Nieves J W, Golden A L, Siris E, Kelsey J L, Lindsay R
Columbia University, New York, NY.
Am J Epidemiol. 1995 Feb 15;141(4):342-51. doi: 10.1093/aje/141.4.342.
The relation between diet and bone mineral density in premenopausal women was evaluated in a cross-sectional study of 139 women aged 30-39 years. The population consisted of volunteers recruited in Rockland County, New York, between September 1988 and August 1992. A food frequency questionnaire was used to determine nutrient intake for both the year prior to bone density measurement and for ages 13-17 years. Physical measurements included height, weight, grip strength, and percent body fat. Bone mineral density was measured in the lumbar spine, hip, and forearm. Multiple regression equations were used to relate nutrient intake to bone density while controlling for age, height, weight, and grip strength. There were no relations between lumbar spine or distal forearm bone density and any nutrient studied from either the current or teenage diet. Current dietary calcium intake was modestly related to hip bone density (beta = 0.077; p = 0.074). When fiber intake was added to the multiple regression model, the association between calcium and hip bone density was strengthened (beta = 0.101; p = 0.037); this would be expected, because fiber interferes with calcium absorption. In the teenage diet, phosphorus and calcium intake were related to hip bone density. A higher lifetime calcium intake was associated with a higher hip bone density compared with low lifetime calcium intake. An increase in teenage calcium intake from 800 to 1,200 mg per day is estimated to increase hip bone density by 6 percent.
在一项针对139名年龄在30至39岁之间的绝经前女性的横断面研究中,评估了饮食与骨矿物质密度之间的关系。研究人群由1988年9月至1992年8月期间在纽约州罗克兰县招募的志愿者组成。使用食物频率问卷来确定骨密度测量前一年以及13至17岁年龄段的营养摄入量。身体测量包括身高、体重、握力和体脂百分比。在腰椎、髋部和前臂测量骨矿物质密度。在控制年龄、身高、体重和握力的同时,使用多元回归方程将营养摄入量与骨密度联系起来。腰椎或前臂远端骨密度与当前或青少年饮食中所研究的任何营养素之间均无关联。当前的膳食钙摄入量与髋部骨密度呈适度相关(β = 0.077;p = 0.074)。当将纤维摄入量添加到多元回归模型中时,钙与髋部骨密度之间的关联得到加强(β = 0.101;p = 0.037);这是可以预期的,因为纤维会干扰钙的吸收。在青少年饮食中,磷和钙的摄入量与髋部骨密度有关。与低终身钙摄入量相比,较高的终身钙摄入量与较高的髋部骨密度相关。据估计,青少年钙摄入量从每天800毫克增加到1200毫克可使髋部骨密度增加6%。