Browse > Article
http://dx.doi.org/10.5720/kjcn.2011.16.5.569

A Study on Dietary Mineral Intakes, Urinary Mineral Excretions, and Bone Mineral Density in Korean Postmenopausal Women  

Yeon, Jee-Young (Department of Food and Nutrition, Sookmyung Women's University)
Sung, Chung-Ja (Department of Food and Nutrition, Sookmyung Women's University)
Publication Information
Korean Journal of Community Nutrition / v.16, no.5, 2011 , pp. 569-579 More about this Journal
Abstract
The purpose of this study was to determine the urinary Ca, P, Mg, Zn, Cu, and Mn levels and bone mineral density (BMD) in sixty-two postmenopausal women. The study was conducted through anthropometric checkup, 24-hour recall, 24-hour urine and bone mineral density using DEXA. Average age, height, weight and body fat of the subjects were respectively 65.39 years, 150.19 cm, 58.03 kg and 37.22%. The average spine and femoral neck BMD of subjects were -2.19, -3.13. The mean intakes of Ca, P and Mg were 524.7 mg, 993.10 mg, and 254.6 mg and those of Zn, Cu and Mn were 8.6 mg, 1.5 mg, and 3.5 mg. The average 24-hour urinary excretion of Ca (UCa), P (UP) and Mg (UMg) were 161.07 mg, 673.68 mg, and 99.87 mg. The average 24-hour urinary excretion of Zn (UZn), Cu (UCu) and Mn (UMn) were 366.50 ${\mu}g$, 22.57 ${\mu}g$, and 1.55 ${\mu}g$. Ca intake showed significantly positive correlations with urinary UCa (p < 0.05), UMg (p < 0.01) and spine BMD (p < 0.05). P intake showed significantly positive correlations with UCa (p < 0.05), UMg (p < 0.05) and UZn (p < 0.05). Mg intake showed significantly positive correlations with UZn (p < 0.05) and Mn intake showed significantly positive correlations with UCa (p < 0.05). Multiple regression analysis indicates that Ca intake and UMg is the most important factor to increase spine BMD. On the other hand, UCa is the most important factor to decrease spine BMD. Higher femoral neck BMD was related to UP, while lower femoral neck BMD was related to UCa. In conclusion, Dietary intake of Ca showed positive effect of spine BMD, while excessive P intake showed negative effect on BMD due to increases in UCa, UMg and UZn. Further studies are required to investigate the relationship between bone metabolism and mineral excretion.
Keywords
calcium intake; urinary calcium; magnesium; phosphorus excretion; bone mineral density;
Citations & Related Records
Times Cited By KSCI : 10  (Citation Analysis)
연도 인용수 순위
1 Riggs BL, Melton LJ 3rd (1986): Involutional osteoporosis. N Engl J Med 314(26): 1676-1686   DOI   ScienceOn
2 Riis BJ, Christiansen C (1986): Post-menopausal bone loss: effects of oestrogens and progestogens. A review. Maturitas 8(4): 267-274   DOI   ScienceOn
3 Rural Living Science Institute, Rural Development Administration (1996): Food composition table. Korea
4 Ruz M, Cavan KR, Bettger WJ, Thompson L, Berry M, Gibson RS (1991): Development of a dietary model for the study of mild zinc deficiency in humans and evalution of some biochemical and functional indices of zinc status. Am J Clin Nutr 53: 1292-1303
5 Son SM, Chun YN (2004): Association between bone mineral density and bone nutrition indicators in elderly residing in low income area of the city. J Korean Soc Food Sci Nutr 33(1): 107-113   DOI
6 Levesque M, Martineau C, Jumarie C, Moreau R (2008): Characterization of cadmium uptake and cytotoxicity in human osteoblast-like MG-63 cells. Toxicol Appl Pharmacol 15;231(3): 308-317   DOI   ScienceOn
7 Lieberman S, Bruning N (1997): The real vitamin & mineral book. Avery publishing group, Garden city park, New york
