Jee-Young Yeon; Chung Ja Sung

doi:10.5720/kjcn.2011.16.5.569

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A Study on Dietary Mineral Intakes, Urinary Mineral Excretions, and Bone Mineral Density in Korean Postmenopausal Women: Jee-Young Yeon, Chung Ja Sung; Korean Journal of Community Nutrition 2011;16(5):569-579.
DOI: https://doi.org/10.5720/kjcn.2011.16.5.569
Published online: October 31, 2011

Department of Food and Nutrition, Sookmyung Women's University, Seoul, Korea.

Corresponding author: Jee-Young Yeon, Department of Food and Nutrition, Sookmyung Women's University, Cheongpa-dong 2(i)-ga, Yongsan-gu, Seoul 140-742, Korea. Tel: (02) 710-9453, Fax: (02) 710-9453, yonwl@yahoo.co.kr

• Received: July 29, 2011 • Revised: September 11, 2011 • Accepted: October 12, 2011

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Abstract
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Abstract

The purpose of this study was to determine the urinary Ca, P, Mg, Zn, Cu, and Mn levels and bone mineral density (BMD) in sixty-two postmenopausal women. The study was conducted through anthropometric checkup, 24-hour recall, 24-hour urine and bone mineral density using DEXA. Average age, height, weight and body fat of the subjects were respectively 65.39 years, 150.19 cm, 58.03 kg and 37.22%. The average spine and femoral neck BMD of subjects were -2.19, -3.13. The mean intakes of Ca, P and Mg were 524.7 mg, 993.10 mg, and 254.6 mg and those of Zn, Cu and Mn were 8.6 mg, 1.5 mg, and 3.5 mg. The average 24-hour urinary excretion of Ca (UCa), P (UP) and Mg (UMg) were 161.07 mg, 673.68 mg, and 99.87 mg. The average 24-hour urinary excretion of Zn (UZn), Cu (UCu) and Mn (UMn) were 366.50 µg, 22.57 µg, and 1.55 µg. Ca intake showed significantly positive correlations with urinary UCa (p < 0.05), UMg (p < 0.01) and spine BMD (p < 0.05). P intake showed significantly positive correlations with UCa (p < 0.05), UMg (p < 0.05) and UZn (p < 0.05). Mg intake showed significantly positive correlations with UZn (p < 0.05) and Mn intake showed significantly positive correlations with UCa (p < 0.05). Multiple regression analysis indicates that Ca intake and UMg is the most important factor to increase spine BMD. On the other hand, UCa is the most important factor to decrease spine BMD. Higher femoral neck BMD was related to UP, while lower femoral neck BMD was related to UCa. In conclusion, Dietary intake of Ca showed positive effect of spine BMD, while excessive P intake showed negative effect on BMD due to increases in UCa, UMg and UZn. Further studies are required to investigate the relationship between bone metabolism and mineral excretion.
Keywords: calcium intake; urinary calcium; magnesium; phosphorus excretion; bone mineral density

