Inhibition of markers of bone resorption by consumption of vitamin D and calcium-fortified soft plain cheese by institutionalised elderly women

Acceleration of bone remodelling increases the risk of fragility fractures. The objective of the present study was to explore in elderly women whether a vitamin D and Ca-fortified dairy product providing about 17–25 % of the recommended intakes in vitamin D, Ca and proteins would reduce secondary hy...

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Veröffentlicht in:British journal of nutrition 2009-10, Vol.102 (7), p.962-966
Hauptverfasser: Bonjour, Jean-Philippe, Benoit, Valérie, Pourchaire, Olivier, Ferry, Monique, Rousseau, Brigitte, Souberbielle, Jean-Claude
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container_issue 7
container_start_page 962
container_title British journal of nutrition
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creator Bonjour, Jean-Philippe
Benoit, Valérie
Pourchaire, Olivier
Ferry, Monique
Rousseau, Brigitte
Souberbielle, Jean-Claude
description Acceleration of bone remodelling increases the risk of fragility fractures. The objective of the present study was to explore in elderly women whether a vitamin D and Ca-fortified dairy product providing about 17–25 % of the recommended intakes in vitamin D, Ca and proteins would reduce secondary hyperparathyroidism and bone remodelling in a way that may attenuate age-related bone loss in the long term. Thirty-seven institutionalised women, aged 84·8 (sd 8·1) years, with low serum 25-hydroxyvitamin D (5·5 (sd 1·7) ng/ml) were enrolled into a multicentre open trial to consume during 1 month two servings of soft plain cheese made of semi-skimmed milk providing daily 686 kJ (164 kcal), 2·5 μg vitamin D, 302 mg Ca and 14·2 g proteins. The primary endpoint was the change in serum carboxy terminal cross-linked telopeptide of type I collagen (CTX), selected as a marker of bone resorption. Thirty-five subjects remained compliant. Mean serum changes were: 25-hydroyvitamin D, +14·5 % (P = 0·0051); parathyroid hormone (PTH), − 12·3 % (P = 0·0011); CTX, − 7·5 % (P = 0·01); tartrate-resistant acid phosphatase isoform 5b (TRAP 5b), − 9·9 % (P 
doi_str_mv 10.1017/S0007114509371743
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The objective of the present study was to explore in elderly women whether a vitamin D and Ca-fortified dairy product providing about 17–25 % of the recommended intakes in vitamin D, Ca and proteins would reduce secondary hyperparathyroidism and bone remodelling in a way that may attenuate age-related bone loss in the long term. Thirty-seven institutionalised women, aged 84·8 (sd 8·1) years, with low serum 25-hydroxyvitamin D (5·5 (sd 1·7) ng/ml) were enrolled into a multicentre open trial to consume during 1 month two servings of soft plain cheese made of semi-skimmed milk providing daily 686 kJ (164 kcal), 2·5 μg vitamin D, 302 mg Ca and 14·2 g proteins. The primary endpoint was the change in serum carboxy terminal cross-linked telopeptide of type I collagen (CTX), selected as a marker of bone resorption. Thirty-five subjects remained compliant. Mean serum changes were: 25-hydroyvitamin D, +14·5 % (P = 0·0051); parathyroid hormone (PTH), − 12·3 % (P = 0·0011); CTX, − 7·5 % (P = 0·01); tartrate-resistant acid phosphatase isoform 5b (TRAP 5b), − 9·9 % (P &lt; 0·0001); albumin, +6·2 % (P &lt; 0·0001); insulin-like growth factor-I (IGF-I),+16·9 % (P &lt; 0·0001); osteocalcin, +8·3 % (P = 0·0166); amino-terminal propeptide of type 1 procollagen (P1NP),+19·3 % (P = 0·0031). The present open trial suggests that fortified soft plain cheese consumed by elderly women with vitamin D insufficiency can reduce bone resorption markers by positively influencing Ca and protein economy, as expressed by decreased PTH and increased IGF-I, respectively. The rise in the bone formation marker P1NP could be explained by a protein-mediated increase in IGF-I. Thus, such a dietary intervention might uncouple, at least transiently, bone resorption from bone formation and thereby attenuate age-related bone loss.