Do Vitamin D Level and Dietary Calcium Intake Modify the Association Between Loop Diuretics and Bone Health?
Loop diuretics (LD) may affect bone health by inhibiting renal calcium reuptake. However, whether vitamin D status and dietary calcium intake modify the association between LD and bone outcome is unclear. Therefore, this study aimed to evaluate whether vitamin D level or calcium intake modify the as...
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| Veröffentlicht in: | Calcified tissue international 2020-02, Vol.106 (2), p.104-114 |
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| creator | Oliai Araghi, Sadaf Kiefte-de Jong, Jessica C. Trajanoska, Katerina Koromani, Fjorda Rivadeneira, Fernando Zillikens, M. Carola van Schoor, Natasja M. de Groot, Lisette C. P. G. M. Ikram, M. Arfan Uitterlinden, André G. Stricker, Bruno H. van der Velde, Nathalie |
| description | Loop diuretics (LD) may affect bone health by inhibiting renal calcium reuptake. However, whether vitamin D status and dietary calcium intake modify the association between LD and bone outcome is unclear. Therefore, this study aimed to evaluate whether vitamin D level or calcium intake modify the association between LD and various indices of bone health including bone mineral density (BMD) and Trabecular Bone Score (TBS). From The Rotterdam Study, a prospective population-based cohort study, we used data from 6990 participants aged > 45 year with a DXA scan (2002–2008), 6908 participants with femoral neck (FN)-BMD, 6677 participants with lumbar spine (LS)-BMD and 6476 participants with LS-TBS measurements. Use of LD was available from pharmacy dispensing records. Vitamin D (25(OH)D) level was measured in serum, and dietary calcium intake was measured with a validated food frequency questionnaire. Almost eight percent of the participants used LD. The association between LD (past-users compared to never-users) and LS-TBS was significantly different by 25(OH)D concentrations (
P
for interaction = 0.04). A significantly lower LS-TBS among LD past-users was observed for 25(OH)D ≥ 50 nmol/l compared to ≤ 20 and 20–50 nmol/l (
β
= − 0.036, 95% CI − 0.060; − 0.013 vs.
β
= − 0.012, 95% CI − 0.036; 0.013 and β = − 0.031, 95% CI − 0.096; 0.034, respectively). However, no other significant effect modification by 25(OH)D and dietary calcium intake was found in the associations between LD use and bone health outcomes (
P
-interaction > 0.13). This study suggests that the association between LD use and indices of bone health is not consistently modified by vitamin D or dietary calcium intake. |
| doi_str_mv | 10.1007/s00223-019-00621-1 |
| format | Article |
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P
for interaction = 0.04). A significantly lower LS-TBS among LD past-users was observed for 25(OH)D ≥ 50 nmol/l compared to ≤ 20 and 20–50 nmol/l (
β
= − 0.036, 95% CI − 0.060; − 0.013 vs.
β
= − 0.012, 95% CI − 0.036; 0.013 and β = − 0.031, 95% CI − 0.096; 0.034, respectively). However, no other significant effect modification by 25(OH)D and dietary calcium intake was found in the associations between LD use and bone health outcomes (
P
-interaction > 0.13). This study suggests that the association between LD use and indices of bone health is not consistently modified by vitamin D or dietary calcium intake.</description><identifier>ISSN: 0171-967X</identifier><identifier>EISSN: 1432-0827</identifier><identifier>DOI: 10.1007/s00223-019-00621-1</identifier><identifier>PMID: 31608419</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Biochemistry ; Biomedical and Life Sciences ; Bone mineral density ; Calcium (dietary) ; Cancellous bone ; Cell Biology ; Dietary intake ; Diuretics ; Dual energy X-ray absorptiometry ; Endocrinology ; Health risk assessment ; Life Sciences ; Original Research ; Orthopedics ; Population studies ; Spine (lumbar) ; Vitamin D</subject><ispartof>Calcified tissue international, 2020-02, Vol.106 (2), p.104-114</ispartof><rights>The Author(s) 2019</rights><rights>Calcified Tissue International is a copyright of Springer, (2019). All Rights Reserved. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c419t-3900f0f43cb4ecbcabb3679cfa9776f439f6950e4bc6b1683b945d1e46ed82f33</citedby><cites>FETCH-LOGICAL-c419t-3900f0f43cb4ecbcabb3679cfa9776f439f6950e4bc6b1683b945d1e46ed82f33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00223-019-00621-1$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00223-019-00621-1$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31608419$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Oliai Araghi, Sadaf</creatorcontrib><creatorcontrib>Kiefte-de Jong, Jessica C.