| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
SUPPLEMENT: WOMEN AND MICRONUTRIENTS: ADDRESSING THE GAP THROUGHOUT THE LIFE CYCLE |
1 From the Clinical Research and Regional Bone Centers, Helen Hayes Hospital, West Haverstraw, NY, and Epidemiology, Mailman School of Public Health, Columbia University, New York, NY
ABSTRACT
Osteoporosis and low bone mass are currently estimated to be a major public health threat. Adequate nutrition plays a major role in the prevention and treatment of osteoporosis; the micronutrients of greatest importance are calcium and vitamin D. Calcium has been shown to have beneficial effects on bone mass at all ages, although the results are not always consistent. Higher doses than the current US recommendation (600 IU) of vitamin D in the elderly (age 
65 y) may actually be required for optimal bone health (800–1000 IU/d). The elderly can clearly benefit from increased vitamin D intakes; however, the potential importance of vitamin D in peak bone mass is just being investigated. Vitamin D has been related to falls, with supplementation reducing the number of falls. There are clear fracture benefits demonstrated in randomized clinical trials of calcium and vitamin D supplementation. The other micronutrient needs for optimizing bone health can be easily met by a healthy diet that is high in fruits and vegetables to ensure adequate intakes for magnesium, potassium, vitamin C, vitamin K, and other potentially important nutrients. Healthcare professionals need to be aware of the importance of adequate calcium and vitamin D intakes (easily monitored by serum 25(OH)D) for optimal bone health, as well as the prevention of falls and fractures. In addition, a healthy diet that includes 5 servings a day of fruits and vegetables should optimize the intake of micronutrients required for bone health.
Key Words: Calcium • vitamin D • falls • fractures • osteoporosis • micronutrients
This article has been cited by other articles:
|
|
 |
|
  C. R. McGill, V. L. Fulgoni III, D. DiRienzo, P. J. Huth, A. C. Kurilich, and G. D. Miller Contribution of Dairy Products to Dietary Potassium Intake in the United States Population J. Am. Coll. Nutr., February 1, 2008; 27(1): 44 - 50. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. M Troy, P. F Jacques, M. T Hannan, D. P Kiel, A. H Lichtenstein, E. T Kennedy, and S. L Booth Dihydrophylloquinone intake is associated with low bone mineral density in men and women Am. J. Clinical Nutrition, August 1, 2007; 86(2): 504 - 508. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. A. Straub Calcium Supplementation in Clinical Practice: A Review of Forms, Doses, and Indications Nutr Clin Pract, June 1, 2007; 22(3): 286 - 296. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. J. Sanchez and J. Aranda-Michel Liver Disease and Osteoporosis Nutr Clin Pract, June 1, 2006; 21(3): 273 - 278. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 Y. Ikeda, M. Iki, A. Morita, E. Kajita, S. Kagamimori, Y. Kagawa, and H. Yoneshima Intake of Fermented Soybeans, Natto, Is Associated with Reduced Bone Loss in Postmenopausal Women: Japanese Population-Based Osteoporosis (JPOS) Study J. Nutr., May 1, 2006; 136(5): 1323 - 1328. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. R. Forman and B. Levin Calcium plus Vitamin D3 Supplementation and Colorectal Cancer in Women N. Engl. J. Med., February 16, 2006; 354(7): 752 - 754. [Full Text] [PDF]
|
|
|
|
 |
|
 B. F. Gage, E. Birman-Deych, M. J. Radford, D. S. Nilasena, and E. F. Binder Risk of Osteoporotic Fracture in Elderly Patients Taking Warfarin: Results From the National Registry of Atrial Fibrillation 2 Arch Intern Med, January 23, 2006; 166(2): 241 - 246. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
