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Published in: Osteoporosis International 1/2011

01-01-2011 | Original Article

Dietary patterns of antioxidant vitamin and carotenoid intake associated with bone mineral density: findings from post-menopausal Japanese female subjects

Authors: M. Sugiura, M. Nakamura, K. Ogawa, Y. Ikoma, F. Ando, H. Shimokata, M. Yano

Published in: Osteoporosis International | Issue 1/2011

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Abstract

Summary

Recent studies show that antioxidants may reduce the risk of osteoporosis. This study showed the associations of bone mineral density with dietary patterns of antioxidant vitamins and carotenoids. The findings suggest the combination of vitamin C and β-cryptoxanthin intakes might provide benefit to bone health in post-menopausal Japanese female subjects.

Introduction

Recent epidemiological studies show antioxidants may reduce the risk of osteoporosis, but little is known about the dietary patterns of antioxidant vitamin and carotenoid intakes and their relation with bone mineral density (BMD).

Methods

A total of 293 post-menopausal female subjects who had received health examinations in the town of Mikkabi, Shizuoka Prefecture, Japan, participated in the study. Radial BMD was measured using dual-energy X-ray absorptiometry. Dietary intakes of antioxidant vitamins and carotenoids were assessed by using a validated food-frequency questionnaire. Dietary patterns were identified on a selected set of antioxidants through principal component factor analysis.

Results

Three dietary patterns were identified. The “retinol” pattern, characterized by notably high intakes of preformed retinol, zeaxanthin, and vitamin E, was positively associated with the risk for low BMD. In contrast, the “β-cryptoxanthin” pattern, characterized by notably high intakes of β-cryptoxanthin and vitamin C, was negatively associated with low BMD. The odds ratios for low BMD in the highest tertiles of dietary intakes of preformed retinol, vitamin C, and β-cryptoxanthin against the lowest tertiles were 3.22 [95% confidence interval (CI), 1.38–7.51], 0.25 (CI, 0.10–0.66), and 0.40 (CI, 0.17–0.92), respectively, after adjustments for confounders. However, negative associations of vitamin C and β-cryptoxanthin with low BMD were not significant after further adjustment for intake of β-cryptoxanthin or vitamin C, respectively. Higher intakes of both vitamin C and β-cryptoxanthin were significantly associated with low BMD (P < 0.05).