8 Lim HJ (2011): A study on the calcium and sodium intakes and urinary calcium excretion of adults in Busan. Korean J Community Nutr 16(2): 215-226   DOI
9 Ministry of Health, Welfare and Family Affairs [MOHWFA] & Korea Center for Disease Control and Prevention [KCDCP] (2010): 2009 National Health Statistics- The 4th Korea National Health and Nutrition Examination Survey, the second year(2009), Korea Center for Disease Control and Prevention, Korea
10 Pie JE, Paik HY (1986) The effect of meat protein and soy protein on calcium metabolism in young adult Korean women. Korean J Nutr 19(1): 32-40
11 Kim MS, Koo JO (2008): Comparative analysis of food habits and bone density risk factors between normal and risk women living in the Seoul area. Korean J Community Nutr 13(1): 125-133
12 Koo JO, Park SY (2010): Analysis of BMI menopose, blood pressure and dietary habits affecting born mineral density of 30-60 years women. Korean J Community Nutr 15(3): 403-414
13 Lee HJ, Lee HY (1999): A study on the bone mineral density and related factors in Korean postmenopausal women. Korean J Nutr 32(2): 197-203
14 Lee JY, Paik HY, Joung HJ (1998): Supplementation of zinc nutrient database and evaluation of zinc intake of Korean adults living in rural area. Korean J Nutr 31(8): 1324-1337
15 Kim KH, Lim HS (2006): Dietary intakes of Fe, Zn, Cu, Mn, Se, Mo, and Cr of Korean adult women - Comparison between the data from analyzed and calculated - Korean J Human Ecol 9(3): 69-79
16 Kim MH, Sung CJ (2005): A comparative study of dietary mineral intake status and serum mineral concentrations of postmenopausal vegetarian women with those of the omnivores. Korean J Nutr 38(2): 151-160
17 Herzberg M, Lusky A, Blonder J, Frenkel Y (1996): The effect of estrogen replacement therapy on zinc in serum and urine. Obstet Gynecol 87(6): 1035-1040   DOI   ScienceOn
18 Freeland-Graves JH, Turnlund JR (1996): Deliberations and evaluations of the approaches, endpoints and paradigms for manganese and molybdenum dietary recommendations. J Nutr 126(9 Suppl): 2435S-2440S   DOI
19 Hambidge KM, King JC, Kern DL, English-Westcott JL, Stall C (1990): Prebreakfast plasma zinc concentrations : The effect of prvious meals. J Trace Elem 4(4): 229-231
20 Heaney RP (1988): Nutritional factor in bone health. In: Riggs BL, Melton LJ, editors, osteoporosis, Raven Press, New York, pp.359-372
21 Hong SM, Kim HJ (2001): A study on nutrients intake and serum calcium concentration in perimenopausal women. J Korean Diet Assoc 7(4): 361-372
22 Cousins RJ (1996): Zinc. in present knowledge in nutrition (7th ed.) ILSI
23 Kim HS, Jung GH, Jang DM, Kim SH, Lee BK (2005): Increased calcium intake through milk consumption and bone mineral density of elderly women living in Asan. J Korean Diet Assoc 11(2): 242-250
24 Choi YH, Sung CJ (2006): A study on nutrient intakes and serum levels of copper, zinc and manganese in Korean postmenopausal women with different bone mineral density. Korean J Nutr 39(5): 485-493
25 Hardwick LL, Jones MR, Brautbar N, Lee DB (1991): Magnesium absorption: mechanisms and the influence of vitamin D, calcium and phosphate. J Nutr 121(1): 13-23   DOI
26 Eaton-Evans J (1994): Osteoporosis and the role of diet. Br J Biomed Sci 51: 358-370
27 Eastell R (1998): Treatment of postmenopausal osteoporosis. N Engl J Med 338: 736-746   DOI   ScienceOn
28 Flink EB (1980): Nutritional aspects of magnesium metabolism. West J Med 133(4): 304-312
