Abstract

BackgroundOsteoporosis has become a major public health issue. Among various factors affected bone health, not only dietary calcium and phosphorus intakes, but also the dietary calcium/phosphorus ratio could relate to bone health. Therefore, we evaluated whether dietary calcium and phosphorus intakes, and dietary calcium/phosphorus ratio are associated with bone mass in Korean adults ≥ 20 years of age.MethodsThe analysis used data from the Korean National Health and Nutrition Examination Survey, a cross-sectional survey of Korean civilians, conducted from January to December 2010. A total of 4,935 participants (2,309 men and 2,626 women) were analyzed in this study. Dietary calcium and phosphorus intakes of the participants were estimated using 24-h dietary recall. Bone mass densities for the whole body, femoral neck, and lumbar spine were measured by dual-energy X-ray absorptiometry.ResultsDietary calcium intake and dietary calcium/phosphorus ratio were positively related to bone mass density for femoral neck in men ≥ 50 years of age (p = 0.046 and 0.041, respectively). Dietary calcium intake showed positive associations with bone mass density for whole body in premenopausal women (p = 0.022).ConclusionsIncreased calcium intake and high dietary calcium/phosphorus ratio might have favorable effects on bone mass in Korean adults. Additional gender- and age-specific studies are needed to further identify the influence of calcium and phosphorus intakes, and the dietary calcium/phosphorus ratio on bone mass.

Highlights

  • Osteoporosis has become a major public health issue

  • Osteoporosis has become one of the public health issues because it is associated with an increased risk of osteoporotic fractures and mortality that contribute to a large socio-economic burden [2,3,4]

  • We evaluated whether dietary calcium and phosphorus intakes and dietary calcium/ phosphorus ratio are associated with bone mass in Korean adults classified as men younger or older than 50 years of age and pre- or postmenopausal women using data from the Korean National Health and Nutrition Examination Survey (KNHANES) V-1

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Summary

Introduction

Osteoporosis has become a major public health issue. Among various factors affected bone health, dietary calcium and phosphorus intakes, and the dietary calcium/phosphorus ratio could relate to bone health. We evaluated whether dietary calcium and phosphorus intakes, and dietary calcium/phosphorus ratio are associated with bone mass in Korean adults ≥ 20 years of age. Osteoporosis has become one of the public health issues because it is associated with an increased risk of osteoporotic fractures and mortality that contribute to a large socio-economic burden [2,3,4]. In the United States in 2010, the prevalence of osteoporosis and low bone mass in adults older than 50 years of age osteoporosis has been focused primarily on postmenopausal women, osteoporosis in men has become a public health concern. It is important not to overlook low bone mass in premenopausal women since the occurrences of osteoporosis in the future might be associated with the insufficient acquirement of peak bone mass at a young age [10]

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