</creatorcontrib><creatorcontrib>Trajanoska, Katerina</creatorcontrib><creatorcontrib>Koromani, Fjorda</creatorcontrib><creatorcontrib>Rivadeneira, Fernando</creatorcontrib><creatorcontrib>Zillikens, M. Carola</creatorcontrib><creatorcontrib>van Schoor, Natasja M.</creatorcontrib><creatorcontrib>de Groot, Lisette C. P. G. M.</creatorcontrib><creatorcontrib>Ikram, M. Arfan</creatorcontrib><creatorcontrib>Uitterlinden, André G.</creatorcontrib><creatorcontrib>Stricker, Bruno H.</creatorcontrib><creatorcontrib>van der Velde, Nathalie</creatorcontrib><title>Do Vitamin D Level and Dietary Calcium Intake Modify the Association Between Loop Diuretics and Bone Health?</title><title>Calcified tissue international</title><addtitle>Calcif Tissue Int</addtitle><addtitle>Calcif Tissue Int</addtitle><description>Loop diuretics (LD) may affect bone health by inhibiting renal calcium reuptake. However, whether vitamin D status and dietary calcium intake modify the association between LD and bone outcome is unclear. Therefore, this study aimed to evaluate whether vitamin D level or calcium intake modify the association between LD and various indices of bone health including bone mineral density (BMD) and Trabecular Bone Score (TBS). From The Rotterdam Study, a prospective population-based cohort study, we used data from 6990 participants aged > 45 year with a DXA scan (2002–2008), 6908 participants with femoral neck (FN)-BMD, 6677 participants with lumbar spine (LS)-BMD and 6476 participants with LS-TBS measurements. Use of LD was available from pharmacy dispensing records. Vitamin D (25(OH)D) level was measured in serum, and dietary calcium intake was measured with a validated food frequency questionnaire. Almost eight percent of the participants used LD. The association between LD (past-users compared to never-users) and LS-TBS was significantly different by 25(OH)D concentrations (
P
for interaction = 0.04). A significantly lower LS-TBS among LD past-users was observed for 25(OH)D ≥ 50 nmol/l compared to ≤ 20 and 20–50 nmol/l (
β
= − 0.036, 95% CI − 0.060; − 0.013 vs.
β
= − 0.012, 95% CI − 0.036; 0.013 and β = − 0.031, 95% CI − 0.096; 0.034, respectively). However, no other significant effect modification by 25(OH)D and dietary calcium intake was found in the associations between LD use and bone health outcomes (
P
-interaction > 0.13). This study suggests that the association between LD use and indices of bone health is not consistently modified by vitamin D or dietary calcium intake.</description><subject>Biochemistry</subject><subject>Biomedical and Life Sciences</subject><subject>Bone mineral density</subject><subject>Calcium (dietary)</subject><subject>Cancellous bone</subject><subject>Cell Biology</subject><subject>Dietary intake</subject><subject>Diuretics</subject><subject>Dual energy X-ray absorptiometry</subject><subject>Endocrinology</subject><subject>Health risk assessment</subject><subject>Life Sciences</subject><subject>Original Research</subject><subject>Orthopedics</subject><subject>Population studies</subject><subject>Spine (lumbar)</subject><subject>Vitamin D</subject><issn>0171-967X</issn><issn>1432-0827</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kUFv1DAQha0K1G5L_0APyBIXLoFx7LXjE2p3C620VS-AerMcZ9K6JPYSO6D-e9xuAYkDp5FmvvdmNI-QEwbvGIB6nwDqmlfAdAUga1axPbJggtcVNLV6QRbAFKu0VDcH5DClewAmpJT75IAzCY1gekGGdaRffbajD3RNN_gDB2pDR9ces50e6MoOzs8jvQzZfkN6FTvfP9B8h_Q0pei8zT4Geob5J2Kgmxi3RTpPmL1LT0ZnMSC9QDvkuw-vyMveDgmPn-sR-fLx_PPqotpcf7pcnW4qV27KFdcAPfSCu1aga51tWy6Vdr3VSsnS173US0DROtky2fBWi2XHUEjsmrrn_Ii83flup_h9xpTN6JPDYbAB45xMzWEplJBKFPTNP-h9nKdQriuUaBqplWSFqneUm2JKE_ZmO_mx_McwMI9ZmF0WpmRhnrIwj6LXz9ZzO2L3R_L7-QXgOyCVUbjF6e_u_9j-Alzskx8</recordid><startdate>20200201</startdate><enddate>20200201</enddate><creator>Oliai Araghi, Sadaf</creator><creator>Kiefte-de Jong, Jessica C.</creator><creator>Trajanoska, Katerina</creator><creator>Koromani, Fjorda</creator><creator>Rivadeneira, Fernando</creator><creator>Zillikens, M. Carola</creator><creator>van Schoor, Natasja M.</creator><creator>de Groot, Lisette C. P. G. M.</creator><creator>Ikram, M. 