Cited by 111Bone health and osteoporosis researchNutrition and Health in AgingMuscle metabolism and nutrition

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Protein consumption is an important predictor of lower limb bone mass in elderly women

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Devine, Amanda, Dick, Ian M, Islam, Amirul FM, Dhaliwal, Satvinder S, Prince, Richard L·2005·The American Journal of Clinical Nutrition

DOI 10.1093/ajcn/81.6.1423

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Abstract

Background The effect of protein intake on bone density is uncertain, and evidence exists for beneficial effects of both low and high protein intakes. Objective The objective was to study the relation between protein consumption and bone mass in elderly women with allowance for other lifestyle factors affecting bone metabolism. Design We conducted a cross-sectional and longitudinal study of a population-based sample of 1077 women aged 75 +/- 3 y. At baseline, protein consumption was measured with a food-frequency questionnaire, and bone mass and structure were measured by using quantitative ultrasound of the heel. One year later, hip bone mineral density (BMD) was measured by using dual-energy X-ray absorptiometry. Results Subjects consumed a mean (+/-SD) of 80.5 +/- 27.8 g protein/d (1.19 +/- 0.44 g protein/kg body wt). Regression analysis showed a positive correlation between protein intake and qualitative ultrasound of the heel and BMD after adjustment for age, body mass index, and other nutrients. The dose-response effect was best characterized by protein consumption expressed in tertiles, such that subjects in the lowest tertile (<66 g protein/d) had significantly lower qualitative ultrasound of the heel (1.3%) and hip BMD (2.6%) than did the subjects in the higher tertiles (>87 g protein/d). Conclusion These data suggest that protein intakes for elderly women above current recommendations may be necessary to optimize bone mass.

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Authors: Devine, A., Dick, I. M., Islam, A. F., Dhaliwal, S. S., & Prince, R. L.
Affiliations: Edith Cowan University (AU)
Corresponding author: Devine, Amanda
ORCID: Devine, Amanda
Dick, Ian M
Islam, Amirul FM
Dhaliwal, Satvinder S
Prince, Richard L
Venue: The American Journal of Clinical Nutrition
Publisher: Elsevier BV
Published: 2005-06
Volume: 81
Issue: 6
Pages: 1423-1428
ISSN: 0002-9165 (ISSN-L)
DOI: 10.1093/ajcn/81.6.1423
OpenAlex: W1960408684
Cited by: 110
References: 56
Citations by year: 2025: 1 · 2023: 2 · 2022: 2 · 2021: 1 · 2020: 3 · 2019: 4 · 2018: 3 · 2017: 4 · 2016: 6 · 2015: 5 · 2014: 10 · 2013: 8 · 2012: 11
FWCI: 8.41
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (vor, 6477 d)
Locations: American Journal of Clinical Nutrition (publishedVersion)
PubMed (publishedVersion)
Australasian Journal of Paramedicine (submittedVersion)
UWA Profiles and Research Repository (UWA) (submittedVersion)
Swinburne figshare (Swinburne University of Technology) (submittedVersion)
Funders: Healthway (254627)
Medical Research Council
Topics: Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
Health Sciences › Medicine › Physiology (medical) › Nutrition and Health in Aging
Health Sciences › Nursing › Nutrition and Dietetics › Muscle metabolism and nutrition
Keywords: protein intake, bone mass, bone mineral density, older women, hip bone density, bone metabolism, dose-response relationship
MeSH terms: Aged, Aging, Analysis of Variance, Bone and Bones, Calcaneus, Cross-Sectional Studies, Diet, Dietary Proteins, Dose-Response Relationship, Drug, Female, Humans, Longitudinal Studies, Nutritional Requirements, Pelvic Bones, Predictive Value of Tests, Surveys and Questionnaires, Ultrasonography, Cohort Studies, Absorptiometry, Photon, Bone Density, Osteoporosis, Postmenopausal, Body Mass Index

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Protein consumption is an important predictor of lower limb bone mass in elderly women

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