Format

Send to

Choose Destination
J Clin Endocrinol Metab. 2012 Jan;97(1):251-60. doi: 10.1210/jc.2011-2165. Epub 2011 Nov 2.

Diets higher in dairy foods and dietary protein support bone health during diet- and exercise-induced weight loss in overweight and obese premenopausal women.

Author information

1
Exercise Metabolism Research Group, Department of Kinesiology, McMaster University, 1280 Main Street West, Hamilton, Ontario, Canada.

Abstract

CONTEXT:

Consolidation and maintenance of peak bone mass in young adulthood may be compromised by inactivity, low dietary calcium, and diet-induced weight loss.

OBJECTIVE:

We aimed to determine whether higher intakes of dairy foods, dietary calcium, and protein during diet- and exercise-induced weight loss affected markers of bone health.

PARTICIPANTS:

Participants included premenopausal overweight and obese women.

DESIGN/INTERVENTION:

Ninety participants were randomized into three groups (n = 30 per group): high protein and high dairy (HPHD), adequate protein and medium dairy (APMD), and adequate protein and low dairy (APLD), differing in dietary protein (30, 15, or 15% of energy, respectively), dairy foods (15, 7.5, or <2% of energy from protein, respectively), and dietary calcium (∼1600, ∼1000, or <500 mg/d, respectively).

OUTCOME MEASURES:

Serum and urine bone turnover biomarkers, serum osteoprotegerin (OPG), receptor activator of nuclear factor-κB ligand (RANKL), PTH, 25-hydroxyvitamin D, leptin, and adiponectin measured at 0 and 16 wk.

RESULTS:

All groups lost equivalent body weight (P < 0.05). N-telopeptide, C-telopeptide (CTX), urinary deoxypyridinoline, and osteocalcin increased in APLD (P < 0.01), whereas in HPHD, osteocalcin and procollagen 1 amino-terminal propeptide (P1NP) increased (P < 0.05), and all resorption markers remained unchanged. P1NP to CTX and OPG to RANKL ratios increased in HPHD (P < 0.005), and P1NP to CTX ratio decreased in APLD (P < 0.05). PTH decreased in HPHD and APMD vs. APLD (P < 0.005), and 25-hydroxyvitamin D increased in HPHD (P < 0.05), remained unchanged in APMD, and decreased in APLD (P < 0.05). Leptin decreased and adiponectin increased in APMD and HPHD only (P < 0.001).

CONCLUSIONS:

Hypoenergetic diets higher in dairy foods, dietary calcium, and protein with daily exercise, favorably affected important bone health biomarkers vs. diets with less of these bone-supporting nutrients.

TRIAL REGISTRATION:

ClinicalTrials.gov NCT00710398.

PMID:
22049177
DOI:
10.1210/jc.2011-2165
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Silverchair Information Systems
Loading ...
Support Center