Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-23T05:50:21.510Z Has data issue: false hasContentIssue false

Dietary calcium intake relates to bone mineral density in premenopausal women

Published online by Cambridge University Press:  09 March 2007

S. J. Ramsdale
Affiliation:
Nottingham Osteoporosis Research Group, Department of Physiology and Pharmacology, Medical School, Queen's Medical Centre, NottinghamNG7 2UH
E. J. Bassey
Affiliation:
Nottingham Osteoporosis Research Group, Department of Physiology and Pharmacology, Medical School, Queen's Medical Centre, NottinghamNG7 2UH
D. J. Pye
Affiliation:
Nottingham Osteoporosis Research Group, Department of Medical Physics, Medical School, Queen's Medical Centre, NottinghamNG7 2UH
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Bone density and Ca intake were assessed in fifty-six healthy premenopausal women, aged 21–47 years. Bone density was measured at the spine (lumbar vertebrae 1–4, anterio-posterior view), the non-dominant femur (neck, Ward's triangle and trochanter) and radius (33 % distal and ultradistal) using dual energy X-ray absorptiometry (Lunar DPX-L). The mean values (SD) for bone density (g/cm2) were 1·18 (0·10) at the lumbar spine,0·81(0.10) at the trochanter and for Ca intake 783 (329) mg. Bone density values were close to published normal values for young women and the Ca intakes were close to the recommended levels for the UK. However, there was a wide range especially in dietary Ca intake, and 27% of the group were at or below 500 mg/d. Correlations between Ca intake and bone density were highly significant at all three femoral sites (neck rO·41; Ward's triangle r 0·40, P < 0·01; trochanter r 0·47, P < 0.001), significant at the spine (r 0·27, P < 0.05) but not found at the radius. These correlations were independent of body mass. The low levels of Ca intake found in a substantial proportion of this selected group of young women and their association with low femoral bone density are cause for concern.

Type
Calcium intake and bone density
Copyright
Copyright © The Nutrition Society 1994

