Roughead Zamzam K, Johnson LuAnn K, Lykken Glenn I, Hunt Janet R
Grand Forks Human Nutrition Research Center, Agricultural Research Service, U.S. Department of Agriculture, Grand Forks, ND 58202-9034, USA.
J Nutr. 2003 Apr;133(4):1020-6. doi: 10.1093/jn/133.4.1020.
Calcium balance is decreased by an increased intake of purified proteins, although the effects of common dietary sources of protein (like meat) on calcium economy remain controversial. We compared the effects of several weeks of controlled high and low meat diets on body calcium retention, using sensitive radiotracer and whole body scintillation counting methodology. Healthy postmenopausal women (n = 15) consumed diets with similar calcium content (approximately 600 mg), but either low or high in meat (12 vs. 20% of energy as protein) for 8 wk each, in a randomized crossover design. After 4 wk of equilibration of each diet, calcium retention was measured by extrinsically labeling the 2-d menu with (47)Ca, followed by whole body scintillation counting for 28 d. Urinary and blood indicators of bone metabolism were also determined for each diet. Calcium retention was not different during the high and low meat dietary periods (d 28, mean +/- pooled SD: 17.1 and 15.6%, +/-0.6%, respectively; P = 0.09). An initially higher renal acid excretion in subjects consuming the high meat compared with the low meat diet decreased significantly with time. The diets did not affect urinary calcium loss or indicators of bone metabolism. In conclusion, under controlled conditions, a high meat compared with a low meat diet for 8 wk did not affect calcium retention or biomarkers of bone metabolism in healthy postmenopausal women. Calcium retention is not reduced when subjects consume a high protein diet from common dietary sources such as meat.
尽管常见蛋白质饮食来源(如肉类)对钙代谢的影响仍存在争议,但纯化蛋白质摄入量增加会降低钙平衡。我们使用灵敏的放射性示踪剂和全身闪烁计数方法,比较了数周的高肉和低肉对照饮食对身体钙潴留的影响。采用随机交叉设计,15名健康的绝经后女性分别食用钙含量相似(约600毫克)但肉类含量不同(蛋白质能量占比分别为12%和20%)的饮食,每种饮食持续8周。每种饮食平衡4周后,通过用(47)Ca对2天的菜单进行外源性标记,然后进行28天的全身闪烁计数来测量钙潴留。还测定了每种饮食的骨代谢尿液和血液指标。高肉饮食期和低肉饮食期的钙潴留没有差异(第28天,平均值±合并标准差:分别为17.1%和15.6%,±0.6%;P = 0.09)。与低肉饮食相比,高肉饮食的受试者最初较高的肾酸排泄量随时间显著降低。这些饮食对尿钙流失或骨代谢指标没有影响。总之,在受控条件下,与低肉饮食相比,8周的高肉饮食对健康绝经后女性的钙潴留或骨代谢生物标志物没有影响。当受试者从肉类等常见饮食来源摄入高蛋白饮食时,钙潴留不会减少。