Cited by 24Spaceflight effects on biologyBone health and osteoporosis researchMuscle metabolism and nutrition

Effects of high-protein intake on bone turnover in long-term bed rest in women

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Heer, Martina, Baecker, Natalie, Frings-Meuthen, Petra, Graf, Sonja, Zwart, Sara R., Biolo, Gianni, Smith, Scott M.·2017·Applied Physiology, Nutrition, and Metabolism

Abstract

Bed rest (BR) causes bone loss, even in otherwise healthy subjects. Several studies suggest that ambulatory subjects may benefit from high-protein intake to stimulate protein synthesis and to maintain muscle mass. However, increasing protein intake above the recommended daily intake without adequate calcium and potassium intake may increase bone resorption. We hypothesized that a regimen of high-protein intake (HiPROT), applied in an isocaloric manner during BR, with calcium and potassium intake meeting recommended values, would prevent any effect of BR on bone turnover. After a 20-day ambulatory adaptation to a controlled environment, 16 women participated in a 60-day, 6° head-down-tilt (HDT) BR and were assigned randomly to 1 of 2 groups. Control (CON) subjects (n = 8) received 1 g/(kg body mass·day)−1 dietary protein. HiPROT subjects (n = 8) received 1.45 g protein/(kg body mass·day)−1 plus an additional 0.72 g branched-chain amino acids per day during BR. All subjects received an individually tailored diet (before HDTBR: 1888 ± 98 kcal/day; during HDTBR: 1604 ± 125 kcal/day; after HDTBR: 1900 ± 262 kcal/day), with the CON group’s diet being higher in fat and carbohydrate intake. High-protein intake exacerbated the BR-induced increase in bone resorption marker C-telopeptide (>30%) (p < 0.001) by the end of BR. Bone formation markers were unaffected by BR and high-protein intake. We conclude that high-protein intake in BR might increase bone loss. Further long-duration studies are mandatory to show how the positive effect of protein on muscle mass can be maintained without the risk of reducing bone mineral density.

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Crossref · 10.1139/apnm-2016-0292

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  • High intakes of dietary protein, iron, and sodium are detrimental to bone.

    “Conversely, high intakes of dietary protein87,88, iron89 and sodium90 are detrimental to bone.”

    From Red risks for a journey to the red planet: The highest priority human health risks for a mission to Mars (2020) · cites this paper as [87]

    The Results (page not available in our copy) report greater bone-resorption markers in the high-protein group during bed rest. But the Discussion says a comparable increase was not found under ambulatory conditions, so the source does not support the unqualified claim that high protein intake is detrimental to bone generally. Iron and sodium have separate citations in the citing sentence and are not attributed to this source. (LLM, conf=0.88)

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Authors
Heer, M., Baecker, N., Frings-Meuthen, P., Graf, S., Zwart, S. R., Biolo, G., & Smith, S. M.
Affiliations
  • University of Bonn (DE)
  • German Aerospace Center (DLR), Institute of Aerospace Medicine, 51147 Cologne, Germany.
  • The University of Texas Medical Branch at Galveston (US)
  • University of Trieste (IT)
  • National Aeronautics and Space Administration (US)
Venue
Applied Physiology, Nutrition, and Metabolism
Published
2017-05
Volume
42
Issue
5
Pages
537-546
ISSN
  • 1715-5312 (ISSN-L)
  • 1715-5320
OpenAlex
W2574501305
Cited by
24
References
82
Citations by year
2026: 1 · 2025: 5 · 2023: 4 · 2022: 3 · 2020: 4 · 2019: 1 · 2018: 4 · 2017: 2
FWCI
2.22
Type
journal article
Language
en
Open access
Locations
  • Applied Physiology, Nutrition, and Metabolism (publishedVersion)
  • PubMed (publishedVersion)
  • TSpace (University of Toronto) (acceptedVersion)
  • ArTS Archivio della ricerca di Trieste (University of Trieste https://www.units.it/) (submittedVersion, other-oa)
  • elib (German Aerospace Center) (submittedVersion)
Funders
  • National Aeronautics and Space Administration
  • Centre National d’Etudes Spatiales
Topics
  • Health Sciences › Medicine › Physiology › Spaceflight effects on biology
  • 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
high-protein diet, bed rest, bone turnover, bone resorption, bone loss, head-down tilt, women, branched-chain amino acids, C-terminal telopeptide, bone formation markers, calcium intake, potassium intake, isocaloric diet, microgravity
MeSH terms
Adult, Bed Rest, Body Composition, Bone Resorption, Diet, Dietary Proteins, Female, Humans, Bone Density, Space Simulation

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