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American Journal of Clinical Nutrition, Vol. 80, No. 4, 1058-1065, October 2004
© 2004 American Society for Clinical Nutrition


ORIGINAL RESEARCH COMMUNICATION

The ratio of animal protein intake to potassium intake is a predictor of bone resorption in space flight analogues and in ambulatory subjects1,2,3

Sara R Zwart, Alan R Hargens and Scott M Smith

1 From the Human Adaptation and Countermeasures Office, NASA Lyndon B Johnson Space Center, Houston (SRZ and SMS), and the Department of Orthopaedic Surgery, University of California, San Diego, UCSD Medical Center, San Diego (ARH).

Background: Bone loss is a critical concern for space travelers, and a dietary countermeasure would be of great benefit. Dietary protein and potassium-associated bicarbonate precursors may have opposing effects on the acid-base balance in the body and therefore on bone loss.

Objective: In 2 studies, we examined the ability of dietary protein and potassium to predict markers of bone metabolism.

Design: In the first study, 8 pairs of male identical twins were assigned to 1 of 2 groups: bed rest (sedentary, or SED, group) or bed rest with supine treadmill exercise in a lower-body negative pressure chamber (EX group). In a second study, groups of 4 subjects lived in a closed chamber for 60 or 91 d, and dietary data were collected for two or three 5-d sessions. Urinary calcium, N-telopeptide, and pyridinium cross-links were measured before bed rest; on bed rest days 5-6, 12-13, 19-20, and 26-27; and daily during the chamber studies. Data were analyzed by Pearson's correlation (P < 0.05).

Results: The ratio of animal protein intake to potassium intake was significantly correlated with N-telopeptide in the SED group during bed rest weeks 3 and 4 (r = 0.77 and 0.80) and during the 91-d chamber study (r = 0.75). The ratio of animal protein intake to potassium intake was positively correlated with pyridinium cross-links before bed rest in the EX group (r = 0.83), in the EX group during bed rest week 1 (r = 0.84), and in the SED group during bed rest week 2 (r = 0.72) but not during either chamber study. In both studies, these relations were not significant with the ratio of vegetable protein intake to potassium intake.

Conclusions: The ratio of animal protein intake to potassium intake may affect bone in ambulatory and bed-rest subjects. Changing this ratio may help to prevent bone loss on Earth and during space flight.

Key Words: Food intake • dietary protein • dietary potassium • bones • collagen cross-links • bone markers • calcium • humans




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S. R. Zwart, J. E. Davis-Street, D. Paddon-Jones, A. A. Ferrando, R. R. Wolfe, and S. M. Smith
Amino acid supplementation alters bone metabolism during simulated weightlessness
J Appl Physiol, July 1, 2005; 99(1): 134 - 140.
[Abstract] [Full Text] [PDF]




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