scholarly journals Dietary protein and bone health

2003 ◽  
Vol 62 (4) ◽  
pp. 867-876 ◽  
Author(s):  
Fiona Ginty
Keyword(s):  
Bone Health ◽  
Dietary Protein ◽  
Protein Intake ◽  
Protein Quality ◽  
Skeletal Development ◽  
Positive Association ◽  
The Elderly ◽  
Dietary Factors ◽  
Low Protein ◽  
The Usa

The effects of dietary protein on bone health are paradoxical and need to be considered in context of the age, health status and usual diet of the population. Over the last 80 years numerous studies have demonstrated that a high protein intake increases urinary Ca excretion and that on average 1 mg Ca is lost in urine for every 1 g rise in dietary protein. This relationship is primarily attributable to metabolism of S amino acids present in animal and some vegetable proteins, resulting in a greater acid load and buffering response by the skeleton. However, many of these early studies that demonstrated the calciuric effects of protein were limited by low subject numbers, methodological errors and the use of high doses of purified forms of protein. Furthermore, the cross-cultural and population studies that showed a positive association between animal-protein intake and hip fracture risk did not consider other lifestyle or dietary factors that may protect or increase the risk of fracture. The effects of protein on bone appear to be biphasic and may also depend on intake of Ca- and alkali-rich foods, such as fruit and vegetables. At low protein intakes insulin-like growth factor production is reduced, which in turn has a negative effect on Ca and phosphate metabolism, bone formation and muscle cell synthesis. Although growth and skeletal development is impaired at very low protein intakes, it is not known whether variations in protein quality affect the achievement of optimal peak bone mass in adolescents and young adults. Prospective studies in the elderly in the USA have shown that the greatest bone losses occur in elderly men and women with an average protein intake of 16–50 g/d. Although a low protein intake may be indicative of a generally poorer diet and state of health, there is a need to evaluate whether there is a lower threshold for protein intake in the elderly in Europe that may result in increased bone loss and risk of osteoporotic fracture.

scholarly journals Protein intake and lumbar bone density: the Multi-Ethnic Study of Atherosclerosis (MESA)

2014 ◽  
Vol 112 (8) ◽  
pp. 1384-1392 ◽  
Author(s):  
Tian Hu ◽  
Nahid J. Rianon ◽  
Jennifer A. Nettleton ◽  
Joseph A. Hyder ◽  
Jiang He ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Bone Health ◽  
Dietary Protein ◽  
Protein Intake ◽  
Vegetable Protein ◽  
White Women ◽  
Dietary Factors ◽  
Ethnic Study ◽  
Race Ethnicity ◽  
The Relationship

Dietary protein has been shown to increase urinary Ca excretion in randomised controlled trials, and diets high in protein may have detrimental effects on bone health; however, studies examining the relationship between dietary protein and bone health have conflicting results. In the present study, we examined the relationship between dietary protein (total, animal and vegetable protein) and lumbar spine trabecular volumetric bone mineral density (vBMD) among participants enrolled in the Multi-Ethnic Study of Atherosclerosis (n 1658). Protein intake was assessed using a FFQ obtained at baseline examination (2000–2). Lumbar spine vBMD was measured using quantitative computed tomography (2002–5), on average 3 years later. Multivariable linear and robust regression techniques were used to examine the associations between dietary protein and vBMD. Sex and race/ethnicity jointly modified the association of dietary protein with vBMD (P for interaction = 0·03). Among white women, higher vegetable protein intake was associated with higher vBMD (P for trend = 0·03), after adjustment for age, BMI, physical activity, alcohol consumption, current smoking, educational level, hormone therapy use, menopause and additional dietary factors. There were no consistently significant associations for total and animal protein intakes among white women or other sex and racial/ethnic groups. In conclusion, data from the present large, multi-ethnic, population-based study suggest that a higher level of protein intake, when substituted for fat, is not associated with poor bone health. Differences in the relationship between protein source and race/ethnicity of study populations may in part explain the inconsistent findings reported previously.

scholarly journals Age Modifies the Association of Dietary Protein Intake with All-Cause Mortality in Patients with Chronic Kidney Disease