REFERENCES

1. Aharoni Y, Tesler B. Hair chromium content of women with gestational diabetes compared with nondiabeteic pregnant women. Am J Clin Nutr. 1992; 55(1): 104-107.PubMed
2. Allen LH, Wood RJ. In: Shils ME, Olson JA, Shike M, editors. Calcium and Phosphorus. Mordern nutrition in health and disease. 1994; 8th ed. Philadelphia: Lea & Febiger; 144-163.
3. Avioli LV. In: Goodhart RS, Shiles ME, editors. Calcium and phosphorus. Modern Nutrition in Health and Disease. 1988; 7th ed. Philadelphia: Lea & Febiger; 142-158.
4. Calvo MS. The effects of high phosphorus intake on calcium homeostasis. Adv Nutr Res. 1994; 9: 183-207.PubMed
5. Cho JH, Paik HY. A comparative study on urinary Ca excretion in young and middle-aged Korean women. Korean J Nutr. 1992; 25(2): 132-139.
6. Choi MJ. Studies of nutrient intake and serum lipids level in adult women in Taegu. Korean J Nutr. 1998; 31(4): 777-786.
7. Choi YH, Sung CJ. A study on nutrient intakes and serum levels of copper, zinc and manganese in Korean postmenopausal women with different bone mineral density. Korean J Nutr. 2006; 39(5): 485-493.
8. Cousins RJ. Zinc. in present knowledge in nutrition. 1996; 7th ed. ILSI.
9. Eaton-Evans J. Osteoporosis and the role of diet. Br J Biomed Sci. 1994; 51: 358-370.PubMed
10. Eastell R. Treatment of postmenopausal osteoporosis. N Engl J Med. 1998; 338: 736-746.PubMed
11. Flink EB. Nutritional aspects of magnesium metabolism. West J Med. 1980; 133(4): 304-312.
12. Folin M, Contiero E, Vaselli GM. Trace element determination in humans : The use of blood and hair. Biol Trace Elem Res. 1991; 31(2): 147-158.PubMed
13. Freeland-Graves JH, Turnlund JR. Deliberations and evaluations of the approaches, endpoints and paradigms for manganese and molybdenum dietary recommendations. J Nutr. 1996; 126: 9 Suppl. 2435S-2440S.PubMed
14. Hambidge KM, King JC, Kern DL, English-Westcott JL, Stall C. Prebreakfast plasma zinc concentrations : The effect of prvious meals. J Trace Elem Electrolytes Health Dis. 1990; 4(4): 229-231.PubMed
15. Hardwick LL, Jones MR, Brautbar N, Lee DB. Magnesium absorption: mechanisms and the influence of vitamin D, calcium and phosphate. J Nutr. 1991; 121(1): 13-23.
16. Heaney RP. In: Riggs BL, Melton LJ, editors. Nutritional factor in bone health. osteoporosis. 1988; New York: Raven Press; 359-372.
17. Herzberg M, Lusky A, Blonder J, Frenkel Y. The effect of estrogen replacement therapy on zinc in serum and urine. Obstet Gynecol. 1996; 87(6): 1035-1040.
18. Hong SM, Kim HJ. A study on nutrients intake and serum calcium concentration in perimenopausal women. J Korean Diet Assoc. 2001; 7(4): 361-372.
19. Kim HS, Jung GH, Jang DM, Kim SH, Lee BK. Increased calcium intake through milk consumption and bone mineral density of elderly women living in Asan. J Korean Diet Assoc. 2005; 11(2): 242-250.
20. Kim KH, Lim HS. Dietary intakes of Fe, Zn, Cu, Mn, Se, Mo, and Cr of Korean adult women - Comparison between the data from analyzed and calculated -. J Korean Living Sci Assoc. 2006; 9(3): 69-79.
21. Kim MH, Sung CJ. A comparative study of dietary mineral intake status and serum mineral concentrations of postmenopausal vegetarian women with those of the omnivores. Korean J Nutr. 2005; 38(2): 151-160.
22. Kim MS, Koo JO. Comparative analysis of food habits and bone density risk factors between normal and risk women living in the Seoul area. Korean J Community Nutr. 2008; 13(1): 125-133.
23. Koo JO, Park SY. Analysis of BMI menopose, blood pressure and dietary habits affecting born mineral density of 30~60 years women. Korean J Community Nutr. 2010; 15(3): 403-414.
24. Lee HJ, Lee HY. A study on the bone mineral density and related factors in Korean postmenopausal women. Korean J Nutr. 1999; 32(2): 197-203.
25. Lee JY, Paik HY, Joung HJ. Supplementation of zinc nutrient database and evaluation of zinc intake of Korean adults living in rural area. Korean J Nutr. 1998; 31(8): 1324-1337.
26. Lévesque M, Martineau C, Jumarie C, Moreau R. Characterization of cadmium uptake and cytotoxicity in human osteoblast-like MG-63 cells. Toxicol Appl Pharmacol. 2008; 231(3): 308-317.