References

REFERENCES

Cooper, C., Barker, D. J. P. & Wickham, C. (1988). Physical activity, muscle strength, and calcium intake in fracture of the proximal femur in Britain. British Medical Journal 297, 14431446.CrossRefGoogle ScholarPubMed
Department of Health (1991). Dietary Reference Values For Food Energy, and Nutrients For the UK. Report on Health and Social Subjects no. 41. London: H. M. Stationery Office.Google Scholar
Ettinger, B., Genant, H. K. & Cann, C. E. (1987). Postmenopausal bone loss is prevented by treatment with low-dosage estrogen with calcium. Annals of Internal Medicine 106, 4045.CrossRefGoogle ScholarPubMed
Fentem, P. H. (1992). Allied Dunbar National Fitness Survey: Main Findings Health Education Authority and Sports Council.Google Scholar
Gallagher, J. C., Goldgar, D. & Moy, A. (1987). Total bone calcium in normal women: effect of age and menopause status. Journal of Bone and Mineral Research 2, 491496.CrossRefGoogle ScholarPubMed
Gallagher, J. C., Riggs, B. L., Eisman, J., Hamstra, A., Arnaud, S. B. & DeLuca, H. F. (1979). Intestinal calcium absorption and serum vitamin D metabolites in normal subjects and osteoporotic patients. Journal of Clinical Investigation 64, 729736.CrossRefGoogle ScholarPubMed
Gleeson, P. B., Protas, E. J., LeBlanc, A. D., Schneider, V. S. & Evans, P. J. (1990). Effects of weight lifting on bone mineral density in premenopausal women. Journal of Bone and Mineral Research 5, 153158.CrossRefGoogle Scholar
Gutin, B. I. & Kasper, M. J. (1992). Can vigorous exercise play a role in osteoporosis? A review Osteoporosis International 2, 5559.CrossRefGoogle ScholarPubMed
Hanson, T. & Roos, B. (1986). Age changes in the bone mineral of the lumbar spine in normal women. Calcified Tissue International 38, 249251.CrossRefGoogle Scholar
Healy, M. J. R. (1958). Variation within individuals within human biology. Human Biology 30, 210218.Google ScholarPubMed
Heaney, R. P., Recker, R. R. & Saville, P. D. (1977). Calcium balance and calcium requirements in middle-aged women. American Journal of Clinical Nutrition 30, 16031611.CrossRefGoogle ScholarPubMed
Holbrook, T. L., Barrett-Connor, E. & Wingard, D. L. (1988). Dietary calcium and risk of hip fracture: 14-year prospective population study. Lancet 2, 10461049.CrossRefGoogle ScholarPubMed
Holland, B., Welch, A. A., Unwin, I. D., Buss, D. H., Paul, A. A. & Southgate, D. A. T. (1991). McCance & Widdowson's The Composition of Foods, 5th ed. Cambridge: Royal Society of Chemistry.Google Scholar
Johnson, J. & Dawson-Hughes, B. (1991). Precision and stability of dual-energy X-ray absorptiometry measurements. Calcified Tissue International 49, 174178.CrossRefGoogle ScholarPubMed
Kanders, B., Dempster, D. W. & Lindsay, R. (1988). Interaction of calcium nutrition and physical activity on bone mass in young women. Journal of Bone and Mineral Research 3, 145149.CrossRefGoogle Scholar
Kelly, P. J., Pocock, N. A., Sambrook, P. N. & Eisman, J. A. (1990). Dietary calcium, sex hormones, and bone mineral density in men. British Medical Journal 300, 13611364.CrossRefGoogle ScholarPubMed
Law, M. R., Wald, N. J. & Meade, T. W. (1991). Strategies for prevention of osteoporosis and hip fracture. British Medical Journal 303, 453459.CrossRefGoogle ScholarPubMed
Lindsay, R., Cosman, F., Herrington, B. S. & Himmelstein, S. (1992). Bone mass and body composition in normal women. Journal of Bone and Mineral Research 7, 5563.CrossRefGoogle ScholarPubMed
Marcus, R., Drinkwater, B., Dalsky, G., Dufek, J., Raab, D., Slemenda, C. & Snowharter, C. (1992). Osteoporosis and exercise in women. Medicine and Science in Sport and Exercise 24, S301307.Google ScholarPubMed
Matkovic, V., Kostial, K., Simonovic, I., Buzina, R., Brodarec, A. & Nordin, B. E. C. (1979). Bone status and fracture rates in two regions of Yugoslavia. American Journal of Clinical Nutrition 32, 546549.CrossRefGoogle ScholarPubMed
Mazess, R. B. & Barden, H. S. (1991). Bone density in premenopausal women-effects of age, dietary intake, physical activity, smoking, and birth-control pills. American Journal of Clinical Nutririon 53, 132142.CrossRefGoogle ScholarPubMed