29 Aharoni Y, Tesler (1992): Hair chromium content of women with gestational diabetes compared with nondiabeteic pregnant women. Am J Clin Nutr 55(1): 104-107   DOI
30 Folin M, Contiero E, Vaselli GM (1991): Trace element determination in humans : The use of blood and hair. Biol Trace Elem Res 31(2): 147-158   DOI   ScienceOn
31 Allen LH, Wood RJ (1994): Calcium and Phosphorus. In : Shils ME, Olson JA, Shike M. eds. Mordern nutrition in health and disease. 8th ed. Lea & Febiger, Philadelphia, pp.144-163
32 Avioli LV (1988): Calcium and phosphorus. In Goodhart RS, ME, eds. Modern Nutrition in Health and Disease 7th ed., Lea & Febiger, Philadelphia, pp.142-158
33 The Korean Society of Bone Metabolism (2006): Osteoporosis. pp. 139-140
34 Calvo MS (1994): The effects of high phosphorus intake on calcium homeostasis. Adv Nutr Res 9: 183-207
35 Cho JH, Paik HY (1992): A comparative study on urinary Ca excretion in young and middle-aged Korean women. Korean J Nutr 25(2): 132-139
36 Choi MJ (1998): Studies of nutrient intake and serum lipids level in adult women in Taegu. Korean J Nutr 31(4): 777-786
37 Yun ME, Lee DH, Kim MH (2008): Effects of soy isoflavones supplementation and exercise on urinary calcium, magnecium, copper and zinc excretion in postmenopausal women. Korean J Nutr 41(7): 612-620
38 Weng MY, Lane NE (2007): Medication-induced osteoporosis. Curr Osteoporos Rep 5(4): 139-145   DOI   ScienceOn
39 Weaver CM, Plawecki KL (1994): Dietary calcium: adequacy of a vegetarian diet. Am J Clin Nutr 59(5 Suppl): 1238S-1241S   DOI
40 Wilhelm M, Hafner D (1991): Monitoring of cadmium, copper, lead and zinc status in young children using toenails : comparision with scalp hair. Sci Total Environ 103: 199-207   DOI   ScienceOn
41 Yu CH, Lee JS, Lee LH, Kim SH, Lee SS, Kang SA (2004): Nutritional factors related to bone mineral density in the different age groups of Korean men. Korean J Nutr 37(2): 132-142
42 Thomas EA, Bailey LB, Kauwell GA, Lee DY, Cousins RJ (1992): Erythrocyte metallothionein response to dietary zinc in humans. J Nutr 122: 2408-2414   DOI
43 Tranquilli AL, Lucino E, Garzetti GG, Romanini C (1994): Calcium, phosphorus and magnesium intakes correlate with bone mineral content in postmenopausal women. Gynecol Endocrinol 8(1): 55-58   DOI   ScienceOn
44 Yu CH, Kim HS, Lee JS, Kim JY (2001): A study on Ca and P balance in Korean adult women. Korean J Community Nutr 34(1): 54-61
45 Souci SW, Fachmann W, Kraut H (1994): Food composition and nutrient tables. Germany
46 Sung CJ, Yoon YH (2000): The study of Zn, Cu, Mn, Ni contents of serum, hair, nail and urine for female college students. J Korean Soc Food Sci Nutr 29(1): 99-105
47 Sung CJ (1990): A study on Mg status in adult Korean rural women on self-selected diet. Korean J Nutr 23(1): 25-36
48 Sung CJ (1997): A study on the dietary fiber intake and iron metabolism in Korean female college students. Korean J Nutr 30(2): 147-154
49 Sung CJ, No SL, Kim AJ, Choe MG, Lee JH (1993): Relationship among dietary intakes, blood levels, and urinary excretions of Ca, P, Mg and serum lipid levels in Korean rural adult men and women. Korean J Nutr 22(6): 709-715
50 Suzuki P (1993): Food microelement table. Japan
51 Planells E, Aranda P, Lerma A, Llopis J (1994): Changes in bioavailability and tissue distribution of zinc caused by magnesium deficiency in rats. Br J Nutr 72(2): 315-323   DOI   ScienceOn
52 Ramsdale BJ, Bassey EJ, Pye DJ (1994): Dietary calcium intake relates to bone mineral density in premenopausal women. Br J Nutr 71: 77-84   DOI   ScienceOn