a lower risk of hip fracture (aHR, 0.84; 95% CI, 0.76-0.93)&quot; (&lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/33404618/&quot; rel=&quot;nofollow ugc&quot;&gt;link&lt;/a&gt;). 

Based on this small amount of info I wouldn&#039;t think that breastfeeding is a likely explanation for the difference in total fractures in EPIC-Oxford. I say this because of the different directions the association points to in the study above and because the majority of adjustment in EPIC-Oxford for breastfeeding likely occurred when adjusting for parity.]]></description>
			<content:encoded><![CDATA[<p>In reply to <a href="https://staging.veganhealth.org/bone-fractures-among-u-k-vegans-part-2/#comment-5032">Carl</a>.</p>
<p>Carl,</p>
<p>The EPIC-Oxford results were adjusted for &#8220;parity (none, 1–2, ≥ 3, unknown)&#8221;. Breastfeeding wasn&#8217;t mentioned and I haven&#8217;t looked into that. A quick search (just now) for breastfeeding and fractures didn&#8217;t reveal a lot of research, but I found this &#8220;Although breastfeeding for 12 months or longer was associated with a higher risk of any fractures (aHR, 1.05; 95% CI, 1.03-1.08) and vertebral fractures (aHR, 1.22; 95% CI, 1.17-1.27), it was associated with a lower risk of hip fracture (aHR, 0.84; 95% CI, 0.76-0.93)&#8221; (<a href="https://pubmed.ncbi.nlm.nih.gov/33404618/" rel="nofollow ugc">link</a>). </p>
<p>Based on this small amount of info I wouldn&#8217;t think that breastfeeding is a likely explanation for the difference in total fractures in EPIC-Oxford. I say this because of the different directions the association points to in the study above and because the majority of adjustment in EPIC-Oxford for breastfeeding likely occurred when adjusting for parity.</p>
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		<title>
		By: Carl		</title>
		<link>https://staging.veganhealth.org/bone-fractures-among-u-k-vegans-part-2/#comment-5032</link>

		<dc:creator><![CDATA[Carl]]></dc:creator>
		<pubDate>Sat, 13 Feb 2021 19:14:31 +0000</pubDate>
		<guid isPermaLink="false">https://staging.veganhealth.org/?p=8875#comment-5032</guid>

					<description><![CDATA[Have you considered that pregnancy and lactation are one major factor that can protect against fractures in women? Also, some statistics say that a lot of vegan women do not have children, so they could miss out on this protection. 

The higher percentage of vegan women without children could be driving up the numbers against their omnivore counterparts.

I heard this argument from Mic the Vegan in his analysis. What do you think about it?]]></description>
			<content:encoded><![CDATA[<p>Have you considered that pregnancy and lactation are one major factor that can protect against fractures in women? Also, some statistics say that a lot of vegan women do not have children, so they could miss out on this protection. </p>
<p>The higher percentage of vegan women without children could be driving up the numbers against their omnivore counterparts.</p>
<p>I heard this argument from Mic the Vegan in his analysis. What do you think about it?</p>
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