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American Journal of Clinical Nutrition, Vol. 82, No. 2, 471-476, August 2005
© 2005 American Society for Clinical Nutrition


ORIGINAL RESEARCH COMMUNICATION

A combination of prebiotic short- and long-chain inulin-type fructans enhances calcium absorption and bone mineralization in young adolescents1,2,3,4

Steven A Abrams, Ian J Griffin, Keli M Hawthorne, Lily Liang, Sheila K Gunn, Gretchen Darlington and Kenneth J Ellis

1 From the US Department of Agriculture/Agricultural Research Service, Children's Nutrition Research Center, Department of Pediatrics (SAA, IJG, KMH, LL, and KJE); the Section of Endocrinology, Department of Pediatrics (SKG); and the Department of Pathology (GD), Baylor College of Medicine and Texas Children's Hospital, Houston, TX

Background: Short-term studies in adolescents have generally shown an enhancement of calcium absorption by inulin-type fructans (prebiotics). Results have been inconsistent; however, and no studies have been conducted to determine whether this effect persists with long-term use.

Objective: The objective was to assess the effects on calcium absorption and bone mineral accretion after 8 wk and 1 y of supplementation with an inulin-type fructan.

Design: Pubertal adolescents were randomly assigned to receive 8 g/d of a mixed short and long degree of polymerization inulin-type fructan product (fructan group) or maltodextrin placebo (control group). Bone mineral content and bone mineral density were measured before randomization and after 1 y. Calcium absorption was measured with the use of stable isotopes at baseline and 8 wk and 1 y after supplementation. Polymorphisms of the Fok1 vitamin D receptor gene were determined.

Results: Calcium absorption was significantly greater in the fructan group than in the control group at 8 wk (difference: 8.5 ± 1.6%; P < 0.001) and at 1 y (difference: 5.9 ± 2.8%; P = 0.04). An interaction with Fok1 genotype was present such that subjects with an ff genotype had the least initial response to fructan. After 1 y, the fructan group had a greater increment in both whole-body bone mineral content (difference: 35 ± 16 g; P = 0.03) and whole-body bone mineral density (difference: 0.015 ± 0.004 g/cm2; P = 0.01) than did the control group.

Conclusion: Daily consumption of a combination of prebiotic short- and long-chain inulin-type fructans significantly increases calcium absorption and enhances bone mineralization during pubertal growth. Effects of dietary factors on calcium absorption may be modulated by genetic factors, including specific vitamin D receptor gene polymorphisms.

Key Words: Calcium absorption • vitamin D receptor • stable isotopes • inulin • prebiotics • pubertal growth • bioavailability




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