</description><identifier>ISSN: 0007-1145</identifier><identifier>EISSN: 1475-2662</identifier><identifier>DOI: 10.1017/S0007114509371743</identifier><identifier>PMID: 19519975</identifier><identifier>CODEN: BJNUAV</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject><![CDATA[Aged ; Aged, 80 and over ; Biological and medical sciences ; Biomarkers ; Biomarkers - blood ; Bone density ; bone resorption ; Bone Resorption - blood ; Bone Resorption - prevention & control ; Bone resorption and formation markers ; calcium ; Calcium and protein intakes ; Calcium, Dietary - administration & dosage ; Calcium, Dietary - therapeutic use ; Cheese ; Cheese - analysis ; Collagen Type I - blood ; Dairy products ; Diet ; dietary minerals ; dietary supplements ; elderly ; elderly nutrition ; Feeding. Feeding behavior ; Female ; Food, Fortified ; Fortified cheese ; fortified foods ; Fundamental and applied biological sciences. Psychology ; Homes for the Aged ; Humans ; Hyperparathyroidism, Secondary - etiology ; Hyperparathyroidism, Secondary - prevention & control ; inhibitors ; Insulin-like growth factor-I ; Nursing Homes ; Nutrition research ; Older people ; Peptides - blood ; Secondary hyperparathyroidism ; soft cheeses ; Vertebrates: anatomy and physiology, studies on body, several organs or systems ; Vitamin D ; Vitamin D - administration & dosage ; Vitamin D - analogs & derivatives ; Vitamin D - blood ; Vitamin D - therapeutic use ; Vitamin D Deficiency - complications ; Vitamin D Deficiency - diet therapy ; Vitamins - administration & dosage ; Women]]></subject><ispartof>British journal of nutrition, 2009-10, Vol.102 (7), p.962-966</ispartof><rights>Copyright © The Authors 2009</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c585t-bf08b221d2fbec0558340033b3e7735a190f6a3aeae52c3e9514eadc56b1569c3</citedby><cites>FETCH-LOGICAL-c585t-bf08b221d2fbec0558340033b3e7735a190f6a3aeae52c3e9514eadc56b1569c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S0007114509371743/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,314,776,780,27901,27902,55603</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=21984510$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19519975$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bonjour, Jean-Philippe</creatorcontrib><creatorcontrib>Benoit, Valérie</creatorcontrib><creatorcontrib>Pourchaire, Olivier</creatorcontrib><creatorcontrib>Ferry, Monique</creatorcontrib><creatorcontrib>Rousseau, Brigitte</creatorcontrib><creatorcontrib>Souberbielle, Jean-Claude</creatorcontrib><title>Inhibition of markers of bone resorption by consumption of vitamin D and calcium-fortified soft plain cheese by institutionalised elderly women</title><title>British journal of nutrition</title><addtitle>Br J Nutr</addtitle><description>Acceleration of bone remodelling increases the risk of fragility fractures. The objective of the present study was to explore in elderly women whether a vitamin D and Ca-fortified dairy product providing about 17–25 % of the recommended intakes in vitamin D, Ca and proteins would reduce secondary hyperparathyroidism and bone remodelling in a way that may attenuate age-related bone loss in the long term. Thirty-seven institutionalised women, aged 84·8 (sd 8·1) years, with low serum 25-hydroxyvitamin D (5·5 (sd 1·7) ng/ml) were enrolled into a multicentre open trial to consume during 1 month two servings of soft plain cheese made of semi-skimmed milk providing daily 686 kJ (164 kcal), 2·5 μg vitamin D, 302 mg Ca and 14·2 g proteins. The primary endpoint was the change in serum carboxy terminal cross-linked telopeptide of type I collagen (CTX), selected as a marker of bone resorption. Thirty-five subjects remained compliant. Mean serum changes were: 25-hydroyvitamin D, +14·5 % (P = 0·0051); parathyroid hormone (PTH), − 12·3 % (P = 0·0011); CTX, − 7·5 % (P = 0·01); tartrate-resistant acid phosphatase isoform 5b (TRAP 5b), − 9·9 % (P &lt; 0·0001); albumin, +6·2 % (P &lt; 0·0001); insulin-like growth factor-I (IGF-I),+16·9 % (P &lt; 0·0001); osteocalcin, +8·3 % (P = 0·0166); amino-terminal propeptide of type 1 procollagen (P1NP),+19·3 % (P = 0·0031). The present open trial suggests that fortified soft plain cheese consumed by elderly women with vitamin D insufficiency can reduce bone resorption markers by positively influencing Ca and protein economy, as expressed by decreased PTH and increased IGF-I, respectively. The rise in the bone formation marker P1NP could be explained by a protein-mediated increase in IGF-I. Thus, such a dietary intervention might uncouple, at least transiently, bone resorption from bone formation and thereby attenuate age-related bone loss.