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Areal and Volumetric Bone Mineral Density and Geometry at Two Levels of Protein Intake During Caloric Restriction: A Randomized, Controlled Trial
Journal article   Open access   Peer reviewed

Areal and Volumetric Bone Mineral Density and Geometry at Two Levels of Protein Intake During Caloric Restriction: A Randomized, Controlled Trial

Deeptha Sukumar, Hasina Ambia-Sobhan, Robert Zurfluh, Yvette Schlussel, Theodore J Stahl, Chris L Gordon and Sue A Shapses
Journal of bone and mineral research, v 26(6), pp 1339-1348
16 Dec 2010
PMID: 21611972
url
https://doi.org/10.1002/jbmr.318View
Published, Version of Record (VoR)Open Access (License Unspecified) Open

Abstract

CORTICAL BONE DIET HORMONES INSULIN-LIKE GROWTH FACTOR 1 OBESITY Original PROTEIN TRABECULAR BONE WEIGHT LOSS
Weight reduction induces bone loss by several factors, and the effect of higher protein (HP) intake during caloric restriction on bone mineral density (BMD) is not known. Previous study designs examining the longer-term effects of HP diets have not controlled for total calcium intake between groups and have not examined the relationship between bone and endocrine changes. In this randomized, controlled study, we examined how BMD (areal and volumetric), turnover markers, and hormones [insulin-like growth factor 1 (IGF-1), IGF-binding protein 3 (IGFBP-3), 25-hydroxyvitamin D, parathyroid hormone (PTH), and estradiol] respond to caloric restriction during a 1-year trial using two levels of protein intake. Forty-seven postmenopausal women (58.0 ± 4.4 years; body mass index of 32.1 ± 4.6 kg/ m 2 ) completed the 1-year weight-loss trial and were on a higher (HP, 24%, n =26) or normal protein (NP, 18%, n =21) and fat intake (28%) with controlled calcium intake of 1.2 g/d. After 1 year, subjects lost 7.0% ± 4.5% of body weight, and protein intake was 86 and 60 g/d in the HP and NP groups, respectively. HP compared with NP diet attenuated loss of BMD at the ultradistal radius, lumbar spine, and total hip and trabecular volumetric BMD and bone mineral content of the tibia. This is consistent with the higher final values of IGF-1 and IGFBP-3 and lower bone-resorption marker (deoxypyridinoline) in the HP group than in the NP group ( p <.05). These data show that a higher dietary protein during weight reduction increases serum IGF-1 and attenuates total and trabecular bone loss at certain sites in postmenopausal women.

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Endocrinology & Metabolism
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