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American Journal of Clinical Nutrition, Vol. 81, No. 6, 1423-1428, June 2005
© 2005 American Society for Clinical Nutrition


ORIGINAL RESEARCH COMMUNICATION

Protein consumption is an important predictor of lower limb bone mass in elderly women1,2,3

Amanda Devine, Ian M Dick, Amirul FM Islam, Satvinder S Dhaliwal and Richard L Prince

1 From the School of Medicine and Pharmacology, University of Western Australia, Perth, Australia (AD, IMD, AFMI, and RLP); the Department of Endocrinology and Diabetes, Sir Charles Gairdner Hospital, Nedlands, Australia (AD, IMD, SSD, and RLP); the Western Australian Institute of Medical Research, Perth, Australia (AD, IMD, AFMI, and RLP); the School of Exercise, Biomedical and Health Science, Edith Cowan University, Perth, Australia (AD); and the School of Public Health, Curtin University of Technology, Perth, Australia (SSD)

BACKGROUND:: The effect of protein intake on bone density is uncertain, and evidence exists for beneficial effects of both low and high protein intakes.

OBJECTIVE:: The objective was to study the relation between protein consumption and bone mass in elderly women with allowance for other lifestyle factors affecting bone metabolism.

DESIGN:: We conducted a cross-sectional and longitudinal study of a population-based sample of 1077 women aged 75 ± 3 y. At baseline, protein consumption was measured with a food-frequency questionnaire, and bone mass and structure were measured by using quantitative ultrasound of the heel. One year later, hip bone mineral density (BMD) was measured by using dual-energy X-ray absorptiometry.

RESULTS:: Subjects consumed a mean (±SD) of 80.5 ± 27.8 g protein/d (1.19 ± 0.44 g protein/kg body wt). Regression analysis showed a positive correlation between protein intake and qualitative ultrasound of the heel and BMD after adjustment for age, body mass index, and other nutrients. The dose-response effect was best characterized by protein consumption expressed in tertiles, such that subjects in the lowest tertile (<66 g protein/d) had significantly lower qualitative ultrasound of the heel (1.3%) and hip BMD (2.6%) than did the subjects in the higher tertiles (>87 g protein/d).

CONCLUSION:: These data suggest that protein intakes for elderly women above current recommendations may be necessary to optimize bone mass.

Key Words: Protein • elderly women • bone density • dietary intake




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