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素食饮食对骨密度的影响。

Effects of vegetarian diet on bone mineral density.

作者信息

Chuang Tzyy-Ling, Lin Chun-Hung, Wang Yuh-Feng

机构信息

Department of Nuclear Medicine, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Chiayi, Taiwan.

School of Medicine, Tzu Chi University, Hualien, Taiwan.

出版信息

Tzu Chi Med J. 2020 Sep 16;33(2):128-134. doi: 10.4103/tcmj.tcmj_84_20. eCollection 2021 Apr-Jun.

Abstract

Factors, such as hormonal changes in postmenopausal women, natural aging degeneration, race, gender, body size, lifestyle, physical activity, sunlight, dietary intake, medications, or other environmental issues, can affect the rate of bone formation or reabsorption, cause changes in bone mineral content, and influence the development of osteoporosis. Do vegetarian diets adversely affect bone mineral density (BMD)? Among postmenopausal Buddhists, long-term practitioners of vegan vegetarian were found to have a higher risk exceeding the lumbar fracture threshold and a lower level of hip BMD after controlling for other variables. However, results of several prospective longitudinal studies failed to show a harmful effect of vegetarianism on bone health. In the Taiwanese adult population, researchers also did not find that a vegetarian diet significantly affects age-related BMD decline. Due to the various levels of nutrients in the diet (such as protein, alkali, calcium, Vitamin K, and phytoestrogens) and major lifestyle factors (such as smoking and physical exercise), determining the impact of a vegetarian diet on bone health is very complex. Good-quality vegetarian food can provide a healthy foundation for building and maintaining healthy bones and preventing fractures.

摘要

绝经后女性的激素变化、自然衰老退化、种族、性别、体型、生活方式、体育活动、阳光照射、饮食摄入、药物或其他环境因素等,都会影响骨形成或再吸收的速率,导致骨矿物质含量变化,并影响骨质疏松症的发展。素食饮食会对骨密度(BMD)产生不利影响吗?在绝经后的佛教徒中,研究发现,在控制其他变量后,长期纯素食的修行者超过腰椎骨折阈值的风险更高,髋部骨密度水平更低。然而,几项前瞻性纵向研究的结果未能显示素食主义对骨骼健康有有害影响。在台湾成年人群中,研究人员也没有发现素食饮食会显著影响与年龄相关的骨密度下降。由于饮食中的各种营养水平(如蛋白质、碱、钙、维生素K和植物雌激素)以及主要生活方式因素(如吸烟和体育锻炼),确定素食饮食对骨骼健康的影响非常复杂。优质的素食食品可以为构建和维持健康骨骼以及预防骨折提供健康基础。

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