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Published in: Archives of Osteoporosis 1/2018

Open Access 01-12-2018 | Original Article

Self-reported protein intake and properties of bone in community-dwelling older individuals

Authors: Jonas Johansson, Andreas Hult, Bente Morseth, Anna Nordström, Peter Nordström

Published in: Archives of Osteoporosis | Issue 1/2018

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Abstract

Summary

This study revealed that a quick and simple estimation of protein intake was related to measures of bone density and area in 70-year-old individuals. Furthermore, these associations were mediated by muscle mass when investigating peripheral measurement sites such as arms and legs.

Purpose

Recent evidence suggests that dietary protein is beneficial for bone health in older individuals, but less is known about the influence of muscle mass on this relationship. This cross-sectional study aimed to investigate associations among protein intake, bone health, and muscle mass in 2332 men and women aged 70 years.

Methods

Volumetric bone mineral density of the radius and tibia was measured using peripheral quantitative computed tomography. Using dual-energy X-ray absorptiometry, we measured areal bone mineral density (aBMD) at the L1–L4 vertebrae, radius, and femoral neck, together with appendicular lean mass. Participants reported their average meal size and proportion of meat/fish intake. Associations were investigated using multiple linear regression models, adjusted for multiple covariates.

Results

Self-reported protein intake was associated with aBMD of the femoral neck (β = 0.082) and L1–L4 vertebrae (β = 0.063) in men (both p < 0.05) after adjusting for multiple covariates, including appendicular muscle mass. No significant association was detected among women. In addition, protein intake was associated with tibial cortical area (β = 0.08), periosteal circumference (β = 0.072), radial aBMD (β = 0.064), and trabecular area (β = 0.078) in men (all p < 0.05), although these associations were attenuated after adjustment for appendicular muscle mass (all p > 0.05).

Conclusion

Self-reported protein intake was associated with bone properties in 70-year-old men. The strength of these associations in peripheral bone sites may be partially mediated by muscle mass from protein intake.
Literature
2.
go back to reference Hernlund E, Svedbom A, Ivergard M, Compston J, Cooper C, Stenmark J, McCloskey EV, Jonsson B, Kanis JA (2013) Osteoporosis in the European Union: medical management, epidemiology and economic burden. A report prepared in collaboration with the International Osteoporosis Foundation (IOF) and the European Federation of Pharmaceutical Industry Associations (EFPIA). Arch Osteoporos 8(1-2):136. https://doi.org/10.1007/s11657-013-0136-1 CrossRefPubMedPubMedCentral Hernlund E, Svedbom A, Ivergard M, Compston J, Cooper C, Stenmark J, McCloskey EV, Jonsson B, Kanis JA (2013) Osteoporosis in the European Union: medical management, epidemiology and economic burden. A report prepared in collaboration with the International Osteoporosis Foundation (IOF) and the European Federation of Pharmaceutical Industry Associations (EFPIA). Arch Osteoporos 8(1-2):136. https://​doi.​org/​10.​1007/​s11657-013-0136-1 CrossRefPubMedPubMedCentral
5.
go back to reference Houston DK, Nicklas BJ, Ding J, Harris TB, Tylavsky FA, Newman AB, Lee JS, Sahyoun NR, Visser M, Kritchevsky SB (2008) Dietary protein intake is associated with lean mass change in older, community-dwelling adults: the Health, Aging, and Body Composition (Health ABC) Study. Am J Clin Nutr 87(1):150–155CrossRef Houston DK, Nicklas BJ, Ding J, Harris TB, Tylavsky FA, Newman AB, Lee JS, Sahyoun NR, Visser M, Kritchevsky SB (2008) Dietary protein intake is associated with lean mass change in older, community-dwelling adults: the Health, Aging, and Body Composition (Health ABC) Study. Am J Clin Nutr 87(1):150–155CrossRef
8.
go back to reference Barzel US, Massey LK (1998) Excess dietary protein can adversely affect bone. J Nutr 128(6):1051–1053CrossRef Barzel US, Massey LK (1998) Excess dietary protein can adversely affect bone. J Nutr 128(6):1051–1053CrossRef
9.
go back to reference Heaney RP, Layman DK (2008) Amount and type of protein influences bone health. Am J Clin Nutr 87(5):1567s–1570sCrossRef Heaney RP, Layman DK (2008) Amount and type of protein influences bone health. Am J Clin Nutr 87(5):1567s–1570sCrossRef
18.
20.
go back to reference Office of the Surgeon General (US) (2004) Bone Health and Osteoporosis: A Report of the Surgeon General. Office of the Surgeon General (US), Rockville Office of the Surgeon General (US) (2004) Bone Health and Osteoporosis: A Report of the Surgeon General. Office of the Surgeon General (US), Rockville
22.
Metadata
Title
Self-reported protein intake and properties of bone in community-dwelling older individuals
Authors
Jonas Johansson
Andreas Hult
Bente Morseth
Anna Nordström
Peter Nordström
Publication date
01-12-2018
Publisher
Springer London
Published in
Archives of Osteoporosis / Issue 1/2018
Print ISSN: 1862-3522
Electronic ISSN: 1862-3514
DOI
https://doi.org/10.1007/s11657-018-0421-0

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