Kubota Megumi, Inoue Rikako
Department of Nutritional Science, Faculty of Health and Welfare Science, Okayama Prefectural University, Japan.
Clin Calcium. 2018;28(4):459-466.
In Japan, nutrition education programs to prevent osteoporosis and osteoporotic fractures have focused primarily on increasing dietary calcium intake and recommended the consumption of milk and dairy products. However, the effect of milk and dairy product consumption on bone density loss or fracture incidence in Japanese has rarely been evaluated in randomized controlled studies. In the present study, we reviewed the literature investigating the consumption of milk and dairy products in relation to bone density and fracture risk. The results showed that milk and dairy product consumption had only a modest effect in the prevention of midlife bone loss and subsequent fractures. However, given that infrequent(once weekly or less)consumption of milk may be associated with an increased risk of femoral neck fracture, and that Japanese generally have a lower calcium intake, it is still necessary to encourage elderly and younger adults to increase their consumption of milk and dairy products to promote bone health.
在日本,预防骨质疏松症和骨质疏松性骨折的营养教育项目主要侧重于增加膳食钙摄入量,并推荐食用牛奶和奶制品。然而,在随机对照研究中,很少评估食用牛奶和奶制品对日本人骨密度损失或骨折发生率的影响。在本研究中,我们回顾了调查牛奶和奶制品消费与骨密度及骨折风险关系的文献。结果表明,食用牛奶和奶制品在预防中年骨质流失及随后的骨折方面仅有适度效果。然而,鉴于不经常(每周一次或更少)饮用牛奶可能与股骨颈骨折风险增加有关,且日本人的钙摄入量普遍较低,仍有必要鼓励老年人和年轻人增加牛奶和奶制品的摄入量以促进骨骼健康。