REAL INTAKE AND PROVISION WITH VITAMINS AND CALCIUM IN OSTEOPOROSIS: ASSESSMENT BY MEASURING INTAKE AND PLASMA CONCENTRATIONS
- Authors: Khodyrev V.N.1,2, Lesnyak O.M.1,2, Martinchik A.N.3,4, Maksimov D.M.1,2
-
Affiliations:
- Ural State Medical University
- 3 Repina ul., Yekaterinburg, Sverdlovskaya oblast’, 620028, Russian Federation
- Scientific Research Institute of Nutrition
- 2/14 Ust’inskiy proezd, Moscow, 109240, Russian Federation
- Issue: No 32 (2014)
- Pages: 66-72
- Section: ARTICLES
- URL: https://almclinmed.ru/jour/article/view/137
- DOI: https://doi.org/10.18786/2072-0505-2014-32-66-72
- ID: 137
Cite item
Full Text
Abstract
Aim: To assess the providing an organism with vitamins (А, В2, С, Е), β-carotene, and calcium in osteoporosis patients by measuring their intake and plasma concentrations. Materials and methods: 108 pairs “osteoporosis patient – healthy volunteer” aged 64.29±9.73 years were formed using a “case-control” method. Real intake of vitamins and calcium was studied defining the frequency of food taking for a month using questionnaire method. Daily intake of vitamins А, В2, С, Е, β-carotene, and calcium was calculated based on the analysis of the frequency of food taking. Among the basic group, using randomized method, 60% of osteoporosis patients were selected who underwent definition of plasma levels of vitamins А, В2, С, and Е. The same study was performed in 60 control volunteers. Results: Correlation of the intake of vitamins A, C, and β-carotene with their plasma levels wasn’t noted. It may reveal an increased need in these nutrients in osteoporosis. According to the calcium intake, every osteoporosis patient can be attributed to a population category with deep insufficiency of calcium intake (less than 500 mg a day). Conclusion: The data obtained need further investigation and, first of all, in clinical and biochemical fields (enzymatic non-provision for calcium uptake, clinical manifestations of insufficient provision with nutrients). Solution of these problems would enable regulation of food intake concerning calcium uptake in osteoporosis.
Keywords
About the authors
V. N. Khodyrev
Ural State Medical University; 3 Repina ul., Yekaterinburg, Sverdlovskaya oblast’, 620028, Russian Federation
Author for correspondence.
Email: vitalykhodyrev@yandex.ru
MD, PhD, Assistant of the Chair of Family Medicine, Ural State Medical University Россия
O. M. Lesnyak
Ural State Medical University; 3 Repina ul., Yekaterinburg, Sverdlovskaya oblast’, 620028, Russian Federation
Email: fake@neicon.ru
MD, PhD, Professor, Head of the Chair of Family Medicine, Ural State Medical University Россия
A. N. Martinchik
Scientific Research Institute of Nutrition; 2/14 Ust’inskiy proezd, Moscow, 109240, Russian Federation
Email: fake@neicon.ru
MD, PhD, Professor, Leading researcher, Laboratory of Nourishment Epidemiology, Scientific Research Institute of Nutrition.
РоссияD. M. Maksimov
Ural State Medical University; 3 Repina ul., Yekaterinburg, Sverdlovskaya oblast’, 620028, Russian Federation
Email: fake@neicon.ru
PhD, Assistant of the Chair of Family Medicine, Ural State Medical University Россия
References
- Беневоленская ЛИ. Проблема остеопороза в современной медицине. Научно-практическая ревматология. 2005;(1): 4-7. (Benevolenskaya LI. [Osteoporosis problem in contemporary medicine]. Nauchno-prakticheskaya revmatologiya. 2005; (1):4-7. Russian).