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Biomarkers</subject><subject>Biomarkers - blood</subject><subject>Bone density</subject><subject>bone resorption</subject><subject>Bone Resorption - blood</subject><subject>Bone Resorption - prevention &amp; control</subject><subject>Bone resorption and formation markers</subject><subject>calcium</subject><subject>Calcium and protein intakes</subject><subject>Calcium, Dietary - administration &amp; dosage</subject><subject>Calcium, Dietary - therapeutic use</subject><subject>Cheese</subject><subject>Cheese - analysis</subject><subject>Collagen Type I - blood</subject><subject>Dairy products</subject><subject>Diet</subject><subject>dietary minerals</subject><subject>dietary supplements</subject><subject>elderly</subject><subject>elderly nutrition</subject><subject>Feeding. Feeding behavior</subject><subject>Female</subject><subject>Food, Fortified</subject><subject>Fortified cheese</subject><subject>fortified foods</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Homes for the Aged</subject><subject>Humans</subject><subject>Hyperparathyroidism, Secondary - etiology</subject><subject>Hyperparathyroidism, Secondary - prevention &amp; control</subject><subject>inhibitors</subject><subject>Insulin-like growth factor-I</subject><subject>Nursing Homes</subject><subject>Nutrition research</subject><subject>Older people</subject><subject>Peptides - blood</subject><subject>Secondary hyperparathyroidism</subject><subject>soft cheeses</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><subject>Vitamin D</subject><subject>Vitamin D - administration &amp; dosage</subject><subject>Vitamin D - analogs &amp; derivatives</subject><subject>Vitamin D - blood</subject><subject>Vitamin D - therapeutic use</subject><subject>Vitamin D Deficiency - complications</subject><subject>Vitamin D Deficiency - diet therapy</subject><subject>Vitamins - administration &amp; dosage</subject><subject>Women</subject><issn>0007-1145</issn><issn>1475-2662</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp90cFu1DAQBuAIgehSeAAuECEBp4DHjuP4iApdCpUQWiqOluOMW5ckTu0E2KfglXHYpZVAcIqj-fxLvyfLHgJ5AQTEyw0hRACUnEgmQJTsVraCUvCCVhW9na2WcbHMD7J7MV6m3xqIvJsdgOQgpeCr7MfJcOEaNzk_5N7mvQ5fMMTl2PgB84DRh_HXtNnmxg9x7sff-KubdO-G_HWuhzY3ujNu7gvrw-SswzaP3k752OlEzAVixCXDDXFy07xk6M7FxLBrMXTb_Jvvcbif3bG6i_hg_z3Mzo7ffDp6W5x-WJ8cvTotDK_5VDSW1A2l0FLboCGc16wkhLGGoRCMa5DEVppp1MipYZj6lqhbw6sGeCUNO8ye73LH4K9mjJPqXTTYdXpAP0clUl6VnpEn-ey_kgLQSrIFPvkDXvo5pJaLYTWtOSsTgh0ywccY0KoxuPTqWwVELUtVfy013Xm0D56bHtubG_stJvB0D3RMa7BBD8bFa0dB1iUHklyxcy5O-P16nnauKsEEV9X6o3rPjj-_I-VGrZN_vPNWe6XPQ8o821ACjEAlRVnWSbB9Hd03wbXneFP634V-Aov90oM</recordid><startdate>20091014</startdate><enddate>20091014</enddate><creator>Bonjour, Jean-Philippe</creator><creator>Benoit, Valérie</creator><creator>Pourchaire, Olivier</creator><creator>Ferry, Monique</creator><creator>Rousseau, Brigitte</creator><creator>Souberbielle, Jean-Claude</creator><general>Cambridge University Press</general><scope>FBQ</scope><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7T5</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20091014</creationdate><title>Inhibition of markers of bone resorption by consumption of vitamin D and calcium-fortified soft plain cheese by institutionalised elderly women</title><author>Bonjour, Jean-Philippe ; Benoit, Valérie ; Pourchaire, Olivier ; Ferry, Monique ; Rousseau, Brigitte ; Souberbielle, Jean-Claude</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c585t-bf08b221d2fbec0558340033b3e7735a190f6a3aeae52c3e9514eadc56b1569c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Biomarkers</topic><topic>Biomarkers - blood</topic><topic>Bone density</topic><topic>bone resorption</topic><topic>Bone Resorption - blood</topic><topic>Bone Resorption - prevention &amp; control</topic><topic>Bone resorption and formation markers</topic><topic>calcium</topic><topic>Calcium and protein intakes</topic><topic>Calcium, Dietary - administration &amp; dosage</topic><topic>Calcium, Dietary - therapeutic use</topic><topic>Cheese</topic><topic>Cheese - analysis</topic><topic>Collagen Type I - blood</topic><topic>Dairy products</topic><topic>Diet</topic><topic>dietary minerals</topic><topic>dietary supplements</topic><topic>elderly</topic><topic>elderly nutrition</topic><topic>Feeding. 