Conclusions

The combination of vitamin C and β-cryptoxanthin may be associated with radial BMD in post-menopausal Japanese female subjects.
Literature
3.
go back to reference Gennari C (2001) Calcium and vitamin D nutrition and bone disease of the elderly. Public Health Nutr 4:547–559CrossRefPubMed Gennari C (2001) Calcium and vitamin D nutrition and bone disease of the elderly. Public Health Nutr 4:547–559CrossRefPubMed
4.
go back to reference Prentice A (2004) Diet, nutrition and the prevention of osteoporosis. Public Health Nutr 7:227–243CrossRefPubMed Prentice A (2004) Diet, nutrition and the prevention of osteoporosis. Public Health Nutr 7:227–243CrossRefPubMed
5.
go back to reference Macdonald HM, New SA, Golden MH, Campbell MK, Reid DM (2004) Nutritional associations with bone loss during the menopausal transition: evidence of a beneficial effect of calcium, alcohol, and fruit and vegetable nutrients and of a detrimental effect of fatty acids. Am J Clin Nutr 79:155–165PubMed Macdonald HM, New SA, Golden MH, Campbell MK, Reid DM (2004) Nutritional associations with bone loss during the menopausal transition: evidence of a beneficial effect of calcium, alcohol, and fruit and vegetable nutrients and of a detrimental effect of fatty acids. Am J Clin Nutr 79:155–165PubMed
6.
go back to reference New SA, Bolton-Smith C, Grubb DA, Reid DM (1997) Nutritional influences on bone mineral density: a cross-sectional study in premenopausal women. Am J Clin Nutr 65:1831–1839PubMed New SA, Bolton-Smith C, Grubb DA, Reid DM (1997) Nutritional influences on bone mineral density: a cross-sectional study in premenopausal women. Am J Clin Nutr 65:1831–1839PubMed
7.
go back to reference Prynne CJ, Mishra GD, O’Connell MA, Muniz G, Laskey MA, Yan L, Prentice A, Ginty F (2006) Fruit and vegetable intakes and bone mineral status: a cross-sectional study in 5 age and sex cohorts. Am J Clin Nutr 83:1420–1428PubMed Prynne CJ, Mishra GD, O’Connell MA, Muniz G, Laskey MA, Yan L, Prentice A, Ginty F (2006) Fruit and vegetable intakes and bone mineral status: a cross-sectional study in 5 age and sex cohorts. Am J Clin Nutr 83:1420–1428PubMed
8.
go back to reference Okubo H, Sasaki S, Horiguchi H, Oguma E, Miyamoto K, Hosoi Y, Kim MK, Kayama F (2006) Dietary patterns associated with bone mineral density in premenopausal Japanese farmwomen. Am J Clin Nutr 83:1185–1192PubMed Okubo H, Sasaki S, Horiguchi H, Oguma E, Miyamoto K, Hosoi Y, Kim MK, Kayama F (2006) Dietary patterns associated with bone mineral density in premenopausal Japanese farmwomen. Am J Clin Nutr 83:1185–1192PubMed
9.
go back to reference McGartland CP, Robson PJ, Murray LJ, Cran GW, Savage MJ, Watkins DC, Rooney MM, Boreham CA (2004) Fruit and vegetable consumption and bone mineral density: the Northern Ireland Young Hearts Project. Am J Clin Nutr 80:1019–1023PubMed McGartland CP, Robson PJ, Murray LJ, Cran GW, Savage MJ, Watkins DC, Rooney MM, Boreham CA (2004) Fruit and vegetable consumption and bone mineral density: the Northern Ireland Young Hearts Project. Am J Clin Nutr 80:1019–1023PubMed
10.
go back to reference Tucker KL, Chen H, Hannan MT, Cupples LA, Wilson PW, Felson D, Kiel DP (2002) Bone mineral density and dietary patterns in older adults: the Framingham Osteoporosis Study. Am J Clin Nutr 76:245–252PubMed Tucker KL, Chen H, Hannan MT, Cupples LA, Wilson PW, Felson D, Kiel DP (2002) Bone mineral density and dietary patterns in older adults: the Framingham Osteoporosis Study. Am J Clin Nutr 76:245–252PubMed
11.
go back to reference Gutteridge JM (1994) Biological origin of free radicals, and mechanisms of antioxidant protection. Chem Biol Interact 91:133–140CrossRefPubMed Gutteridge JM (1994) Biological origin of free radicals, and mechanisms of antioxidant protection. Chem Biol Interact 91:133–140CrossRefPubMed
12.
