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Published in: Osteoporosis International 12/2007

01-12-2007 | Original Article

Dietary protein intake and bone mineral content in adolescents—The Copenhagen Cohort Study

Authors: A. Z. Budek, C. Hoppe, H. Ingstrup, K. F. Michaelsen, S. Bügel, C. Mølgaard

Published in: Osteoporosis International | Issue 12/2007

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Abstract

Summary

Data indicate that various protein sources may exhibit a differential effect on bone metabolism. We investigated associations of milk and meat protein intake with bone mineral content (BMC) in adolescents. Milk, but not meat, protein intake was positively associated with size-adjusted BMC. Milk-derived protein may be beneficial for bone mineralization.

Introduction

Milk and meat protein intake has been reported to exhibit a differential effect on serum insulin-like growth factor-I (IGF-I). IGF-I plays a key role in bone metabolism. Therefore, we investigated associations of different protein sources with BMC and bone area (BA) in adolescents.

Methods

This was a cross-sectional study of 17-year-old girls (n = 63) and boys (n = 46) participating in the second follow-up of The Copenhagen Cohort Study. We measured dietary intake (7-day food record), BMC and BA (dual-energy X-ray absorptiometry), serum markers for bone turnover and serum IGF-I (immunoassays).

Results

The mean total protein intake (∼1.2 g/kg) was modestly higher than that recommended. Total and milk (∼0.3 g/kg) protein intake, but not meat protein intake (∼0.4 g/kg), was positively associated with size-adjusted BMC (P ≤ 0.05). The positive association between milk protein intake and size-adjusted BMC remained significant after correction for energy, calcium, and physical activity (P ≤ 0.01) and did not seem to be mediated via current serum IGF-I. None of the analyzed protein sources was significantly associated with size-adjusted BA.

