Chapter 40. Nutrition and Osteoporosis

Weaver, Connie M.; Heaney, Robert P.

doi:10.1002/9780470623992.ch40

Cited by 3 publications

(3 citation statements)

References 25 publications

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“…The essentiality of these nutrients for bone integrity can be fully appreciated by the severe consequences observed following their selective/individual dietary deficiency. Thus, a limitation in Ca, Pi, or protein while the intakes of the other two nutrients are maintained at normal levels leads to severe bone structural deficiency associated with loss of bone strength, as observed in diseases such as osteoporosis or osteomalacia [ 10 , 11 ]. In order to play their structural role in bone, these three nutrients require a normal vitamin D status (see Interactions section for the interplay between Ca, Pi, protein, and vitamin D in bone metabolism).…”

Section: Bone and Skeletal Muscle Healthmentioning

confidence: 99%

Dairy in Adulthood: From Foods to Nutrient Interactions on Bone and Skeletal Muscle Health

Bonjour¹,

Kraenzlin²,

Levasseur

et al. 2013

Journal of the American College of Nutrition

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The risk of fragility fractures exponentially increases with aging. Reduced mass and strength of both bone in osteoporosis and skeletal muscle in sarcopenia play a key role in the age-related incidence of fragility fractures. Undernutrition is often observed in the elderly, particularly in those subjects experiencing osteoporotic fractures, more likely as a cause than a consequence. Calcium (Ca), inorganic phosphate (Pi), vitamin D, and protein are nutrients that impact bone and skeletal muscle integrity. Deficiency in the supply of these nutrients increases with aging. Dairy foods are rich in Ca, Pi, and proteins and in many countries are fortified with vitamin D. Dairy foods are important souces of these nutrients and go a long way to meeting the recommendations, which increase with aging. This review emphaszes the interactions between these 4 nutrients, which, along with physical activity, act through cellular and physiological pathways favoring the maintenance of both bone and skeletal muscle structure and function.

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Section: Bone and Skeletal Muscle Healthmentioning

confidence: 99%

Dairy in Adulthood: From Foods to Nutrient Interactions on Bone and Skeletal Muscle Health

Bonjour¹,

Kraenzlin²,

Levasseur

et al. 2013

Journal of the American College of Nutrition

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“…In a large randomized, placebo-controlled trial, ipriflavone, another soy isoflavone did not prevent bone loss nor affected biochemical markers of bone remodelling in Western Caucasian postmenopausal women. Moreover, lymphocytopenia was observed in a significant number of women [ 53 ]. However, several epidemiological studies and clinical trials suggest that some soy isoflavones have beneficial effects on bone turnover markers and bone mechanical strength in postmenopausal women [ 54 ].…”

Section: Nutrition and Osteoporosismentioning

confidence: 99%

“…However, it is possible that the optimal health of the skeleton requires a good equilibrium between all nutrients. As already mentioned above, it is probable that mononutrient supplementation, as frequently recommended in several diets will not necessarily lead to an adequate bone quality [ 53 ].…”

Section: Nutrition and Osteoporosismentioning

confidence: 99%

Non-pharmacological management of osteoporosis: a consensus of the Belgian Bone Club

et al. 2011

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This consensus article reviews the various aspects of the non-pharmacological management of osteoporosis, including the effects of nutriments, physical exercise, lifestyle, fall prevention, and hip protectors. Vertebroplasty is also briefly reviewed. Non-pharmacological management of osteoporosis is a broad concept. It must be viewed as an essential part of the prevention of fractures from childhood through adulthood and the old age. The topic also includes surgical procedures for the treatment of peripheral and vertebral fractures and the post-fracture rehabilitation. The present document is the result of a consensus, based on a systematic review and a critical appraisal of the literature. Diets deficient in calcium, proteins or vitamin D impair skeletal integrity. The effect of other nutriments is less clear, although an excessive consumption of sodium, caffeine, or fibres exerts negative effects on calcium balance. The deleterious effects of tobacco, excessive alcohol consumption and a low BMI are well accepted. Physical activity is of primary importance to reach optimal peak bone mass but, if numerous studies have shown the beneficial effects of various types of exercise on bone mass, fracture data as an endpoint are scanty. Fall prevention strategies are especially efficient in the community setting, but less evidence is available about their effectiveness in preventing fall-related injuries and fractures. The efficacy of hip protectors remains controversial. This is also true for vertebroplasty and kyphoplasty. Several randomized controlled studies had reported a short-term advantage of vertebroplasty over medical treatment for pain relief, but these findings have been questioned by recent sham-controlled randomized clinical studies.

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Osteoporosis

Anderson¹

2012

Present Knowledge in Nutrition

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Chapter 40. Nutrition and Osteoporosis

Cited by 3 publications

References 25 publications

Dairy in Adulthood: From Foods to Nutrient Interactions on Bone and Skeletal Muscle Health

Dairy in Adulthood: From Foods to Nutrient Interactions on Bone and Skeletal Muscle Health

Non-pharmacological management of osteoporosis: a consensus of the Belgian Bone Club

Osteoporosis

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