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绝经后5年,膳食中叶酸的摄入量与骨矿物质密度增加有关,而维生素B2或B12则不然:一项针对绝经后早期女性的10年随访研究结果。

Dietary intake of folate, but not vitamin B2 or B12, is associated with increased bone mineral density 5 years after the menopause: results from a 10-year follow-up study in early postmenopausal women.

作者信息

Rejnmark L, Vestergaard P, Hermann A P, Brot C, Eiken P, Mosekilde L

机构信息

The Osteoporosis Clinic, Department of Endocrinology and Metabolism C, Aarhus Sygehus, Aarhus University Hospital, Aarhus Sygehus, Tage-Hansens Gade 2, DK-8000, Aarhus C, Denmark.

出版信息

Calcif Tissue Int. 2008 Jan;82(1):1-11. doi: 10.1007/s00223-007-9087-0. Epub 2008 Jan 4.

Abstract

Folate, vitamin B2 (riboflavin), and vitamin B12 may affect bone directly or through an effect on plasma homocysteine levels. Previously, a positive association has been found between plasma levels and bone mineral density (BMD) as well as risk of fracture. However, there are limited data on whether dietary intakes affect bone. Our aim was to investigate whether intake of folate, vitamin B2) and vitamin B12, as assessed by food records affects BMD and fracture risk. In a population-based cohort including 1,869 perimenopausal women from the Danish Osteoporosis Prevention Study, associations between intakes and BMD were assessed at baseline and after 5 years of follow-up. Moreover, associations between intakes and 5- and 10-year changes in BMD as well as risk of fracture were studied. Intakes of folate, vitamin B2, and vitamin B12 were 417 (range 290-494) microg/day, 2.70 (range 1.70-3.16) mg/day, and 4.98 (range 3.83-6.62) microg/day, respectively, i.e., slightly above the intakes recommended by the United Nations Food and Agriculture Organization. At year 5, but not at baseline, cross-sectional analyses showed positive correlations between daily intake from diet and from diet plus supplements of folate and BMD at the femoral neck (P < 0.01). However, no associations were found between intakes and changes in BMD. During 10 years of follow-up, 360 subjects sustained a fracture. Compared with 1,440 controls, logistic regression analyses revealed no difference in intakes between cases and controls. A high dietary intake of folate, but not vitamin B2 or B12, exerts positive effects on BMD; but further studies are needed to confirm this association.

摘要

叶酸、维生素B2(核黄素)和维生素B12可能直接影响骨骼,或通过影响血浆同型半胱氨酸水平来影响骨骼。此前,已发现血浆水平与骨矿物质密度(BMD)以及骨折风险之间存在正相关。然而,关于饮食摄入量是否影响骨骼的数据有限。我们的目的是调查通过食物记录评估的叶酸、维生素B2和维生素B12摄入量是否会影响骨密度和骨折风险。在一项基于人群的队列研究中,纳入了来自丹麦骨质疏松症预防研究的1869名围绝经期妇女,在基线和随访5年后评估摄入量与骨密度之间的关联。此外,还研究了摄入量与骨密度5年和10年变化以及骨折风险之间的关联。叶酸、维生素B2和维生素B12的摄入量分别为417(范围290 - 494)微克/天、2.70(范围1.70 - 3.16)毫克/天和4.98(范围3.83 - 6.62)微克/天,即略高于联合国粮食及农业组织推荐的摄入量。在第5年时,而非基线时,横断面分析显示饮食中叶酸的每日摄入量以及饮食加补充剂中叶酸的摄入量与股骨颈骨密度之间存在正相关(P < 0.01)。然而,未发现摄入量与骨密度变化之间存在关联。在10年的随访期间,360名受试者发生了骨折。与1440名对照相比,逻辑回归分析显示病例组和对照组之间的摄入量没有差异。高饮食叶酸摄入量,而非维生素B2或B12摄入量,对骨密度有积极影响;但需要进一步研究来证实这种关联。

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