- Торопцова НВ, Никитинская ОА, Беневоленская ЛИ. Потребление кальция и уровень витамина D в сыворотке крови у женщин в постменопаузе. Научно-практическая ревматология. 2006;(2):115. (Toroptsova NV, Nikitinskaya OA, Benevolenskaya LI. [Calcium intake and serum vitamin D level in post-menopausal women]. Nauchno-prakticheskaya revmatologiya. 2006;(2):115. Russian).
- Palacios C. The role of nutrients in bone health, from A to Z. Crit Rev Food Sci Nutr. 2006;46(8):621-8.
- Sahni S, Hannan MT, Gagnon D, Blumberg J, Cupples LA, Kiel DP, Tucker KL. High vitamin C intake is associated with lower 4-year bone loss in elderly men. J Nutr. 2008;138(10):1931-8.
- Sahni S, Hannan MT, Gagnon D, Blumberg J, Cupples LA, Kiel DP, Tucker KL. Protective effect of total and supplemental vitamin C intake on the risk of hip fracture – a 17-year follow-up from the Framingham Osteoporosis Study. Osteoporos Int. 2009; 20(11):1853-61.
- Yazdanpanah N, Zillikens MC, Rivadeneira F, de Jong R, Lindemans J, Uitterlinden AG, Pols HA, van Meurs JB. Effect of dietary B vitamins on BMD and risk of fracture in elderly men and women: the Rotterdam study. Bone. 2007;41(6):987-94.
- Lim LS, Harnack LJ, Lazovich D, Folsom AR. Vitamin A intake and the risk of hip fracture in postmenopausal women: the Iowa Women's Health Study. Osteoporos Int. 2004;15(7):552-9.
- Dennehy C, Tsourounis C. A review of select vitamins and minerals used by postmenopausal women. Maturitas. 2010; 66(4):370-80.
- Pinheiro MM, Ciconelli RM, Chaves GV, Aquino L, Juzwiak CR, Genaro Pde S, Ferraz MB. Antioxidant intake among Brazilian adults – the Brazilian Osteoporosis Study (BRAZOS): a cross-sectional study. Nutr J. 2011;10:39.
- Мартинчик АН, Маев ИВ, Янушевич ОО. Общая нутрициология. М.: МЕДпресс-информ; 2005. (Martinchik AN, Maev IV, Yanushevich OO. [General nutritiology]. Moscow: MEDpress-inform; 2005. Russian).
- Спиричев ВБ, Коденцова ВМ, Вржесинская ОА, Бекетова НА. Методы оценки витаминной обеспеченности населения. М.: ПКЦ Альтекс; 2001. (Spirichev VB, Kodentsova VM, Vrzhesinskaya OA, Beketova NA. [The methods to assess provision of population with vitamins]. Moscow: PKTs Al’teks; 2001. Russian).
- Нормы физиологических потребностей в энергии и пищевых веществах для различных групп населения Российской Федерации. Методические рекомендации. МР 2.3.1.2432-08. ([Norms of physiological need in energy and food in different groups of population in Russian Federation. Methodical recommendations]. МR 2.3.1.2432-08. Russian).
- Мартинчик АН, Батурин АК, Мартинчик ЭА, Пескова ЕВ, Старовойтов МЛ. Фактическое потребление витаминов-антиоксидантов населением России. Вопросы питания. 2005;74(4):9-13. (Martinchik AN, Baturin AK, Martinchik EA, Peskova EV, Starovoytov ML. [Real uptake of vitamins-antioxidants by Russian population]. Voprosy pitaniya. 2005;74(4):9-13. Russian).
- Sowers M, Lachance L. Vitamins and arthritis. The roles of vitamins A, C, D, and E. Rheum Dis Clin North Am. 1999;25(2):315-32.
- Chuin A, Labonté M, Tessier D, Khalil A, Bobeuf F, Doyon CY, Rieth N, Dionne IJ. Effect of antioxidants combined to resistance training on BMD in elderly women: a pilot study. Osteoporos Int. 2009;20(7):1253-8.