Conclusions

Our results suggest that some components of milk protein may promote bone mineralization. Further studies are needed to elucidate this phenomenon.
Literature
1.
go back to reference Ferrari SL (2005) Osteoporosis: a complex disorder of aging with multiple genetic and environmental determinants. World Rev Nutr Diet 95:35–51PubMedCrossRef Ferrari SL (2005) Osteoporosis: a complex disorder of aging with multiple genetic and environmental determinants. World Rev Nutr Diet 95:35–51PubMedCrossRef
2.
go back to reference Johnell O, Kanis JA (2006) An estimate of the worldwide prevalence and disability associated with osteoporotic fractures. Osteoporos Int 17:1726–1733PubMedCrossRef Johnell O, Kanis JA (2006) An estimate of the worldwide prevalence and disability associated with osteoporotic fractures. Osteoporos Int 17:1726–1733PubMedCrossRef
4.
go back to reference Alexy U, Remer T, Manz F, Neu CM, Schoenau E (2005) Long-term protein intake and dietary potential renal acid load are associated with bone modeling and remodeling at the proximal radius in healthy children. Am J Clin Nutr 82:1107–1114PubMed Alexy U, Remer T, Manz F, Neu CM, Schoenau E (2005) Long-term protein intake and dietary potential renal acid load are associated with bone modeling and remodeling at the proximal radius in healthy children. Am J Clin Nutr 82:1107–1114PubMed
5.
go back to reference Bounds W, Skinner J, Carruth BR, Ziegler P (2005) The relationship of dietary and lifestyle factors to bone mineral indexes in children. J Am Diet Assoc 105:735–741PubMedCrossRef Bounds W, Skinner J, Carruth BR, Ziegler P (2005) The relationship of dietary and lifestyle factors to bone mineral indexes in children. J Am Diet Assoc 105:735–741PubMedCrossRef
6.
go back to reference Iuliano-Burns S, Stone J, Hopper JL, Seeman E (2005) Diet and exercise during growth have site-specific skeletal effects: a co-twin control study. Osteoporos Int 16:1225–1232PubMedCrossRef Iuliano-Burns S, Stone J, Hopper JL, Seeman E (2005) Diet and exercise during growth have site-specific skeletal effects: a co-twin control study. Osteoporos Int 16:1225–1232PubMedCrossRef
7.
go back to reference Jones G, Riley MD, Whiting S (2001) Association between urinary potassium, urinary sodium, current diet, and bone density in prepubertal children. Am J Clin Nutr 73:839–844PubMed Jones G, Riley MD, Whiting S (2001) Association between urinary potassium, urinary sodium, current diet, and bone density in prepubertal children. Am J Clin Nutr 73:839–844PubMed
8.
go back to reference Hoppe C, Mølgaard C, Michaelsen KF (2000) Bone size and bone mass in 10-year-old Danish children: effect of current diet. Osteoporos Int 11:1024–1030PubMedCrossRef Hoppe C, Mølgaard C, Michaelsen KF (2000) Bone size and bone mass in 10-year-old Danish children: effect of current diet. Osteoporos Int 11:1024–1030PubMedCrossRef
9.
go back to reference Yakar S, Rosen CJ, Beamer WG, Ackert-Bicknell CL, Wu Y, Liu JL, Ooi GT, Setser J, Frystyk J, Boisclair YR, LeRoith D (2002) Circulating levels of IGF-1 directly regulate bone growth and density. J Clin Invest 110:771–781PubMedCrossRef Yakar S, Rosen CJ, Beamer WG, Ackert-Bicknell CL, Wu Y, Liu JL, Ooi GT, Setser J, Frystyk J, Boisclair YR, LeRoith D (2002) Circulating levels of IGF-1 directly regulate bone growth and density. J Clin Invest 110:771–781PubMedCrossRef
10.
go back to reference Juul A (2003) Serum levels of insulin-like growth factor I and its binding proteins in health and disease. Growth Horm IGF Res 13:113–170PubMedCrossRef Juul A (2003) Serum levels of insulin-like growth factor I and its binding proteins in health and disease. Growth Horm IGF Res 13:113–170PubMedCrossRef
11.
go back to reference Hoppe C, Mølgaard C, Juul A, Michaelsen KF (2004) High intakes of skimmed milk, but not meat, increase serum IGF-I and IGFBP-3 in eight-year-old boys. Eur J Clin Nutr 58:1211–1216PubMedCrossRef Hoppe C, Mølgaard C, Juul A, Michaelsen KF (2004) High intakes of skimmed milk, but not meat, increase serum IGF-I and IGFBP-3 in eight-year-old boys. Eur J Clin Nutr 58:1211–1216PubMedCrossRef
12.
go back to reference Hoppe C, Udam TR, Lauritzen L, Mølgaard C, Juul A, Michaelsen KF (2004) Animal protein intake, serum insulin-like growth factor I, and growth in healthy 2.5-y-old Danish children. Am J Clin Nutr 80:447–452PubMed Hoppe C, Udam TR, Lauritzen L, Mølgaard C, Juul A, Michaelsen KF (2004) Animal protein intake, serum insulin-like growth factor I, and growth in healthy 2.5-y-old Danish children. Am J Clin Nutr 80:447–452PubMed
13.
go back to reference Michaelsen KF (1997) Nutrition and growth during infancy. The Copenhagen Cohort Study. Acta Paediatr Suppl 420:1–36PubMed Michaelsen KF (1997) Nutrition and growth during infancy. The Copenhagen Cohort Study. Acta Paediatr Suppl 420:1–36PubMed
