The role of dietary protein and vitamin D in maintaining musculoskeletal health in postmenopausal women: A consensus statement from the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO)
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From 50 years of age, postmenopausal women are at an increased risk of developing sarcopenia and osteoporosis as a result of deterioration of musculoskeletal health. Both disorders increase the risk of falls and fractures. The risk of developing sarcopenia and osteoporosis may be attenuated through healthy lifestyle changes, which include adequate dietary protein, calcium and vitamin D intakes, and regular physical activity/exercise, besides hormone replacement therapy when appropriate. Protein intake and physical activity are the main anabolic stimuli for muscle protein synthesis. Exercise training leads to increased muscle mass and strength, and the combination of optimal protein intake and exercise produces a greater degree of muscle protein accretion than either intervention alone. Similarly, adequate dietary protein intake and resistance exercise are important contributors to the maintenance of bone strength. Vitamin D helps to maintain muscle mass and strength as well as bone health. These findings suggest that healthy lifestyle measures in women aged >50 years are essential to allow healthy ageing. The European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO) recommends optimal dietary protein intake of 1.0-1.2g/kgbodyweight/d with at least 20-25g of high-quality protein at each main meal, with adequate vitamin D intake at 800IU/d to maintain serum 25-hydroxyvitamin D levels >50nmol/L as well as calcium intake of 1000mg/d, alongside…
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Daily amounts of 1.0-1.2 g/kg body weight have been suggested for healthy older persons by several expert groups.
“Daily amounts of 1.0 -1.2 g/kg BW have been suggested for healthy older persons by several expert groups (17)(18)(19).”
From ESPEN practical guideline: Clinical nutrition and hydration in geriatrics (2022) · cites this paper as [19]
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- Authors
- Rizzoli, R., Stevenson, J. C., Bauer, J. M., van Loon, L. J. C., Walrand, S., Kanis, J. A., Cooper, C., Brandi, M.-L., Diez-Perez, A., & Reginster, J.-Y.
- Affiliations
- University of Geneva (CH)
- Royal Brompton & Harefield NHS Foundation Trust (GB)
- Carl von Ossietzky Universität Oldenburg (DE)
- Université Clermont Auvergne (FR)
- Southampton General Hospital (GB)
- University of Florence (IT)
- University of Liège (BE)
- Corresponding author
- Rizzoli, René
- ORCID
- Venue
- Maturitas
- Publisher
- Elsevier BV
- Published
- 2014-09
- Volume
- 79
- Issue
- 1
- Pages
- 122-132
- ISSN
- 0378-5122 (ISSN-L)
- OpenAlex
- W2157041334
- Cited by
- 291
- References
- 144
- Citations by year
- 2026: 19 · 2025: 19 · 2024: 21 · 2023: 22 · 2022: 26 · 2021: 30 · 2020: 34 · 2019: 21 · 2018: 16 · 2017: 33 · 2016: 23 · 2015: 21 · 2014: 6
- FWCI
- 18.41
- Type
- journal article
- Language
- en
- Update notices
- erratum (2015-03-01)
- Open access
- Licence
- Locations
- Maturitas (publishedVersion)
- PubMed (publishedVersion)
- Research Publications (Maastricht University) (publishedVersion)
- Archive ouverte UNIGE (University of Geneva) (submittedVersion, cc-by)
- Research Bank (Australian Catholic University) (submittedVersion)
- HAL (submittedVersion)
- ePrints Soton (University of Southampton) (submittedVersion)
- Florence Research (University of Florence) (submittedVersion)
- ORBi (University of Liège) (submittedVersion)
- VUBIR (Vrije Universiteit Brussel) (submittedVersion)
- Research Publications (Maastricht University) (submittedVersion)
- Funders
- National Institute for Health and Care Research (NF-SI-0508-10082, NF-SI-0513-10085)
- Medical Research Council (MC_UU_12011/1)
- Topics
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Muscle metabolism and nutrition
- Keywords
- dietary protein, vitamin D, postmenopausal women, musculoskeletal health, sarcopenia, osteoporosis, muscle protein synthesis, resistance training, calcium intake, falls and fractures, healthy aging, hormone replacement therapy
- MeSH terms
- Aged, Aged, 80 and over, Aging, Bone and Bones, Calcium, Dietary, Dietary Proteins, Female, Humans, Middle Aged, Muscle Proteins, Osteoarthritis, Vitamin D, Vitamins, Exercise, Bone Density, Osteoporosis, Postmenopausal, Postmenopause, Muscle, Skeletal, Muscle Strength, Sarcopenia
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