{
  "abstract": "Background: Arteriosclerosis (AS) and knee osteoarthritis (KOA) pose a major public health challenge, yet evidence linking diet quality to the risk of comorbidity among Chinese occupational groups remains limited. This cross-sectional occupational study examined the association between diet quality indicators and the co-occurrence of AS and KOA among 1538 iron workers from Shougang Group. Methods: Dietary data were collected using the Diet Quality Questionnaire (DQQ) for China. Multivariable logistic regression models were performed with adjustment for relevant covariates. Results: Overall, 627 workers had co-occurrence of AS and KOA, including 579 men and 48 women. Among women, a higher continuous Global Dietary Recommendations (GDR) score was inversely associated with the odds of co-occurrence (OR = 0.75; 95% CI = 0.62–0.91). Compared with a GDR score ≤ −3, a GDR score ≥ 1 was also inversely associated with co-occurrence among women (OR = 0.13; 95% CI = 0.02–0.77); however, no statistically significant associations were observed among men or in the age- and BMI-stratified analyses. Conclusion: These findings provide preliminary evidence of an inverse association between diet quality and AS–KOA co-occurrence among female workers but should be considered exploratory, requiring confirmation in larger prospective studies.",
  "abstract_shown": true,
  "affiliations": [
    "Institute of Child and Adolescent Health, School of Public Health, Peking University Health Science Center, Beijing 100191, China",
    "National Health Commission Key Laboratory of Reproductive Health, Peking University, Beijing 100191, China",
    "Orthopedic Center, Peking University Shougang Hospital, Beijing 100144, China"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Ping Yuan",
      "orcid": "0000-0002-0888-6059"
    },
    {
      "affs": [
        1
      ],
      "name": "Xin Yuan"
    },
    {
      "affs": [
        2
      ],
      "name": "Zihao Li"
    },
    {
      "affs": [
        2
      ],
      "name": "Zhenpeng Guan"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Zhiyong Zou",
      "orcid": "0000-0001-5049-5425"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Jing Li"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/2hp5xvqt2tvwg.bib",
  "cited_by": 0,
  "doi": "10.3390/nu18203352",
  "fulltext_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13708492/?tool=EBI",
  "id": "2hp5xvqt2tvwg",
  "issns": [
    "2072-6643"
  ],
  "landing_url": "https://www.mdpi.com/2072-6643/18/20/3352",
  "language": "eng",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2739|Nutritional Studies and Diet"
    ]
  ],
  "openalex": "W7221627164",
  "pdf_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13708492/pdf/?tool=EBI",
  "pmcid": "PMC13708492",
  "pmid": null,
  "published": "2026-10-01",
  "publisher": "MDPI AG",
  "ris": "https://research.draconitic.com/paper/2hp5xvqt2tvwg.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:19:56Z",
      "native_id": "10.3390/nu18203352",
      "source": "crossref",
      "url": "https://www.mdpi.com/2072-6643/18/20/3352"
    },
    {
      "first_seen": "2026-10-30T12:21:40Z",
      "native_id": "PMC:PMC13708492",
      "source": "europepmc",
      "url": "https://europepmc.org/article/PMC/PMC13708492"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2739|Nutritional Studies and Diet",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Diet Quality and Co-Occurrence of Arteriosclerosis and Knee Osteoarthritis: A Cross-Sectional Survey Among Chinese Iron Workers from Shougang Group",
  "title_text": "Diet Quality and Co-Occurrence of Arteriosclerosis and Knee Osteoarthritis: A Cross-Sectional Survey Among Chinese Iron Workers from Shougang Group",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:21:40Z",
  "url": "https://research.draconitic.com/paper/2hp5xvqt2tvwg",
  "venue": "Nutrients",
  "versions": []
}