School of Dietetics and Human Nutrition, McGill University, Macdonald Campus, Ste-Anne-de-Bellevue, Quebec, Canada.
J Nutr. 2009 Nov;139(11):2099-105. doi: 10.3945/jn.109.106377. Epub 2009 Sep 16.
Long-term consumption of high-protein (HP) diets at 35% of energy is postulated to negatively influence bone health. Previous studies have not comprehensively examined the biochemical, physical, and biomechanical properties of bone required to arrive at this conclusion. Our objective in this study was to examine the long-term effect of a HP diet on bone metabolism, mass, and strength in rats. Adult female Sprague-Dawley rats (n = 80) were randomized to receive for 4, 8, 12, or 17 mo a normal-protein (NP) control diet (15% of energy) or a HP diet (35% of energy). Diets were balanced for calcium because the protein sources were rich in calcium. At each time point, measurements included weight, body composition, and bone mass using dual-energy X-ray absorptiometry, mechanical strength at the mid-diaphysis of femur and tibia, microarchitecture of femurs using microcomputerized tomography and serum osteocalcin, carboxy-terminal crosslinks of type I collagen (CTX), insulin-like growth factor-1 (IGF-1), leptin, and adiponectin. Effects of diet, time, and their interaction were tested using factorial ANOVA. The HP diet resulted in lower body weight, total body, and abdominal fat and higher lean mass. Serum leptin and adiponectin were greater in HP-fed than in NP-fed rats, but IGF-1 did not differ between the groups. Whereas the HP diet resulted in higher relative bone mineral content (g/kg) in the femur, tibia, and vertebrae, serum osteocalcin and CTX and bone internal architecture and biomechanical strength were unaffected. In conclusion, HP diets at 35% of energy lower body fat content without hindering the mechanical and weight-bearing properties of bone.
长期摄入 35%能量的高蛋白(HP)饮食被认为会对骨骼健康产生负面影响。之前的研究并未全面检查得出这一结论所需的骨骼生化、物理和生物力学特性。我们的研究目的是检查 HP 饮食对大鼠骨骼代谢、质量和强度的长期影响。成年雌性 Sprague-Dawley 大鼠(n = 80)被随机分为 4、8、12 或 17 个月,分别接受正常蛋白(NP)对照饮食(15%能量)或 HP 饮食(35%能量)。由于蛋白质来源富含钙,因此饮食中的钙是平衡的。在每个时间点,通过双能 X 射线吸收法测量体重、身体成分和骨量,通过股骨和胫骨中段的机械强度测量、股骨微结构的微计算机断层扫描和血清骨钙素、I 型胶原羧基末端交联(CTX)、胰岛素样生长因子-1(IGF-1)、瘦素和脂联素来评估骨代谢。使用析因方差分析测试饮食、时间及其相互作用的影响。HP 饮食导致体重、全身和腹部脂肪减少,而瘦体重增加。与 NP 喂养组相比,HP 喂养组的血清瘦素和脂联素更高,但 IGF-1 两组之间没有差异。虽然 HP 饮食导致股骨、胫骨和椎骨的相对骨矿物质含量(g/kg)增加,但血清骨钙素和 CTX 以及骨内部结构和生物力学强度没有受到影响。总之,35%能量的 HP 饮食可降低体脂含量,而不会影响骨骼的机械和承重性能。