go back to reference Rock CL, Jacob RA, Bowen PE (1996) Update on the biological characteristics of the antioxidant micronutrients: vitamin C, vitamin E, and the carotenoids. J Am Diet Assoc 96:693–702CrossRefPubMed Rock CL, Jacob RA, Bowen PE (1996) Update on the biological characteristics of the antioxidant micronutrients: vitamin C, vitamin E, and the carotenoids. J Am Diet Assoc 96:693–702CrossRefPubMed
13.
go back to reference Almeida M, Han L, Martin-Millan M, O’Brien CA, Manolagas SC (2007) Oxidative stress antagonizes Wnt signaling in osteoblast precursors by diverting beta-catenin from T cell factor- to forkhead box O-mediated transcription. J Biol Chem 282:27298–27305CrossRefPubMed Almeida M, Han L, Martin-Millan M, O’Brien CA, Manolagas SC (2007) Oxidative stress antagonizes Wnt signaling in osteoblast precursors by diverting beta-catenin from T cell factor- to forkhead box O-mediated transcription. J Biol Chem 282:27298–27305CrossRefPubMed
14.
go back to reference Jilka RL, Weinstein RS, Parfitt AM, Manolagas SC (2007) Quantifying osteoblast and osteocyte apoptosis: challenges and rewards. J Bone Miner Res 22:1492–1501CrossRefPubMed Jilka RL, Weinstein RS, Parfitt AM, Manolagas SC (2007) Quantifying osteoblast and osteocyte apoptosis: challenges and rewards. J Bone Miner Res 22:1492–1501CrossRefPubMed
15.
go back to reference Garrett IR, Boyce BF, Oreffo RO, Bonewald L, Poser J, Mundy GR (1990) Oxygen-derived free radicals stimulate osteoclastic bone resorption in rodent bone in vitro and in vivo. J Clin Invest 85:632–639CrossRefPubMed Garrett IR, Boyce BF, Oreffo RO, Bonewald L, Poser J, Mundy GR (1990) Oxygen-derived free radicals stimulate osteoclastic bone resorption in rodent bone in vitro and in vivo. J Clin Invest 85:632–639CrossRefPubMed
16.
go back to reference Basu S, Michaelsson K, Olofsson H, Johansson S, Melhus H (2001) Association between oxidative stress and bone mineral density. Biochem Biophys Res Commun 288:275–279CrossRefPubMed Basu S, Michaelsson K, Olofsson H, Johansson S, Melhus H (2001) Association between oxidative stress and bone mineral density. Biochem Biophys Res Commun 288:275–279CrossRefPubMed
17.
go back to reference Yalin S, Bagis S, Polat G (2005) Is there a role of free oxygen radicals in primary male osteoporosis? Clin Exp Rheumatol 23:689–692PubMed Yalin S, Bagis S, Polat G (2005) Is there a role of free oxygen radicals in primary male osteoporosis? Clin Exp Rheumatol 23:689–692PubMed
18.
go back to reference Law MR, Hackshaw AK (1997) A meta-analysis of cigarette smoking, bone mineral density and risk of hip fracture: recognition of a major effect. BMJ 315:841–846PubMed Law MR, Hackshaw AK (1997) A meta-analysis of cigarette smoking, bone mineral density and risk of hip fracture: recognition of a major effect. BMJ 315:841–846PubMed
19.
go back to reference Melhus H, Michaelsson K, Holmberg L, Wolk A, Ljunghall S (1999) Smoking, antioxidant vitamins, and the risk of hip fracture. J Bone Miner Res 14:129–135CrossRefPubMed Melhus H, Michaelsson K, Holmberg L, Wolk A, Ljunghall S (1999) Smoking, antioxidant vitamins, and the risk of hip fracture. J Bone Miner Res 14:129–135CrossRefPubMed
20.
go back to reference Maggio D, Barabani M, Pierandrei M (2003) Marked decrease in plasma antioxidants in aged osteoporotic women: results of a cross-sectional study. J Clin Endocrinol Metab 88:1523–1527CrossRefPubMed Maggio D, Barabani M, Pierandrei M (2003) Marked decrease in plasma antioxidants in aged osteoporotic women: results of a cross-sectional study. J Clin Endocrinol Metab 88:1523–1527CrossRefPubMed
21.
go back to reference Maggio D, Polidori MC, Barabani M, Tufi A, Ruggiero C, Cecchetti R, Aisa MC, Stahl W, Cherubini A (2006) Low levels of carotenoids and retinol in involutional osteoporosis. Bone 38:244–248CrossRefPubMed Maggio D, Polidori MC, Barabani M, Tufi A, Ruggiero C, Cecchetti R, Aisa MC, Stahl W, Cherubini A (2006) Low levels of carotenoids and retinol in involutional osteoporosis. Bone 38:244–248CrossRefPubMed
22.
