The Role of Diet in Osteoporosis Prevention and Management

Levis, Silvina; Lagari, Violet S.

doi:10.1007/s11914-012-0119-y

Cited by 51 publications

(36 citation statements)

References 43 publications

(45 reference statements)

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“…This is likely to have a negative impact on bone health as recent evidence has indicated that both gastrointestinal calcium absorption and bone mineralisation are impeded in vitamin D insufficiency. Furthermore, vitamin D has been shown to be protective against falls, thus reducing fracture risk further [10]. Our observations are supported by a number of previous studies which have demonstrated an association between chronic alcoholism and low circulating levels of vitamin D [3,12].…”

Section: Study Findingssupporting

confidence: 89%

“…Additionally, we have shown that dietary calcium intake was often low (but extremely variable) in this group; one alcoholic woman was receiving a daily calcium intake as low as 35mg. Although there is no consensus on the appropriate daily calcium dose different organisations recommend between 700mg in the UK and 1300mg in Australia and New Zealand [10]. Inadequate dietary calcium intake results in secondary hyperparathyroidism, which in turn increases bone turnover and accelerates bone loss.…”

Section: Study Findingsmentioning

confidence: 99%

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Bone Health Among Premenopausal Female Alcoholics: A Pilot Study

Clynes¹,

Robinson²,

Evans³

et al. 2015

TOBONEJ

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Abstract:We report a pilot study of bone health of alcohol dependent women.Women admitted to an alcohol-withdrawal unit (cases) and a convenience sample of controls (nursing staff) were recruited and asked to complete a lifestyle questionnaire before undergoing heel ultrasound measurements. Fasting blood samples were obtained on the day of admission (day 1) and at 5 days. Bone turnover markers (P1NP and CTX) and vitamin D levels were measured in a subset of the alcohol dependent population. Lifestyle factors associated with poor bone health are prevalent in female alcoholics. Significant increase in bone formation was observed 5 days after alcohol withdrawal.

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Section: Study Findingssupporting

confidence: 89%

Section: Study Findingsmentioning

confidence: 99%

Bone Health Among Premenopausal Female Alcoholics: A Pilot Study

Clynes¹,

Robinson²,

Evans³

et al. 2015

TOBONEJ

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“…These include calcium, vitamin D and proteins, as well as other nutrients such as potassium, magnesium and vitamin K, which may also be related to benefits for bone health. 9 These nutrients initially originate from a suitable food intake. In the women analyzed the parameters relating to food consumption denoted a nutritional imbalance in terms of the actual situation of bone demineralization presented by the sample.…”

Section: Discussionmentioning

confidence: 99%

Analysis of total calorie, calcium and protein intake and relationship with bone mineral density in postmenopausal women

Oselame

Matos

Oselame

et al. 2016

Rev. bras. geriatr. gerontol.

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Introduction: the adequate intake of nutrients involved in bone metabolism can prevent and even reduce the risk of osteoporosis. Objective: verify the intake of total calories, protein and calcium in women diagnosed with osteopenia and osteoporosis after menopause. Method: a study of 25 women diagnosed with osteopenia (n=17) or osteoporosis (n=8) in the postmenopausal period, who were members of the Prática de Exercícios Físicos na Osteoporose (Practice of Physical Exercise Against Osteoporosis) (PEFO) study group of the Universidade Tecnológica Federal do Paraná (the Federal Technology University of Paraná) (UTFPR). The study was divided into two data collection phases: assessment of body composition and bone mineral density by Dual-energy X-ray Absorptiometry (DXA) and the recording of food consumption over the previous 72 hours by means of a structured interview. Results: there was a difference between the reference values and the average values found for caloric, protein and calcium intake. There were higher values for protein, while calcium intake was low. The osteoporosis group (mean 59.24+80.07, p<0.05) ingested significantly more protein than the osteopenia group (mean 15.14+16.53, p<0.05). The results showed a significant negative correlation between protein intake and hip BMD (r=-0.416, p<0.05). Conclusion: adequate intake of protein should be recognized as a protective factor for osteoporosis and considered by nutritionists, as well as being widely featured in public health campaigns.

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“…There are numerous other nutrients that may infl uence bone metabolism such as copper, zinc, vitamin C, and protein, but there is no fi rm evidence that supplementation of any will infl uence bone mass, even in the general population [ 121 ]. Particular attention to nutrition in the stroke survivor to achieve a healthy balanced intake is prudent for multiple reasons, including bone health.…”

Section: Nutritionmentioning

confidence: 99%

Falls and Osteoporosis Post-Stroke

Dockery

Sommerville

2015

Management of Post-Stroke Complications

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Falls are a common and serious, but potentially preventable, problem after stroke. Avoiding falls requires balance, which is a fl uid and dynamic physical skill. There are a number of perceptual, neurological, and mechanical mechanisms underlying our ability to balance, and they are complex and heterogeneous. Depending on where strokes occur in the brain, balance may be affected in different ways. It is important to identify stroke patients who are at risk of falls in order to optimize prevention, and a number of stroke-specifi c risk factors have been identifi ed, but the available assessment scales have only limited sensitivity and specifi city. If management of falls risk in stroke is to be effective, assessments have to identify the precise and individual mechanisms underlying balance problems, and then specifi c management has to be targeted at these defi cits. The consequences of falls after stroke can be severe and include loss of confi dence and loss of independence, as well as serious injury including fractures. Stroke patients are at greater risk of osteoporosis, particularly on the hemiplegic side, which occurs rapidly following paresis. Management of falls risk post-stroke should also include timely assessment of bone health and the associated fracture risk. Keywords Key Messages• Following a stroke, falls risk is increased over and above the falls risk associated with ageing. • The assessment of stroke patients who are at risk of falls should be multidisciplinary, so too should the delivery of interventions designed to prevent them. • Bone density is lost rapidly in the hemiparetic limb following a stroke, with resultant increased fracture risk.• Along with osteoporosis drug treatment, exercise, nutrition, and addressing falls risk are important strategies to reduce fracture risk.

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The Role of Diet in Osteoporosis Prevention and Management

Cited by 51 publications

References 43 publications

Bone Health Among Premenopausal Female Alcoholics: A Pilot Study

Bone Health Among Premenopausal Female Alcoholics: A Pilot Study

Analysis of total calorie, calcium and protein intake and relationship with bone mineral density in postmenopausal women

Falls and Osteoporosis Post-Stroke

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