Nutrients ◽  
2018 ◽  
Vol 10 (11) ◽  
pp. 1744 ◽  
Author(s):  
Daiki Watanabe ◽  
Shinji Machida ◽  
Naoki Matsumoto ◽  
Yugo Shibagaki ◽  
Tsutomu Sakurada
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Dietary Protein ◽  
Protein Intake ◽  
Ideal Body Weight ◽  
The Elderly ◽  
Dietary Protein Intake ◽  
Low Protein ◽  
All Cause Mortality ◽  
Stage Renal Disease

Whether the effect of a low-protein diet on progression to end-stage renal disease (ESRD) and mortality risk differs between young and elderly adults with chronic kidney disease (CKD) is unclear. We conducted a retrospective CKD cohort study to investigate the association between protein intake and mortality or renal outcomes and whether age affects this association. The cohort comprised 352 patients with stage G3-5 CKD who had been followed up for a median 4.2 years, had undergone educational hospitalization, and for whom baseline protein intake was estimated from 24-h urine samples. We classified the patients into a very low protein intake (VLPI) group (<0.6 g/kg ideal body weight/day), a low protein intake (LPI) group (0.6–0.8 g), and a moderate protein intake (MPI) group (>0.8 g). Compared with the LPI group, the MPI group had a significantly lower risk of all-cause mortality (hazard ratio: 0.29; 95% confidence interval: 0.07 to 0.94) but a similar risk of ESRD, although relatively high protein intake was related to a faster decline in the estimated glomerular filtration rate. When examined per age group, these results were observed only among the elderly patients, suggesting that the association between baseline dietary protein intake and all-cause mortality in patients with CKD is age-dependent.

Protein Intake and Bone Health

2011 ◽  
Vol 81 (23) ◽  
pp. 134-142 ◽  
Author(s):  
Jean-Philippe Bonjour
Keyword(s):  
Body Weight ◽  
Bone Health ◽  
Dietary Protein ◽  
Protein Intake ◽  
Fragility Fractures ◽  
The Elderly ◽  
Protein Supplementation ◽  
High Protein ◽  
Mineral Density ◽  
High Protein Intake

Adequate nutrition plays an important role in the development and maintenance of bone structures resistant to usual mechanical stresses. In addition to calcium in the presence of an adequate supply of vitamin D, dietary proteins represent key nutrients for bone health and thereby function in the prevention of osteoporosis. Several studies point to a positive effect of high protein intake on bone mineral density or content. This fact is associated with a significant reduction in hip fracture incidence, as recorded in a large prospective study carried out in a homogeneous cohort of postmenopausal women. Low protein intake (< 0.8 g/kg body weight/day) is often observed in patients with hip fractures and an intervention study indicates that following orthopedic management, protein supplementation attenuates post-fracture bone loss, tends to increase muscle strength, and reduces medical complications and rehabilitation hospital stay. There is no evidence that high protein intake per se would be detrimental for bone mass and strength. Nevertheless, it appears reasonable to avoid very high protein diets (i. e. more than 2.0 g/kg body weight/day) when associated with low calcium intake (i. e. less than 600 mg/day). In the elderly, taking into account the attenuated anabolic response to dietary protein with ageing, there is concern that the current dietary protein recommended allowance (RDA), as set at 0.8 g/kg body weight/day, might be too low for the primary and secondary prevention of fragility fractures.

scholarly journals Dietary Protein Intake and Determinants in Māori and Non-Māori Octogenarians. Te Puāwaitanga o Ngā Tapuwae Kia Ora Tonu: Life and Living in Advanced Age: A Cohort Study in New Zealand

Nutrients ◽  
2020 ◽  
Vol 12 (7) ◽  
pp. 2079
Author(s):  
Anishka Ram ◽  
Ngaire Kerse ◽  
Simon A. Moyes ◽  
Marama Muru-Lanning ◽  
Carol Wham
Keyword(s):  
Dietary Protein ◽  
Protein Intake ◽  
Logistic Regression Model ◽  
Food Group ◽  
Advanced Age ◽  
Food Sources ◽  
Food Groups ◽  
Protein Distribution ◽  
Low Protein ◽  
Age Related