go back to reference Yang Z, Zhang Z, Penniston KL, Binkley N, Tanumihardjo SA (2008) Serum carotenoid concentrations in postmenopausal women from the United States with and without osteoporosis. Int J Vitam Nutr Res 78:105–111CrossRefPubMed Yang Z, Zhang Z, Penniston KL, Binkley N, Tanumihardjo SA (2008) Serum carotenoid concentrations in postmenopausal women from the United States with and without osteoporosis. Int J Vitam Nutr Res 78:105–111CrossRefPubMed
23.
go back to reference Sahni S, Hannan MT, Blumberg J, Cupples LA, Kiel DP, Tucker KL (2009) Inverse association of carotenoid intakes with 4-y change in bone mineral density in elderly men and women: the Framingham Osteoporosis Study. Am J Clin Nutr 89:416–424CrossRefPubMed Sahni S, Hannan MT, Blumberg J, Cupples LA, Kiel DP, Tucker KL (2009) Inverse association of carotenoid intakes with 4-y change in bone mineral density in elderly men and women: the Framingham Osteoporosis Study. Am J Clin Nutr 89:416–424CrossRefPubMed
24.
go back to reference Sahni S, Hannan MT, Gagnon D, Blumberg J, Cupples LA, Kiel DP, Tucker KL (2009) Protective effect of total and supplemental vitamin C intake on the risk of hip fracture—a 17-year follow-up from the Framingham Osteoporosis Study. Osteoporos Int 20:1853–1861CrossRefPubMed Sahni S, Hannan MT, Gagnon D, Blumberg J, Cupples LA, Kiel DP, Tucker KL (2009) Protective effect of total and supplemental vitamin C intake on the risk of hip fracture—a 17-year follow-up from the Framingham Osteoporosis Study. Osteoporos Int 20:1853–1861CrossRefPubMed
25.
go back to reference Sugiura M, Nakamura M, Ogawa K, Ikoma Y, Ando F, Yano M (2008) Bone mineral density in post-menopausal female subjects is associated with serum antioxidant carotenoids. Osteoporos Int 19:211–219CrossRefPubMed Sugiura M, Nakamura M, Ogawa K, Ikoma Y, Ando F, Yano M (2008) Bone mineral density in post-menopausal female subjects is associated with serum antioxidant carotenoids. Osteoporos Int 19:211–219CrossRefPubMed
26.
go back to reference Wakai K, Egami I, Kato K, Lin Y, Kawamura T, Tamakoshi A, Aoki R, Kojima M, Nakayama T, Wada M, Ohno Y (1999) A simple food frequency questionnaire for Japanese diet—Part I. Development of the questionnaire, and reproducibility and validity for food groups. J Epidemiol 9:216–226PubMed Wakai K, Egami I, Kato K, Lin Y, Kawamura T, Tamakoshi A, Aoki R, Kojima M, Nakayama T, Wada M, Ohno Y (1999) A simple food frequency questionnaire for Japanese diet—Part I. Development of the questionnaire, and reproducibility and validity for food groups. J Epidemiol 9:216–226PubMed
27.
go back to reference Egami I, Wakai K, Kato K, Lin Y, Kawamura T, Tamakoshi A, Aoki R, Kojima M, Nakayama T, Wada M, Ohno Y (1999) A simple food frequency questionnaire for Japanese diet—Part II. Reproducibility and validity for nutrient intakes. J Epidemiol 9:227–234PubMed Egami I, Wakai K, Kato K, Lin Y, Kawamura T, Tamakoshi A, Aoki R, Kojima M, Nakayama T, Wada M, Ohno Y (1999) A simple food frequency questionnaire for Japanese diet—Part II. Reproducibility and validity for nutrient intakes. J Epidemiol 9:227–234PubMed
28.
go back to reference Science and Technology Agency (1983) Standard tables of food composition in Japan, 4th edn. Printing Bureau, Ministry of Finance, Tokyo, in Japanese Science and Technology Agency (1983) Standard tables of food composition in Japan, 4th edn. Printing Bureau, Ministry of Finance, Tokyo, in Japanese
29.
go back to reference Science and Technology Agency (1997) Standard tables of food composition in Japan. (for new foods], 5th edn. Printing Bureau, Ministry of Finance, Tokyo, in Japanese Science and Technology Agency (1997) Standard tables of food composition in Japan. (for new foods], 5th edn. Printing Bureau, Ministry of Finance, Tokyo, in Japanese
30.
go back to reference Yano M, Kato M, Ikoma Y, Kawasaki A, Fukazawa Y, Sugiura M, Matsumoto H, Ohara Y, Nagao A, Ogawa K (2005) Quantitation of carotenoids in raw and processed fruits in Japan. Food Sci Technol Res 11:13–18CrossRef Yano M, Kato M, Ikoma Y, Kawasaki A, Fukazawa Y, Sugiura M, Matsumoto H, Ohara Y, Nagao A, Ogawa K (2005) Quantitation of carotenoids in raw and processed fruits in Japan. Food Sci Technol Res 11:13–18CrossRef
