在弗雷明汉后代队列研究中,膳食硅摄入量与男性和绝经前女性的骨矿物质密度呈正相关。

Dietary silicon intake is positively associated with bone mineral density in men and premenopausal women of the Framingham Offspring cohort.

作者信息

Jugdaohsingh Ravin, Tucker Katherine L, Qiao Ning, Cupples L Adrienne, Kiel Douglas P, Powell Jonathan J

机构信息

Gastrointestinal Laboratory, The Rayne Institute, St Thomas' Hospital, London, United Kingdom.

出版信息

J Bone Miner Res. 2004 Feb;19(2):297-307. doi: 10.1359/JBMR.0301225. Epub 2003 Dec 16.

Abstract

UNLABELLED

The role of dietary silicon in bone health in humans is not known. In a cross-sectional, population-based study (2847 participants), associations between dietary silicon intake and BMD were investigated. Dietary silicon correlated positively and significantly with BMD at all hip sites in men and premenopausal women, but not in postmenopausal women, suggesting that increased silicon intake is associated with increased cortical BMD in these populations.

INTRODUCTION

Osteoporosis is a burgeoning health and economic issue. Agents that promote bone formation are widely sought. Animal and cellular data suggest that the orthosilicate anion (i.e., dietary silicon) is involved in bone formation. The intake of silicon (Si, approximately 30 mg/day) is among the highest for trace elements in humans, but its contribution to bone health is not known.

MATERIALS AND METHODS

In a cross-sectional, population-based study, we examined the association between silicon intake and bone mineral density (BMD) in 1251 men and 1596 pre- and postmenopausal women in the Framingham Offspring cohort (age, 30-87 years) at four hip sites and lumbar spine, adjusting for all potential confounding factors known to influence BMD and nutrient intake.

RESULTS

Silicon intake correlated positively with adjusted BMD at four hip sites in men and premenopausal women, but not in postmenopausal women. No significant association was observed at the lumbar spine in any group. Categorical analysis by Si intake, or energy-adjusted Si intake, supported these findings, and showed large differences in BMD (up to 10%) between the highest (> 40 mg Si/day) and lowest (< 14 mg Si/day) quintiles of silicon intake. A significant association at the lumbar spine in men was also observed. Further analyses indicated that some of the effects seen for moderate consumption of alcoholic beverages on BMD might be attributed to Si intake.

CONCLUSIONS

These findings suggest that higher dietary silicon intake in men and younger women may have salutary effects on skeletal health, especially cortical bone health, that has not been previously recognized. Confirmation of these results is being sought in a longitudinal study and by assessment of the influence of silicon intake on bone markers in this cohort.

摘要

未标注

膳食硅对人类骨骼健康的作用尚不清楚。在一项基于人群的横断面研究(2847名参与者)中,研究了膳食硅摄入量与骨密度之间的关联。膳食硅与男性和绝经前女性所有髋部部位的骨密度呈显著正相关,但在绝经后女性中并非如此,这表明增加硅摄入量与这些人群皮质骨密度增加有关。

引言

骨质疏松症是一个日益严重的健康和经济问题。人们广泛寻求促进骨形成的药物。动物和细胞数据表明,原硅酸阴离子(即膳食硅)参与骨形成。硅(Si,约30毫克/天)的摄入量在人类微量元素中是最高的之一,但其对骨骼健康的贡献尚不清楚。

材料与方法

在一项基于人群的横断面研究中,我们在弗雷明汉后代队列(年龄30 - 87岁)的1251名男性和1596名绝经前及绝经后女性中,研究了硅摄入量与四个髋部部位和腰椎骨密度(BMD)之间的关联,并对所有已知影响骨密度和营养摄入的潜在混杂因素进行了调整。

结果

硅摄入量与男性和绝经前女性四个髋部部位的调整后骨密度呈正相关,但在绝经后女性中并非如此。在任何组的腰椎均未观察到显著关联。按硅摄入量或能量调整后的硅摄入量进行分类分析支持了这些发现,并显示硅摄入量最高(>40毫克硅/天)和最低(<14毫克硅/天)五分位数之间的骨密度存在较大差异(高达10%)。在男性的腰椎也观察到显著关联。进一步分析表明,适量饮用酒精饮料对骨密度的一些影响可能归因于硅摄入量。

结论

这些发现表明,男性和年轻女性较高的膳食硅摄入量可能对骨骼健康,尤其是皮质骨健康有有益影响,而这一点此前未被认识到。目前正在通过一项纵向研究以及评估该队列中硅摄入量对骨标志物的影响来寻求对这些结果的证实。

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