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Carola ; van Schoor, Natasja M. ; de Groot, Lisette C. P. G. M. ; Ikram, M. Arfan ; Uitterlinden, André G. ; Stricker, Bruno H. ; van der Velde, Nathalie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c419t-3900f0f43cb4ecbcabb3679cfa9776f439f6950e4bc6b1683b945d1e46ed82f33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Biochemistry</topic><topic>Biomedical and Life Sciences</topic><topic>Bone mineral density</topic><topic>Calcium (dietary)</topic><topic>Cancellous bone</topic><topic>Cell Biology</topic><topic>Dietary intake</topic><topic>Diuretics</topic><topic>Dual energy X-ray absorptiometry</topic><topic>Endocrinology</topic><topic>Health risk assessment</topic><topic>Life Sciences</topic><topic>Original Research</topic><topic>Orthopedics</topic><topic>Population studies</topic><topic>Spine (lumbar)</topic><topic>Vitamin D</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Oliai Araghi, Sadaf</creatorcontrib><creatorcontrib>Kiefte-de Jong, Jessica C.</creatorcontrib><creatorcontrib>Trajanoska, Katerina</creatorcontrib><creatorcontrib>Koromani, Fjorda</creatorcontrib><creatorcontrib>Rivadeneira, Fernando</creatorcontrib><creatorcontrib>Zillikens, M. 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Carola</au><au>van Schoor, Natasja M.</au><au>de Groot, Lisette C. P. G. M.</au><au>Ikram, M. Arfan</au><au>Uitterlinden, André G.</au><au>Stricker, Bruno H.</au><au>van der Velde, Nathalie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Do Vitamin D Level and Dietary Calcium Intake Modify the Association Between Loop Diuretics and Bone Health?</atitle><jtitle>Calcified tissue international</jtitle><stitle>Calcif Tissue Int</stitle><addtitle>Calcif Tissue Int</addtitle><date>2020-02-01</date><risdate>2020</risdate><volume>106</volume><issue>2</issue><spage>104</spage><epage>114</epage><pages>104-114</pages><issn>0171-967X</issn><eissn>1432-0827</eissn><abstract>Loop diuretics (LD) may affect bone health by inhibiting renal calcium reuptake. However, whether vitamin D status and dietary calcium intake modify the association between LD and bone outcome is unclear. Therefore, this study aimed to evaluate whether vitamin D level or calcium intake modify the association between LD and various indices of bone health including bone mineral density (BMD) and Trabecular Bone Score (TBS). From The Rotterdam Study, a prospective population-based cohort study, we used data from 6990 participants aged > 45 year with a DXA scan (2002–2008), 6908 participants with femoral neck (FN)-BMD, 6677 participants with lumbar spine (LS)-BMD and 6476 participants with LS-TBS measurements. Use of LD was available from pharmacy dispensing records. Vitamin D (25(OH)D) level was measured in serum, and dietary calcium intake was measured with a validated food frequency questionnaire. Almost eight percent of the participants used LD. The association between LD (past-users compared to never-users) and LS-TBS was significantly different by 25(OH)D concentrations (
P
for interaction = 0.04). A significantly lower LS-TBS among LD past-users was observed for 25(OH)D ≥ 50 nmol/l compared to ≤ 20 and 20–50 nmol/l (
β
= − 0.036, 95% CI − 0.060; − 0.013 vs.
β
= − 0.012, 95% CI − 0.036; 0.013 and β = − 0.031, 95% CI − 0.096; 0.034, respectively). However, no other significant effect modification by 25(OH)D and dietary calcium intake was found in the associations between LD use and bone health outcomes (
P
-interaction > 0.13). This study suggests that the association between LD use and indices of bone health is not consistently modified by vitamin D or dietary calcium intake.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>31608419</pmid><doi>10.1007/s00223-019-00621-1</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Calcified tissue international, 2020-02, Vol.106 (2), p.104-114 |
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| subjects | Biochemistry Biomedical and Life Sciences Bone mineral density Calcium (dietary) Cancellous bone Cell Biology Dietary intake Diuretics Dual energy X-ray absorptiometry Endocrinology Health risk assessment Life Sciences Original Research Orthopedics Population studies Spine (lumbar) Vitamin D |
| title | Do Vitamin D Level and Dietary Calcium Intake Modify the Association Between Loop Diuretics and Bone Health? |
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