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In this 5-year cohort study, we aimed to determine whether the intake of natto, a fermented soya bean food product, has an indirect effect on tooth loss incidence through BMD changes among postmenopausal women. Evidence indicates (1) that natto has a beneficial effect on bone health and (2) that a decrease in bone mineral density (BMD) is associated with tooth loss. The study recruited 435 postmenopausal women (average age=64.2years). Natto intake (exposure) was assessed at baseline using a food frequency questionnaire. Lumbar spine BMD