Protein intake, food sources and distribution are important in preventing age-related loss of muscle mass and strength. The prevalence and determinants of low protein intake, food sources and mealtime distribution were examined in 214 Māori and 360 non-Māori of advanced age using two 24 h multiple pass recalls. The contribution of food groups to protein intake was assessed. Low protein intake was defined as ≤0.75 g/kg for women and ≤0.86 g/kg for men. A logistic regression model was built to explore predictors of low protein intake. A third of both women (30.9%) and men (33.3%) had a low protein intake. The main food group sources were beef/veal, fish/seafood, milk, bread though they differed by gender and ethnicity. For women and men respectively protein intake (g/meal) was lowest at breakfast (10.1 and 13.0), followed by lunch (14.5 and 17.8) and dinner (23.3 and 34.2). Being a woman (p = 0.003) and having depressive symptoms (p = 0.029) were associated with consuming less protein. In adjusted models the odds of adequate protein intake were higher in participants with their own teeth or partial dentures (p = 0.036). Findings highlight the prevalence of low protein intake, uneven mealtime protein distribution and importance of dentition for adequate protein intake among adults in advanced age.

scholarly journals Serum metabolites associated with dietary protein intake: results from the Modification of Diet in Renal Disease (MDRD) randomized clinical trial

2019 ◽  
Vol 109 (3) ◽  
pp. 517-525 ◽  
Author(s):  
Casey M Rebholz ◽  
Zihe Zheng ◽  
Morgan E Grams ◽  
Lawrence J Appel ◽  
Mark J Sarnak ◽  
...  
Keyword(s):  
Glomerular Filtration Rate ◽  
Amino Acid ◽  
Dietary Protein ◽  
Protein Intake ◽  
Filtration Rate ◽  
Protein Diet ◽  
Low Protein Diet ◽  
Dietary Protein Intake ◽  
Low Protein ◽  
P 16

ABSTRACT Background Accurate assessment of dietary intake is essential, but self-report of dietary intake is prone to measurement error and bias. Discovering metabolic consequences of diets with lower compared with higher protein intake could elucidate new, objective biomarkers of protein intake. Objectives The goal of this study was to identify serum metabolites associated with dietary protein intake. Methods Metabolites were measured with the use of untargeted, reverse-phase ultra-performance liquid chromatography–tandem mass spectrometry quantification in serum specimens collected at the 12-mo follow-up visit in the Modification of Diet in Renal Disease (MDRD) Study from 482 participants in study A (glomerular filtration rate: 25–55 mL · min−1 · 1.73 m−2) and 192 participants in study B (glomerular filtration rate: 13–24 mL · min−1 · 1.73 m−2). We used multivariable linear regression to test for differences in log-transformed metabolites (outcome) according to randomly assigned dietary protein intervention groups (exposure). Statistical significance was assessed at the Bonferroni-corrected threshold: 0.05/1193 = 4.2 × 10−5. Results In study A, 130 metabolites (83 known from 28 distinct pathways, including 7 amino acid pathways; 47 unknown) were significantly different between participants randomly assigned to the low-protein diet compared with the moderate-protein diet. In study B, 32 metabolites (22 known from 8 distinct pathways, including 4 amino acid pathways; 10 unknown) were significantly different between participants randomly assigned to the very-low-protein diet compared with the low-protein diet. A total of 11 known metabolites were significantly associated with protein intake in the same direction in both studies A and B: 3-methylhistidine, N-acetyl-3-methylhistidine, xanthurenate, isovalerylcarnitine, creatine, kynurenate, 1-(1-enyl-palmitoyl)-2-arachidonoyl-GPE (P-16:0/20:4), 1-(1-enyl-stearoyl)-2-arachidonoyl-GPE (P-18:0/20:4), 1-(1-enyl-palmitoyl)-2-arachidonoyl-GPC (P-16:0/20:4), sulfate, and γ-glutamylalanine. Conclusions Among patients with chronic kidney disease, an untargeted serum metabolomics platform identified multiple pathways and metabolites associated with dietary protein intake. Further research is necessary to characterize unknown compounds and to examine these metabolites in association with dietary protein intake among individuals without kidney disease. This trial was registered at clinicaltrials.gov as NCT03202914.