31.
go back to reference Aizawa K, Inakuma T (2007) Quantitation of carotenoids in commonly consumed vegetables in Japan. Food Sci Technol Res 13:247–252CrossRef Aizawa K, Inakuma T (2007) Quantitation of carotenoids in commonly consumed vegetables in Japan. Food Sci Technol Res 13:247–252CrossRef
32.
go back to reference Sugiura M, Nakamura M, Ogawa K, Ikoma Y, Matsumoto H, Ando F, Shimokata H, Yano M (2009) Synergistic interaction of cigarette smoking and alcohol drinking with serum carotenoid concentrations: findings from a middle-aged Japanese population. Br J Nutr 102:1211–1219CrossRefPubMed Sugiura M, Nakamura M, Ogawa K, Ikoma Y, Matsumoto H, Ando F, Shimokata H, Yano M (2009) Synergistic interaction of cigarette smoking and alcohol drinking with serum carotenoid concentrations: findings from a middle-aged Japanese population. Br J Nutr 102:1211–1219CrossRefPubMed
33.
go back to reference Orimo H, Hayashi Y, Fukunaga M et al (2001) Diagnostic criteria for primary osteoporosis. J Bone Miner Metab 19:331–337CrossRefPubMed Orimo H, Hayashi Y, Fukunaga M et al (2001) Diagnostic criteria for primary osteoporosis. J Bone Miner Metab 19:331–337CrossRefPubMed
34.
go back to reference Feskanich D, Singh V, Willett WC, Colditz GA (2002) Vitamin A intake and hip fractures among postmenopausal women. JAMA 287:47–54CrossRefPubMed Feskanich D, Singh V, Willett WC, Colditz GA (2002) Vitamin A intake and hip fractures among postmenopausal women. JAMA 287:47–54CrossRefPubMed
35.
go back to reference Melhus H, Michaëlsson K, Kindmark A, Bergström R, Holmberg L, Mallmin H, Wolk A, Ljunghall S (1998) Excessive dietary intake of vitamin A is associated with reduced bone mineral density and increased risk for hip fracture. Ann Intern Med 129:770–778PubMed Melhus H, Michaëlsson K, Kindmark A, Bergström R, Holmberg L, Mallmin H, Wolk A, Ljunghall S (1998) Excessive dietary intake of vitamin A is associated with reduced bone mineral density and increased risk for hip fracture. Ann Intern Med 129:770–778PubMed
36.
go back to reference Promislow JH, Goodman-Gruen D, Slymen DJ, Barrett-Connor E (2002) Retinol intake and bone mineral density in the elderly: the Rancho Bernardo Study. J Bone Miner Res 17:1349–1358CrossRefPubMed Promislow JH, Goodman-Gruen D, Slymen DJ, Barrett-Connor E (2002) Retinol intake and bone mineral density in the elderly: the Rancho Bernardo Study. J Bone Miner Res 17:1349–1358CrossRefPubMed
38.
go back to reference Poal-Manresa J, Little K, Trueta J (1970) Some observations on the effects of vitamin C deficiency on bone. Br J Exp Pathol 51:372–378PubMed Poal-Manresa J, Little K, Trueta J (1970) Some observations on the effects of vitamin C deficiency on bone. Br J Exp Pathol 51:372–378PubMed
39.
go back to reference Kipp DE, McElvain M, Kimmel DB, Akhter MP, Robinson RG, Lukert BP (1996) Scurvy results in decreased collagen synthesis and bone density in the guinea pig animal model. Bone 18:281–288CrossRefPubMed Kipp DE, McElvain M, Kimmel DB, Akhter MP, Robinson RG, Lukert BP (1996) Scurvy results in decreased collagen synthesis and bone density in the guinea pig animal model. Bone 18:281–288CrossRefPubMed
40.
41.
go back to reference Peterkofsky B (1991) Ascorbate requirement for hydroxylation and secretion of procollagen: relationship to inhibition of collagen synthesis in scurvy. Am J Clin Nutr 54:1135S–1140SPubMed Peterkofsky B (1991) Ascorbate requirement for hydroxylation and secretion of procollagen: relationship to inhibition of collagen synthesis in scurvy. Am J Clin Nutr 54:1135S–1140SPubMed
42.
go back to reference Iotsova V, Caamano J, Loy J, Yang Y, Lewin A, Bravo R (1997) Osteopetrosis in mice lacking NF-kappaB1 and NF-kappaB2. Nat Med 3:1285–1289CrossRefPubMed Iotsova V, Caamano J, Loy J, Yang Y, Lewin A, Bravo R (1997) Osteopetrosis in mice lacking NF-kappaB1 and NF-kappaB2. Nat Med 3:1285–1289CrossRefPubMed