14.
go back to reference Mølgaard C, Thomsen LB, Michaelsen KF (2006) The influence of calcium intake and physical activity on bone mineral content and bone size in heathy children and adolescence. Osteoporos Int 12:887–894CrossRef Mølgaard C, Thomsen LB, Michaelsen KF (2006) The influence of calcium intake and physical activity on bone mineral content and bone size in heathy children and adolescence. Osteoporos Int 12:887–894CrossRef
15.
go back to reference Prentice A, Parsons TJ, Cole TJ (1994) Uncritical use of bone mineral density in absorptiometry may lead to size-related artifacts in the identification of bone mineral determinants. Am J Clin Nutr 60:837–842PubMed Prentice A, Parsons TJ, Cole TJ (1994) Uncritical use of bone mineral density in absorptiometry may lead to size-related artifacts in the identification of bone mineral determinants. Am J Clin Nutr 60:837–842PubMed
16.
go back to reference Nysom K, Mølgaard C, Michaelsen KF, Hutchings B, Andersen E (2002) Body mass index. Reference values for 0–45-year-old Danes (in Danish with English abstract). Ugeskr Laeger 164:5773–5777PubMed Nysom K, Mølgaard C, Michaelsen KF, Hutchings B, Andersen E (2002) Body mass index. Reference values for 0–45-year-old Danes (in Danish with English abstract). Ugeskr Laeger 164:5773–5777PubMed
17.
go back to reference Cole TJ, Bellizzi MC, Flegal KM, Dietz WH (2000) Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 320:1240–1243PubMedCrossRef Cole TJ, Bellizzi MC, Flegal KM, Dietz WH (2000) Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 320:1240–1243PubMedCrossRef
18.
go back to reference Alexander J, Andressen SA, Aro A, Becker W, Lyhne N, Meltzer HM, Pedersen AN, Pedersen JI, Porsdottir I (eds) (2004) Nordic nutrition recommendations. Integrating nutrition and physical activity. Norden. Århus Alexander J, Andressen SA, Aro A, Becker W, Lyhne N, Meltzer HM, Pedersen AN, Pedersen JI, Porsdottir I (eds) (2004) Nordic nutrition recommendations. Integrating nutrition and physical activity. Norden. Århus
19.
go back to reference Mølgaard C, Thomsen BL, Prentice A, Cole TJ, Michaelsen KF (1997) Whole body bone mineral content in healthy children and adolescents. Arch Dis Child 76:9–15PubMed Mølgaard C, Thomsen BL, Prentice A, Cole TJ, Michaelsen KF (1997) Whole body bone mineral content in healthy children and adolescents. Arch Dis Child 76:9–15PubMed
20.
go back to reference Juul A, Dalgaard P, Blum WF, Bang P, Hall K, Michaelsen KF, Muller J, Skakkebaek NE (1995) Serum levels of insulin-like growth factor (IGF)-binding protein-3 (IGFBP-3) in healthy infants, children, and adolescents: the relation to IGF-I, IGF-II, IGFBP-1, IGFBP-2, age, sex, body mass index, and pubertal maturation. J Clin Endocrinol Metab 80:2534–2542PubMedCrossRef Juul A, Dalgaard P, Blum WF, Bang P, Hall K, Michaelsen KF, Muller J, Skakkebaek NE (1995) Serum levels of insulin-like growth factor (IGF)-binding protein-3 (IGFBP-3) in healthy infants, children, and adolescents: the relation to IGF-I, IGF-II, IGFBP-1, IGFBP-2, age, sex, body mass index, and pubertal maturation. J Clin Endocrinol Metab 80:2534–2542PubMedCrossRef
21.
go back to reference Fares JE, Choucair M, Nabulsi M, Salamoun M, Shahine CH, Fuleihan G (2003) Effect of gender, puberty, and vitamin D status on biochemical markers of bone remodeling. Bone 33:242–247PubMedCrossRef Fares JE, Choucair M, Nabulsi M, Salamoun M, Shahine CH, Fuleihan G (2003) Effect of gender, puberty, and vitamin D status on biochemical markers of bone remodeling. Bone 33:242–247PubMedCrossRef
22.
go back to reference Crofton PM, Evans N, Taylor MR, Holland CV (2002) Serum CrossLaps: pediatric reference intervals from birth to 19 years of age. Clin Chem 48:671–673PubMed Crofton PM, Evans N, Taylor MR, Holland CV (2002) Serum CrossLaps: pediatric reference intervals from birth to 19 years of age. Clin Chem 48:671–673PubMed
23.
go back to reference Lloyd T, Rollings N, Andon MB, Demers LM, Eggli DF, Kieselhorst K, Kulin H, Landis JR, Martel JK, Orr G, (1992) Determinants of bone density in young women. I. Relationships among pubertal development, total body bone mass, and total body bone density in premenarchal females. J Clin Endocrinol Metab 75:383–387PubMedCrossRef Lloyd T, Rollings N, Andon MB, Demers LM, Eggli DF, Kieselhorst K, Kulin H, Landis JR, Martel JK, Orr G, (1992) Determinants of bone density in young women. I. Relationships among pubertal development, total body bone mass, and total body bone density in premenarchal females. J Clin Endocrinol Metab 75:383–387PubMedCrossRef
24.
go back to reference Mølgaard C, Thomsen BL, Michaelsen KF (1999) Whole body bone mineral accretion in healthy children and adolescents. Arch Dis Child 81:10–15PubMedCrossRef Mølgaard C, Thomsen BL, Michaelsen KF (1999) Whole body bone mineral accretion in healthy children and adolescents. Arch Dis Child 81:10–15PubMedCrossRef