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Psychology</topic><topic>Homes for the Aged</topic><topic>Humans</topic><topic>Hyperparathyroidism, Secondary - etiology</topic><topic>Hyperparathyroidism, Secondary - prevention &amp; control</topic><topic>inhibitors</topic><topic>Insulin-like growth factor-I</topic><topic>Nursing Homes</topic><topic>Nutrition research</topic><topic>Older people</topic><topic>Peptides - blood</topic><topic>Secondary hyperparathyroidism</topic><topic>soft cheeses</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><topic>Vitamin D</topic><topic>Vitamin D - administration &amp; dosage</topic><topic>Vitamin D - analogs &amp; derivatives</topic><topic>Vitamin D - blood</topic><topic>Vitamin D - therapeutic use</topic><topic>Vitamin D Deficiency - complications</topic><topic>Vitamin D Deficiency - diet therapy</topic><topic>Vitamins - administration &amp; dosage</topic><topic>Women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bonjour, Jean-Philippe</creatorcontrib><creatorcontrib>Benoit, Valérie</creatorcontrib><creatorcontrib>Pourchaire, Olivier</creatorcontrib><creatorcontrib>Ferry, Monique</creatorcontrib><creatorcontrib>Rousseau, Brigitte</creatorcontrib><creatorcontrib>Souberbielle, Jean-Claude</creatorcontrib><collection>AGRIS</collection><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium &amp; 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The objective of the present study was to explore in elderly women whether a vitamin D and Ca-fortified dairy product providing about 17–25 % of the recommended intakes in vitamin D, Ca and proteins would reduce secondary hyperparathyroidism and bone remodelling in a way that may attenuate age-related bone loss in the long term. Thirty-seven institutionalised women, aged 84·8 (sd 8·1) years, with low serum 25-hydroxyvitamin D (5·5 (sd 1·7) ng/ml) were enrolled into a multicentre open trial to consume during 1 month two servings of soft plain cheese made of semi-skimmed milk providing daily 686 kJ (164 kcal), 2·5 μg vitamin D, 302 mg Ca and 14·2 g proteins. The primary endpoint was the change in serum carboxy terminal cross-linked telopeptide of type I collagen (CTX), selected as a marker of bone resorption. Thirty-five subjects remained compliant. Mean serum changes were: 25-hydroyvitamin D, +14·5 % (P = 0·0051); parathyroid hormone (PTH), − 12·3 % (P = 0·0011); CTX, − 7·5 % (P = 0·01); tartrate-resistant acid phosphatase isoform 5b (TRAP 5b), − 9·9 % (P &lt; 0·0001); albumin, +6·2 % (P &lt; 0·0001); insulin-like growth factor-I (IGF-I),+16·9 % (P &lt; 0·0001); osteocalcin, +8·3 % (P = 0·0166); amino-terminal propeptide of type 1 procollagen (P1NP),+19·3 % (P = 0·0031). The present open trial suggests that fortified soft plain cheese consumed by elderly women with vitamin D insufficiency can reduce bone resorption markers by positively influencing Ca and protein economy, as expressed by decreased PTH and increased IGF-I, respectively. The rise in the bone formation marker P1NP could be explained by a protein-mediated increase in IGF-I. Thus, such a dietary intervention might uncouple, at least transiently, bone resorption from bone formation and thereby attenuate age-related bone loss.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>19519975</pmid><doi>10.1017/S0007114509371743</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Cambridge Journals; Free Full-Text Journals in Chemistry
subjects Aged
Aged, 80 and over
Biological and medical sciences
Biomarkers
Biomarkers - blood
Bone density
bone resorption
Bone Resorption - blood
Bone Resorption - prevention & control
Bone resorption and formation markers
calcium
Calcium and protein intakes
Calcium, Dietary - administration & dosage
Calcium, Dietary - therapeutic use
Cheese
Cheese - analysis
Collagen Type I - blood
Dairy products
Diet
dietary minerals
dietary supplements
elderly
elderly nutrition
Feeding. Feeding behavior
Female
Food, Fortified
Fortified cheese
fortified foods
Fundamental and applied biological sciences. Psychology
Homes for the Aged
Humans
Hyperparathyroidism, Secondary - etiology
Hyperparathyroidism, Secondary - prevention & control
inhibitors
Insulin-like growth factor-I
Nursing Homes
Nutrition research
Older people
Peptides - blood
Secondary hyperparathyroidism
soft cheeses
Vertebrates: anatomy and physiology, studies on body, several organs or systems
Vitamin D
Vitamin D - administration & dosage
Vitamin D - analogs & derivatives
Vitamin D - blood
Vitamin D - therapeutic use
Vitamin D Deficiency - complications
Vitamin D Deficiency - diet therapy
Vitamins - administration & dosage
Women
title Inhibition of markers of bone resorption by consumption of vitamin D and calcium-fortified soft plain cheese by institutionalised elderly women
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