A Study on Ca and P Balance in Koran Adult Women

한국 성인 여자의 칼슘과 인 평형에 관한 연구

  • 유춘희 (상명대학교 가정교육학과) ;
  • 김희선 (상명대학교 가정교육학과) ;
  • 이정숙 (상명대학교 가정교육학과) ;
  • 김정윤 (상명대학교 가정교육학과)
  • Published : 2001.01.01

Abstract

The Ca and P balance studies were carried out with two different diets varying Ca levels : the current Korean RDA level(normal Ca diet) and the high level (High Ca diet) which was determined by adding 2SD to mean Ca intake of all subjects. The subjects were sever healthy adult woman, aged from 25 to 32 years old. The metabolic studies were conducted for two weeks with a days recess in between : during the fist week with normal Ca diet and during the second week with high Ca diet. The composition of nutrients excepting Ca of both diets was similar to subjects usual intake. The result were summarized as follows: Mean daily Ca intake was 728.8mg from norma Ca diet and 945.5mg from high Ca diet. Fecal excretion of Ca increased significantly(p<0.05) on high Ca diet, but urinary excretion of Ca did not show any differences between the two diet periods. There were also no significant differences in Ca retention between the two diet periods but it tended to be greater during high Ca diet period: 112.1mg/day during normal Ca diet period vs 208.2mg/day during high Ca diet period. Mean apparent Ca absorption was 41.2% on normal Ca diet and 42.1% on high Ca diet, indicating it was not affected by high Ca intake level used in this study. On the contrary, P retention was significantly increased up to 109.4mg/day with high Ca diet as compared to- 41mg/day with normal Ca diet. There were no significant differences in fecal and urinary excretion of P but those to be lower during high Ca diet period. The above results showed that higher Ca intake more than current RDA(700mg/day), in the level of 945.5mg/day, could increase Ca retention through Ca absorption comparable to the rate appeared on RDA level intake. P retention was also improved by high Ca intake. Therefore, higher Ca intake than the current RDA level seemed to produce favorable effects on bone health in adult women. However, the current RDA level seemed to be relatively appropriate, considering the results that all the subjects but one maintained positive Ca balance with normal Ca diet. (Korean J Nutrition 34(1):54-61, 2001)

Keywords

References

  1. Osteoporosis Int v.1 Screening Procedure for woman at risk of developing postmenopausal osteoporosis Christiansen C;Riis BJ;Rdbro P
  2. Korean J Nutrition v.29 no.6 The Effect of Nutrient Intake and Energy Expenditure on Bone Mineral Density Density of Korean Women in Taegu Lee HJ;Choi MJ
  3. Am J Clin Nutr v.56 Factors Affecting bone density in young adults Fehily AM;Coles RJ;Evans WD;Elwood P
  4. Am J Clin Nutr v.64 Influence of body composition on bone mineral content in children and adolescents Manzoni P;Brambilla P;Pietrobelli A;Beccaria L;Bianchessi A;Mora S;Chiumello G
  5. Am J Clin Nutr v.65 Nutritional influences on bone mineral density : a cross-sectional study in premenopausal women New SA;Bolton-smith caroline;Grubb DA;Reid D
  6. Am J Clin Nutr v.58 Intakes of calcium, phosphorous, protein and physical activity level are related to radial bone mass in young adult women Metz JA;Anderson JR;Gallagher PN
  7. J Bone Miner Res v.9 Weight-bearing activity during youth is a more important factor for peak bone mass than calcium intake Welten DC;Kemper HCG;Post GB
  8. Korean J Nutrition v.27 no.5 A Study on the Long-Term Effects of Dietary protein Level on Ca and Skeletal Metabolism in Ovariectomized Rats Kim WY;Moon KW;Kim JH
  9. J Nutr v.124 Spinal bone loss in postmenopausal women supplemented with calcium and trace minerals Strause L;Saltman P;Smith KT;Bracker M;Andon MB
  10. Korean J Nutrition v.29 no.1 Effects of Dietary Calcium, Protein and Phosphorus Intakes on Bone Mineral Density in Korean Premenopausal Women Oh JJ;Hong ES;Baik IK;Lee HS;Lim HS
  11. Korean J Nutrition v.27 no.6 Osteoporosis and Dietary Factors Kim WY
  12. Am J Clin Nutr v.66 Calcium retention in relation to calcium intake and postmenarcheal age in adolescent females Jackman LA;Millane SS;Martin B;Wood OB;McCabe GP;Peacock M;Weaver C
  13. Lancet v.2 Dietary risk factors for age-related bone loss and fractures Parfitt AM
  14. Ann Intern Med v.87 Effect of estrogens and calcium carbonate on bone loss in postmenopausal women Recker RR;Saville PD;Heaney RP
  15. Am J Clin Nutr v.64 Calcium retention estimated from indicators of skeletal status in adolescent girls and young women Weaver CM;Peacock M;Martin B;Plawecki KL;McCabe GP
  16. J Nutr v.124 Supplementation trials with calcium citrate malate : evidence in favor of increasing the calcium RDA during childhood and adolescence Andon MB;Lloyd T;Matkovic V
  17. Calcif Tissue Int v.59 Bone densitometry in Canadian children 8-17 years of age Faulkner RA;Bailey DA;Drinkwater DT;McKay HA;Arnold C;Wilkinson AA
  18. Am J Clin Nutr v.61 Differences in calcium metabolism between adolescent and adult females Weaver CM;Martin BR;Plawecki KL;Peacock M;Wood OB;Smith DL;Wastney ME
  19. Am J Clin Nutr v.48 Calcium absorption from calcium carbonate and a new form of calcium(CCM) in healthy male and female adolescents Miller SZ;Smith DL;Flora L;Slemenda C;Jiang X;Hohnston CC
  20. '98 National nutrition health survery report Ministry of Health and welfare
  21. Korean J Nutrition v.27 no.10 The Effect of Ca and Vitamin D Supplementation on Bone Metabolism in Postmenopausal Women Hong Ho;Yu CH
  22. Korean J Nutrition v.28 no.11 A Study on Ca Metabolism of College Women eating Usual Korean Diet Yu CH;Hong HO
  23. Korean J Nutrition v.31 no.1 Some factors affecting bone density of korean college women Yu CH;Lee YS;Lee JS
  24. Food Values The nutrition information center the Korean nutrition society
  25. Clinical laboratory methods Baner JD
  26. Official methods of analysis (15th ed.) A.O.A.C.
  27. Official methods of analysis (15th ed.) Varian Corp
  28. Baseline study on establishing Ca and Fe recommended dietary allowance for Korean Kim SH;Lee LH;Paik HY
  29. Korean J Nutrition v.25 no.2 A Comparative Study on Urinary Ca Excretion in Young and middle Aged Korean Women Cho JH;Paik HY
  30. Am J Clin Nutr v.54 Calcium metabolism and calcium requirements during skeletal modeling and consolidation of bone mass Matkovic V
  31. J Lab Clin Med v.85 Calcium absorption as a function of calcium intake Heaney RP;Saville PD;Recker RR
  32. Jr Sookmyung v.28 A study on mineral metabolism in Korean adult females Paik HY
  33. Korean J Nutrition v.9 no.1 The Effect of Meat Protein and Soy Protein on Calcium Metabolism in Young Adult Korean Women Pie JE;Paik HY