E Hassan Nayera, El Shebini Salwa M, Ahmed Nihad H, A El-Masry Sahar, Y El Sherity Safenaz, Rasheed Enas A, S El-Saeed Gamila, Kamal Ayat N
Pak J Biol Sci. 2020 Jan;23(5):602-611. doi: 10.3923/pjbs.2020.602.611.
Obesity and osteoporosis are worldwide health problems that interact with each other. There are also affected by the menopause and dietary pattern. So, this study aimed to find the relation between osteoporosis, body weight and intake of protein, calcium and vitamin D in obese pre and post-menopausal women.
One hundred and sixteen shared as volunteers in a cross-section study lasted for 2 years. They were divided into 2 groups, pre and post-menopausal women. All women were subjected to, clinical examination, anthropometric measurements and 24 dietary recalls. They were evaluated for bone mass density, biochemical analysis for serum lipids, calcium and vitamin D.
Osteopenia and osteoporosis were higher among normal-weight and overweight (non-obese) women compared to obese as well weakly associated with their serum lipids. The mean daily protein consumption was high as compared to recommended daily allowances (RDAs), especially among osteoporotic women. The mean daily intake of vitamin D and calcium was low as the lower level was noticed among the osteoporotic premenopausal patients. The means serum concentration of calcium and vitamin D were adequate.
Data revealed that the prevalence of osteoporosis was lower among obese patients compared to non-obese women. Inadequate daily dietary intake of calcium and vitamin D was reported, however, physiological compensation maintained their optimal normal serum levels.
肥胖和骨质疏松是相互影响的全球性健康问题,且受绝经和饮食模式的影响。因此,本研究旨在探寻绝经前后肥胖女性的骨质疏松、体重与蛋白质、钙和维生素D摄入量之间的关系。
116名志愿者参与了一项为期2年的横断面研究。她们被分为绝经前和绝经后两组女性。所有女性均接受了临床检查、人体测量以及24小时饮食回顾调查。对她们进行了骨密度评估、血脂、钙和维生素D的生化分析。
与肥胖女性相比,正常体重和超重(非肥胖)女性的骨质减少和骨质疏松发生率更高,且与她们的血脂相关性较弱。与推荐每日摄入量(RDA)相比,平均每日蛋白质摄入量较高,尤其是骨质疏松女性。维生素D和钙的平均每日摄入量较低,绝经前骨质疏松患者中摄入量处于较低水平。钙和维生素D的血清平均浓度充足。
数据显示,与非肥胖女性相比,肥胖患者中骨质疏松的患病率较低。然而,报告显示钙和维生素D的每日饮食摄入量不足,但生理补偿维持了其最佳正常血清水平。