Spinal Bone Mineral Density in Premenopausal Vegetarian and Nonvegetarian Women: Cross-sectional and Prospective Comparisons

作者: SUSAN I BARR , JERILYNN C PRIOR , K.CHRISTINA JANELLE , BRIAN C LENTLE

DOI: 10.1016/S0002-8223(98)00172-2

关键词: EndocrinologyAnthropometryInternal medicineMedicineBody mass indexBone mineralCross-sectional studyStepwise regressionMass indexBone densityProspective cohort study

摘要: Abstract Objective To compare spinal bone mineral density (BMD) and 1-year BMD change between premenopausal vegetarian nonvegetarian women. Design Cross-sectional comparison of at baseline prospective a subsample. Setting A western Canadian metropolitan area. Subjects/samples Healthy (n=15 lacto-ovo-vegetarian, n=8 vegan) (n=22) women aged 20 to 40 years, with regular menstrual cycles stable body weight completed measurements. Twenty these (6 5 vegan, 9 non-vegetarian) participated in repeat measurements approximately 13 months. Statistical analyses performed Descriptive statistics, independent sample paired t tests, 1-way analysis variance, correlation analysis, stepwise multiple regression were used groups assess associations BMD. Results At baseline, subjects 27.2±5.1 years old. Vegetarians had lower mass index (21.1±2.3 vs 22.7±1.9, P 2 1.216±0.132 g/cm , =.06), although this was not apparent as covariate ( =.14). Baseline predicted by vitamin B-12 intake total fat R =.24, =.001). Participants the follow-up differed only their being older than nonparticipants. Over 1 year, mean increased significantly (1.1%): diet group, non-vegetarians' but vegetarians' unchanged. No other monitored variables associated change. Applications/conclusions Vegetarian should be aware links low weight/body fat, maintain adequate intakes nutrients believed affect J Am Diet Assoc. 1998;98:760-765 .

参考文章(38)
U Schweiger, R.J. Tuschl, P Platte, A Broocks, R.G. Laessle, K-M Pirke, Everyday eating behavior and menstrual function in young women Fertility and Sterility. ,vol. 57, pp. 771- 775 ,(1993) , 10.1016/0020-7292(93)90817-G
R Tesar, M Notelovitz, E Shim, G Kauwell, J Brown, Axial and peripheral bone density and nutrient intakes of postmenopausal vegetarian and omnivorous women The American Journal of Clinical Nutrition. ,vol. 56, pp. 699- 704 ,(1992) , 10.1093/AJCN/56.4.699
S A New, C Bolton-Smith, D A Grubb, D M Reid, Nutritional influences on bone mineral density: a cross-sectional study in premenopausal women. The American Journal of Clinical Nutrition. ,vol. 65, pp. 1831- 1839 ,(1997) , 10.1093/AJCN/65.6.1831
P. Peter Basiotis, Susan O. Welsh, Frances J. Cronin, June L. Kelsay, Walter Mertz, Number of days of food intake records required to estimate individual and group nutrient intakes with defined confidence. Journal of Nutrition. ,vol. 117, pp. 1638- 1641 ,(1987) , 10.1093/JN/117.9.1638
T Lloyd, J R Buchanan, S Bitzer, C J Waldman, C Myers, B G Ford, Interrelationships of diet, athletic activity, menstrual status, and bone density in collegiate women. The American Journal of Clinical Nutrition. ,vol. 46, pp. 681- 684 ,(1987) , 10.1093/AJCN/46.4.681
R B Mazess, H S Barden, Bone density in premenopausal women: effects of age, dietary intake, physical activity, smoking, and birth-control pills. The American Journal of Clinical Nutrition. ,vol. 53, pp. 132- 142 ,(1991) , 10.1093/AJCN/53.1.132
A G Marsh, T V Sanchez, F L Chaffee, G H Mayor, O Mickelsen, Bone mineral mass in adult lacto-ovo-vegetarian and omnivorous males. The American Journal of Clinical Nutrition. ,vol. 37, pp. 453- 456 ,(1983) , 10.1093/AJCN/37.3.453
J.-F. Chiu, S.-J. Lan, C.-Y. Yang, P.-W. Wang, W.-J. Yao, I.-H. Su, C.-C. Hsieh, Long-term vegetarian diet and bone mineral density in postmenopausal Taiwanese women. Calcified Tissue International. ,vol. 60, pp. 245- 249 ,(1997) , 10.1007/PL00005812
Bonnie Kanders, David W. Dempster, Robert Lindsay, Interaction of calcium nutrition and physical activity on bone mass in young women Journal of Bone and Mineral Research. ,vol. 3, pp. 145- 149 ,(2009) , 10.1002/JBMR.5650030204
Jerilynn C. Prior, Yvette M. Vigna, Susan I. Barr, Cori Rexworthy, Brian C. Lentle, Cyclic medroxyprogesterone treatment increases bone density: A controlled trial in active women with menstrual cycle disturbances The American Journal of Medicine. ,vol. 96, pp. 521- 530 ,(1994) , 10.1016/0002-9343(94)90092-2