25.
go back to reference Cadogan J, Eastell R, Jones N, Barker ME (1997) Milk intake and bone mineral acquisition in adolescent girls: randomised, controlled intervention trial. BMJ 315:1255–1260PubMed Cadogan J, Eastell R, Jones N, Barker ME (1997) Milk intake and bone mineral acquisition in adolescent girls: randomised, controlled intervention trial. BMJ 315:1255–1260PubMed
26.
go back to reference Du X, Zhu K, Trube A, Zhang Q, Ma G, Hu X, Fraser DR, Greenfield H (2004) School-milk intervention trial enhances growth and bone mineral accretion in Chinese girls aged 10–12 years in Beijing. Br J Nutr 92:159–168PubMedCrossRef Du X, Zhu K, Trube A, Zhang Q, Ma G, Hu X, Fraser DR, Greenfield H (2004) School-milk intervention trial enhances growth and bone mineral accretion in Chinese girls aged 10–12 years in Beijing. Br J Nutr 92:159–168PubMedCrossRef
27.
go back to reference Zhu K, Du X, Cowell CT, Greenfield H, Blades B, Dobbins TA, Zhang Q, Fraser DR (2005) Effects of school milk intervention on cortical bone accretion and indicators relevant to bone metabolism in Chinese girls aged 10–12 y in Beijing. Am J Clin Nutr 81:1168–1175PubMed Zhu K, Du X, Cowell CT, Greenfield H, Blades B, Dobbins TA, Zhang Q, Fraser DR (2005) Effects of school milk intervention on cortical bone accretion and indicators relevant to bone metabolism in Chinese girls aged 10–12 y in Beijing. Am J Clin Nutr 81:1168–1175PubMed
28.
go back to reference Du XQ, Greenfield H, Fraser DR, Ge KY, Liu ZH, He W (2002) Milk consumption and bone mineral content in Chinese adolescent girls. Bone 30:521–528PubMedCrossRef Du XQ, Greenfield H, Fraser DR, Ge KY, Liu ZH, He W (2002) Milk consumption and bone mineral content in Chinese adolescent girls. Bone 30:521–528PubMedCrossRef
29.
go back to reference Budek AZ, Hoppe C, Michaelsen KF, Mølgaard C (2007) High intake of milk, but not meat, decreases bone turnover in prepubertal boys after 7 days. Eur J Clin Nutr DOI 10.1038/sj.ejcn.1602605 Budek AZ, Hoppe C, Michaelsen KF, Mølgaard C (2007) High intake of milk, but not meat, decreases bone turnover in prepubertal boys after 7 days. Eur J Clin Nutr DOI 10.​1038/​sj.​ejcn.​1602605
30.
go back to reference Budek AZ, Hoppe C, Michaelsen KF, Bügel S, Mølgaard C (2007) Associations of total, dairy, and meat protein with markers for bone turnover in healthy, prepubertal boys. J Nutr 137:930–934PubMed Budek AZ, Hoppe C, Michaelsen KF, Bügel S, Mølgaard C (2007) Associations of total, dairy, and meat protein with markers for bone turnover in healthy, prepubertal boys. J Nutr 137:930–934PubMed
31.
go back to reference Slemenda CW, Peacock M, Hui S, Zhou L, Johnston CC (1997) Reduced rates of skeletal remodeling are associated with increased bone mineral density during the development of peak skeletal mass. J Bone Miner Res 12:676–682PubMedCrossRef Slemenda CW, Peacock M, Hui S, Zhou L, Johnston CC (1997) Reduced rates of skeletal remodeling are associated with increased bone mineral density during the development of peak skeletal mass. J Bone Miner Res 12:676–682PubMedCrossRef
32.
go back to reference Libanati C, Baylink DJ, Lois-Wenzel E, Srinvasan N, Mohan S (1999) Studies on the potential mediators of skeletal changes occurring during puberty in girls. J Clin Endocrinol Metab 84:2807–2814PubMedCrossRef Libanati C, Baylink DJ, Lois-Wenzel E, Srinvasan N, Mohan S (1999) Studies on the potential mediators of skeletal changes occurring during puberty in girls. J Clin Endocrinol Metab 84:2807–2814PubMedCrossRef
33.
go back to reference Scholz-Ahrens KE , Schrezenmeir J (2000) Effects of bioactive substances in milk on mineral and trace element metabolism with special reference to casein phosphopeptides. Br J Nutr 84 Suppl 1:S147–S153PubMed Scholz-Ahrens KE , Schrezenmeir J (2000) Effects of bioactive substances in milk on mineral and trace element metabolism with special reference to casein phosphopeptides. Br J Nutr 84 Suppl 1:S147–S153PubMed
34.
go back to reference Zimecki M, Artym J (2005) Therapeutic properties of proteins and peptides from colostrum and milk (in Polish with English abstract). Postepy Hig Med Dosw 59:309–323 Zimecki M, Artym J (2005) Therapeutic properties of proteins and peptides from colostrum and milk (in Polish with English abstract). Postepy Hig Med Dosw 59:309–323
Metadata
Title
Dietary protein intake and bone mineral content in adolescents—The Copenhagen Cohort Study
Authors
A. Z. Budek
C. Hoppe
H. Ingstrup
K. F. Michaelsen
S. Bügel
C. Mølgaard
Publication date
01-12-2007
Publisher
Springer-Verlag
Published in
Osteoporosis International / Issue 12/2007
Print ISSN: 0937-941X
Electronic ISSN: 1433-2965
DOI
https://doi.org/10.1007/s00198-007-0422-0

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