Melton, L. J. III, Kan, S. H., Wahner, H. & Riggs, B. L. (1988). Lifetime fracture risk: an approach to hip fracture risk assessment based on bone mineral density and age. Journal of Clinical Epidemiology 41, 985994.Google Scholar
Melton, L. J. III, Kan, S. H., Frye, M. A., Wahner, H. W., O'Fallon, W. M. & Riggs, B. L. (1989). Epidemiology of vertebral fractures in women. American Journal of Epidemiology 129, 10001011.CrossRefGoogle ScholarPubMed
National Institutes of Health (1984). Consensus Development Conference on Osteoporosis. Journal of American Medical Association 252, 799802.Google Scholar
Nelson, E. M., Fisher, E. C., Dilmanian, F. A. & Evans, W. J. (1991). A one year walking program and increased dietary calcium in postmenopausal women: effects on bone. American Journal of Clinical Nutrition 53, 13041311.CrossRefGoogle Scholar
Office of Population Censuses and Surveys (1980). Classification of Occupations. London: H. M. Stationery Office.Google Scholar
Picard, D., Ste-Marie, L. G., Coutu, D., Carrier, L., Chartrand, R., Lepage, R., Fugere, P. & D'Amour, P. (1988). Premenopausal bone mineral content relates to height, weight and calcium intake during early adulthood. Bone and Mineral 4, 299309.Google ScholarPubMed
Recker, R. R., Saville, P. D. & Heaney, R. P. (1977). Effect of estrogens and calcium carbonate on bone loss in postmenopausal women. Annals of Internal Medicine 87, 649655.CrossRefGoogle Scholar
Riggs, B. L., Wahner, H. W., Dunn, W. L., Mazess, R. B., Offord, K. P. & Melton, L. J. (1981). Differential changes in bone mineral density of the appendicular and axial skeleton with aging. Journal of Clinical Investigation 67, 328335.CrossRefGoogle ScholarPubMed
Riis, B., Thomsen, K. & Christiansen, C. (1987). Does calcium supplementation prevent postmenopausal bone loss? New England Journal of Medicine 316, 173177.CrossRefGoogle ScholarPubMed
Rockwell, J. C., Sorensen, A. M., Baker, S., Leahey, D., Stock, J. L., Michaels, J. & Baran, D. T. (1990). Weight training decreases vertebral bone density in premenopausal women-A prospective study. Journal of Clinical Endocrinology and Metabolism 71, 988993.CrossRefGoogle ScholarPubMed
Rodin, A., Murby, B., Smith, M. A., Caleffi, M., Fentiman, I., Chapman, M. G. & Fogelman, I. (1990). Premenopausal bone loss in the lumbar spine and neck of femur: a study of 225 Caucasian women. Bone 11, 15.CrossRefGoogle ScholarPubMed
Seldin, D. W., Esser, P. D. & Alderson, P. O. (1988). Comparison of bone density measurements from different skeletal sites. Journal of Nuclear Medicine 29, 168173.Google ScholarPubMed
Smith, E. L., Gilligan, C., Smith, P. E. & Sempos, C. T. (1989). Calcium supplementation and bone loss in middle- aged women. American Journal of Clinical Nutrition 50, 833842.CrossRefGoogle ScholarPubMed
Smith, R. (1987). Osteoporosis: cause and management. British Medical Journal 294, 329332.CrossRefGoogle ScholarPubMed
Snowharter, C., Bouxsein, M., Lewis, B., Charette, S., Weinstein, P. & Marcus, R. (1990). Muscle strength as a predictor of bone mineral density in young women. Journal of Bone and Mineral Research 5, 589595.CrossRefGoogle ScholarPubMed
SPSS Inc. (1988). Muscle strength as a predictor of bone mineral density in young women. Journal of Bone and Mineral Research 5, 589595.Google Scholar
Stevenson, J. C., Lees, B., Devenport, M., Cust, M. P. & Ganger, K. F. (1989). Determinants of bone density in normal women: risk factors for future osteoporosis? British Medical Journal 298, 924927.CrossRefGoogle ScholarPubMed
van Beresteijn, E. C. H., van't Hof, M. A., Schaffsma, G., de Waard, H. & Duursma, S. A. (1990). Habitual dietary calcium intake and cortical bone loss in premenopausal women: a longitudinal study. Calcified Tissue International 41, 338344.CrossRefGoogle Scholar
Wahl, R. L., Waldmann, S. & Shapiro, B. (1988). Dual-photon bone mineral density in the proximal femur: correlation by site. Nuclear Medicine Cornmuriications 9, 5358.Google ScholarPubMed
Wickham, C. A. C., Walsh, K., Cooper, C., Barker, D. J. P., Margetts, B. M., Morris, J. & Bruce, S. A. (1989). Dietary calcium, physical activity, and risk of hip fracture: a prospective study. British Medical Journal 299, 889892.CrossRefGoogle ScholarPubMed