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ORIGINAL RESEARCH COMMUNICATION |
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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