scholarly journals Dietary Protein, Exercise, and Frailty Domains

Nutrients ◽  
2019 ◽  
Vol 11 (10) ◽  
pp. 2399 ◽  
Author(s):  
Josje D. Schoufour ◽  
Elvera Overdevest ◽  
Peter J. M. Weijs ◽  
Michael Tieland
Keyword(s):  
Physical Activity ◽  
Beneficial Effect ◽  
Dietary Protein ◽  
Protein Intake ◽  
Social Health ◽  
Physical Domain ◽  
Physical Frailty ◽  
Future Studies ◽  
Low Protein ◽  
The Impact

Increasing awareness of the impact of frailty on elderly people resulted in research focusing on factors that contribute to the development and persistence of frailty including nutrition and physical activity. Most effort so far has been spent on understanding the association between protein intake and the physical domain of frailty. Far less is known for other domains of frailty: cognition, mood, social health and comorbidity. Therefore, in the present narrative review, we elaborate on the evidence currently known on the association between protein and exercise as well as the broader concept of frailty. Most, but not all, identified studies concluded that low protein intake is associated with a higher prevalence and incidence of physical frailty. Far less is known on the broader concept of frailty. The few studies that do look into this association find a clear beneficial effect of physical activity but no conclusions regarding protein intake can be made yet. Similar, for other important aspects of frailty including mood, cognition, and comorbidity, the number of studies are limited and results are inconclusive. Future studies need to focus on the relation between dietary protein and the broader concept of frailty and should also consider the protein source, amount and timing.

scholarly journals Protein quality in experimental diets and amino acid digestibility

2019 ◽  
Vol 97 (Supplement_2) ◽  
pp. 28-29
Author(s):  
Chan Sol Park ◽  
Olayiwola Adeola
Keyword(s):  
Amino Acid ◽  
Dietary Protein ◽  
Protein Quality ◽  
Sole Source ◽  
Growing Pigs ◽  
Ileal Digestibility ◽  
Distillers Dried Grains ◽  
Low Protein ◽  
Dietary Casein ◽  
Dietary Treatments

Abstract Digestibility of AA in feed ingredients for pigs has been generally determined by feeding semipurified diets containing test ingredients as a sole source of nitrogen. However, malnutrition caused by feeding semi-purified diets may affect the digestibility of AA. Therefore, the hypothesis of this study was that the standardized ileal digestibility (SID) of AA in distillers’ dried grains with solubles (DDGS) are not affected by the addition of casein in experimental diets. In Exp. 1, 20 growing pigs were allotted to dietary treatments including 2 diets containing either 480 g/kg DDGS or 308 g/kg DDGS and 60 g/kg casein. The SID of Lys and Phe for DDGS in the diet containing casein were greater (P < 0.05) than those without casein. Exp. 2 was conducted with 20 growing pigs assigned to dietary treatments containing 0, 55, 110, or 165 g/kg casein while the concentration of DDGS decreased at 466.8, 311.2, 155.6, or 0 g/kg. The SID of most indispensable AA in DDGS linearly (P < 0.05) decreased with increasing concentration of casein. Experiment 3 was conducted to verify that the results of Exp. 1 were affected by the addition of casein or by the concentration of DDGS or both. Twenty growing pigs were assigned to dietary treatments prepared as a 2 × 2 factorial arrangement with the concentration of DDGS at 466.8 or 155.6 g/kg and casein at 0 or 110 g/kg. The SID of most indispensable AA in DDGS at 466.8 g/kg were greater (P < 0.01) than in DDGS at 155.6 g/kg regardless of dietary casein. Overall, the addition of 60 g/kg casein to experimental diets may increase the SID of AA in low-protein quality ingredients but the addition of higher concentration of casein and low concentration of dietary protein from test ingredients may decrease the SID of AA.

The relationship between muscle strength and dietary protein intake and bone health

Bone ◽  
2010 ◽  
Vol 47 ◽  
pp. S211
Author(s):  
C.S. McDonald ◽  
G.C. Chan ◽  
N.P. Kennedy ◽  
Z. Toth ◽  
J.B. Walsh ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Bone Health ◽  
Dietary Protein ◽  
Protein Intake ◽  
Dietary Protein Intake ◽  
The Relationship
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