43.
go back to reference Baeuerle PA, Rupec RA, Pahl HL (1996) Reactive oxygen intermediates as second messengers of a general pathogen response. Pathol Biol (Paris) 44:29–35 Baeuerle PA, Rupec RA, Pahl HL (1996) Reactive oxygen intermediates as second messengers of a general pathogen response. Pathol Biol (Paris) 44:29–35
44.
go back to reference Garrett IR, Boyce BF, Oreffo RO, Bonewald L, Poser J, Mundy GR (1996) Oxygen-derived free radicals stimulate osteoclastic bone resorption in rodent bone in vitro and in vivo. J Clin Invest 85:632–639CrossRef Garrett IR, Boyce BF, Oreffo RO, Bonewald L, Poser J, Mundy GR (1996) Oxygen-derived free radicals stimulate osteoclastic bone resorption in rodent bone in vitro and in vivo. J Clin Invest 85:632–639CrossRef
45.
go back to reference Bax BE, Alam AS, Banerji B, Bax CM, Bevis PJ, Stevens CR, Moonga BS, Blake DR, Zaidi M (1992) Stimulation of osteoclastic bone resorption by hydrogen peroxide. Biochem Biophys Res Commun 183:1153–1158CrossRefPubMed Bax BE, Alam AS, Banerji B, Bax CM, Bevis PJ, Stevens CR, Moonga BS, Blake DR, Zaidi M (1992) Stimulation of osteoclastic bone resorption by hydrogen peroxide. Biochem Biophys Res Commun 183:1153–1158CrossRefPubMed
46.
go back to reference Yamaguchi M, Uchiyama S (2003) Effect of carotenoid on calcium content and alkaline phosphatase activity in rat femoral tissues in vitro: the unique anabolic effect of beta-cryptoxanthin. Biol Pharm Bull 26:1188–1191CrossRefPubMed Yamaguchi M, Uchiyama S (2003) Effect of carotenoid on calcium content and alkaline phosphatase activity in rat femoral tissues in vitro: the unique anabolic effect of beta-cryptoxanthin. Biol Pharm Bull 26:1188–1191CrossRefPubMed
47.
go back to reference Yamaguchi M, Uchiyama S (2004) Beta-cryptoxanthin stimulates bone formation and inhibits bone resorption in tissue culture in vitro. Mol Cell Biochem 258:137–144CrossRefPubMed Yamaguchi M, Uchiyama S (2004) Beta-cryptoxanthin stimulates bone formation and inhibits bone resorption in tissue culture in vitro. Mol Cell Biochem 258:137–144CrossRefPubMed
48.
go back to reference Uchiyama S, Yamaguchi M (2004) Oral administration of beta-cryptoxanthin induces anabolic effects on bone components in the femoral tissues of rats in vivo. Biol Pharm Bull 27:232–235CrossRefPubMed Uchiyama S, Yamaguchi M (2004) Oral administration of beta-cryptoxanthin induces anabolic effects on bone components in the femoral tissues of rats in vivo. Biol Pharm Bull 27:232–235CrossRefPubMed
49.
go back to reference Hosseinimehr SJ, Nemati A (2006) Radioprotective effects of hesperidin against gamma irradiation in mouse bone marrow cells. Br J Radiol 79:415–418CrossRefPubMed Hosseinimehr SJ, Nemati A (2006) Radioprotective effects of hesperidin against gamma irradiation in mouse bone marrow cells. Br J Radiol 79:415–418CrossRefPubMed
50.
go back to reference Chiba H, Uehara M, Wu J, Wang X, Masuyama R, Suzuki K, Kanazawa K, Ishimi Y (2003) Hesperidin, a citrus flavonoid, inhibits bone loss and decreases serum and hepatic lipids in ovariectomized mice. J Nutr 133:1892–1897PubMed Chiba H, Uehara M, Wu J, Wang X, Masuyama R, Suzuki K, Kanazawa K, Ishimi Y (2003) Hesperidin, a citrus flavonoid, inhibits bone loss and decreases serum and hepatic lipids in ovariectomized mice. J Nutr 133:1892–1897PubMed
Metadata
Title
Dietary patterns of antioxidant vitamin and carotenoid intake associated with bone mineral density: findings from post-menopausal Japanese female subjects
Authors
M. Sugiura
M. Nakamura
K. Ogawa
Y. Ikoma
F. Ando
H. Shimokata
M. Yano
Publication date
01-01-2011
Publisher
Springer-Verlag
Published in
Osteoporosis International / Issue 1/2011
Print ISSN: 0937-941X
Electronic ISSN: 1433-2965
DOI
https://doi.org/10.1007/s00198-010-1239-9

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