Peters Bárbara Santarosa Emo, Martini Lígia Araújo
Departamento de Endocrinologia, Universidade Federal de São Paulo, SP, Brasil.
Arq Bras Endocrinol Metabol. 2010 Mar;54(2):179-85. doi: 10.1590/s0004-27302010000200014.
Osteoporosis is a global health problem characterized by low bone mass and microarchitectural deterioration of bone tissue with a consequent increase in bone fragility and susceptibility to fracture. Nutrition plays a critical role in reducing the risk of osteoporosis through its effect on all of these fragility factors, especially on the development and maintenance of bone mass. An adequate calcium, vitamin D and protein intake resulted in reduced bone remodeling, better calcium retention, reduced age-related bone loss, and reduced fracture risk. Recent evidence indicates that a healthy dietary pattern including dairy products (mainly fat free), fruit and vegetables and adequate amounts of meat, fish and poultry is positively related to bone health. Furthermore, mineral and vitamin supplementation should be closely monitored by health professionals since it could have adverse effects and be insufficient to ensure optimal protection of bone health.
骨质疏松症是一个全球性的健康问题,其特征是骨量低和骨组织微结构退化,从而导致骨脆性增加和骨折易感性增加。营养通过对所有这些导致脆性的因素产生影响,尤其是对骨量的发育和维持产生影响,在降低骨质疏松症风险方面发挥着关键作用。充足的钙、维生素D和蛋白质摄入可减少骨重塑、更好地保留钙、减少与年龄相关的骨质流失并降低骨折风险。最近的证据表明,包括乳制品(主要是脱脂的)、水果和蔬菜以及适量的肉类、鱼类和家禽在内的健康饮食模式与骨骼健康呈正相关。此外,矿物质和维生素补充剂应由健康专业人员密切监测,因为它可能产生不良影响,并且不足以确保对骨骼健康的最佳保护。