27. Lieberman S, Bruning N. The real vitamin & mineral book. 1997; Garden city park, New york: Avery publishing group; .
28. Lim HJ. A study on the calcium and sodium intakes and urinary calcium excretion of adults in Busan. Korean J Community Nutr. 2011; 16(2): 215-226.
29. Ministry of Health, Welfare and Family Affairs [MOHWFA]. Korea Center for Disease Control and Prevention [KCDCP]. 2009 National Health Statistics- The 4th Korea National Health and Nutrition Examination Survey, the second year(2009). 2010; Korea: Korea Center for Disease Control and Prevention.
30. Pie JE, Paik HY. The effect of meat protein and soy protein on calcium metabolism in young adult Korean women. Korean J Nutr. 1986; 19(1): 32-40.
31. Planells E, Aranda P, Lerma A, Llopis J. Changes in bioavailability and tissue distribution of zinc caused by magnesium deficiency in rats. Br J Nutr. 1994; 72(2): 315-323.
32. Ramsdale BJ, Bassey EJ, Pye DJ. Dietary calcium intake relates to bone mineral density in premenopausal women. Br J Nutr. 1994; 71: 77-84.
33. Riggs BL, Melton LJ 3rd. Involutional osteoporosis. N Engl J Med. 1986; 314(26): 1676-1686.
34. Riis BJ, Christiansen C. Post-menopausal bone loss: effects of oestrogens and progestogens. A review. Maturitas. 1986; 8(4): 267-274.
35. Rural Living Science Institute, Rural Development Administration. Food composition table. 1996; Korea.
36. Ruz M, Cavan KR, Bettger WJ, Thompson L, Berry M, Gibson RS. Development of a dietary model for the study of mild zinc deficiency in humans and evalution of some biochemicaland functional indices of zinc status. Am J Clin Nutr. 1991; 53: 1295-1303.
37. Son SM, Chun YN. Association between bone mineral density and bone nutrition indicators in elderly residing in lowincome area of the city. J Korean Soc Food Sci Nutr. 2004; 33(1): 107-113.
38. Souci SW, Fachmann W, Kraut H. Food composition and nutrient tables. 1994; Germany.
39. Sung CJ. A study on Mg status in adult Korean rural women on self-selected diet. Korean J Nutr. 1990; 23(1): 25-36.
40. Sung CJ. A study on the dietary fiber intake and iron metabolism in Korean female college students. Korean J Nutr. 1997; 30(2): 147-154.
41. Sung CJ, No SL, Kim AJ, Choe MG, Lee JH. Relationship among dietary intakes, blood levels, and urinary excretions of Ca, P, Mg and serum lipid levels in Korean rural adult men and women. Korean J Nutr. 1993; 22(6): 709-715.
42. Sung CJ, Yoon YH. The study of Zn, Cu, Mn, Ni contents of serum, hair, nail and urine for female college students. J Korean Soc Food Sci Nutr. 2000; 29(1): 99-105.
43. Suzuki P. Food microelement table. 1993; Japan.
44. The Korean Society of Bone Metabolism. Osteoporosis. 2006; 139-140.
45. Thomas EA, Bailey LB, Kauwell GA, Lee DY, Cousins RJ. Erythrocyte metallothionein response to dietary zinc in humans. J Nutr. 1992; 122: 2408-2414.
46. Tranquilli AL, Lucino E, Garzetti GG, Romanini C. Calcium, phosphorus and magnesium intakes correlate with bone mineralcontent in postmenopausal women. Gynecol Endocrinol. 1994; 8(1): 55-58.
47. Yu CH, Kim HS, Lee JS, Kim JY. A study on Ca and P balance in Korean adult women. Korean J Nutr. 2001; 34(1): 54-61.
48. Yu CH, Lee JS, Lee LH, Kim SH, Lee SS, Kang SA. Nutritional factors related to bone mineral density in the different age groups of Korean men. Korean J Nutr. 2004; 37(2): 132-142.
49. Yun ME, Lee DH, Kim MH. Effects of soy isoflavones supplementation and exercise on urinary calcium, magnecium, copper and zinc excretion in postmenopausal women. Korean J Nutr. 2008; 41(7): 612-620.
50. Weng MY, Lane NE. Medication-induced osteoporosis. Curr Osteoporos Rep. 2007; 5(4): 139-145.
51. Weaver CM, Plawecki KL. Dietary calcium: adequacy of a vegetarian diet. Am J Clin Nutr. 1994; 59: 5 Suppl. 1238S-1241S.
52. Wilhelm M, Hafner D. Monitoring of cadmium, copper, lead and zinc status in young children using toenails : comparision with scalp hair. Sci Total Environ. 1991; 103: 199-207.

Table 1

Anthropometric measurements in postmenopausal women

1) Mean ± SD, 2) Body mass index

Table 2

Mean daily energy and nutrient intakes in postmenopausal women

1) KDRIs; dietary Reference Intakes for Koreans, 2) Mean ± SD, 3) Percent of Estimated Energy Requirements (EER) of 2010 KDRIs, 4) Percent of Recommended Nutrient Intake (RNI) of 2010 KDRIs, 5) Percent of Adequate Intake(AI) of 2010 KDRIs

Table 3

Mineral intake from each food group in postmenopausal women

1) Mean ± SD

Table 4

Levels of urinary calcium, phosphorus, magnesium, zinc, copper, manganese in postmenopausal women

1) Mean ± SD

Table 5

Correlation coefficients among urinary calcium, phosphorus, magnesium, zinc, copper, manganese levels, anthropometric measurements and BMD in postmenopausal women

1) Body mass index [weight(kg)/height(m²)] ^*: p < 0.05 ^**: p < 0.01, ^***: p < 0.001

Table 6

Correlation coefficients among urinary calcium, phosphorus, magnesium, zinc, copper, manganese levels, mineral intakes and BMD in postmenopausal women

^*: p < 0.05 ^**: p < 0.01, ^***: p < 0.001

Table 7

Correlation coefficients among urinary calcium, phosphorus, magnesium, zinc, copper, manganese levels and BMD in postmenopausal women

^*: p < 0.05 ^**: p < 0.01, ^***: p < 0.001

Table 8

Stepwise regression model for BMD, urinary excretion and dietary mineral intakes

Variables: calcium, phosphorus, magnesium, zinc, copper, manganese of urin e and diet

Figure & Data

REFERENCES

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A Study on Dietary Mineral Intakes, Urinary Mineral Excretions, and Bone Mineral Density in Korean Postmenopausal Women

Korean J Community Nutr. 2011;16(5):569-579. Published online October 31, 2011

DOI: https://doi.org/10.5720/kjcn.2011.16.5.569

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A Study on Dietary Mineral Intakes, Urinary Mineral Excretions, and Bone Mineral Density in Korean Postmenopausal Women

Table 1

Anthropometric measurements in postmenopausal women

1) Mean ± SD, 2) Body mass index

Table 2

Mean daily energy and nutrient intakes in postmenopausal women

Table 3

Mineral intake from each food group in postmenopausal women

1) Mean ± SD

Table 4

Levels of urinary calcium, phosphorus, magnesium, zinc, copper, manganese in postmenopausal women

1) Mean ± SD

Table 5

Correlation coefficients among urinary calcium, phosphorus, magnesium, zinc, copper, manganese levels, anthropometric measurements and BMD in postmenopausal women

1) Body mass index [weight(kg)/height(m²)] ^*: p < 0.05 ^**: p < 0.01, ^***: p < 0.001

Table 6

Correlation coefficients among urinary calcium, phosphorus, magnesium, zinc, copper, manganese levels, mineral intakes and BMD in postmenopausal women

^*: p < 0.05 ^**: p < 0.01, ^***: p < 0.001

Table 7

Correlation coefficients among urinary calcium, phosphorus, magnesium, zinc, copper, manganese levels and BMD in postmenopausal women

^*: p < 0.05 ^**: p < 0.01, ^***: p < 0.001

Table 8

Stepwise regression model for BMD, urinary excretion and dietary mineral intakes

Variables: calcium, phosphorus, magnesium, zinc, copper, manganese of urin e and diet

Table 1 Anthropometric measurements in postmenopausal women

1) Mean ± SD, 2) Body mass index

Table 2 Mean daily energy and nutrient intakes in postmenopausal women

Table 3 Mineral intake from each food group in postmenopausal women

1) Mean ± SD

Table 4 Levels of urinary calcium, phosphorus, magnesium, zinc, copper, manganese in postmenopausal women

1) Mean ± SD

Table 5 Correlation coefficients among urinary calcium, phosphorus, magnesium, zinc, copper, manganese levels, anthropometric measurements and BMD in postmenopausal women

1) Body mass index [weight(kg)/height(m²)] ^*: p < 0.05 ^**: p < 0.01, ^***: p < 0.001

Table 6 Correlation coefficients among urinary calcium, phosphorus, magnesium, zinc, copper, manganese levels, mineral intakes and BMD in postmenopausal women

^*: p < 0.05 ^**: p < 0.01, ^***: p < 0.001

Table 7 Correlation coefficients among urinary calcium, phosphorus, magnesium, zinc, copper, manganese levels and BMD in postmenopausal women

^*: p < 0.05 ^**: p < 0.01, ^***: p < 0.001

Table 8 Stepwise regression model for BMD, urinary excretion and dietary mineral intakes

Variables: calcium, phosphorus, magnesium, zinc, copper, manganese of urin e and diet