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Low calcium and vitamin D intake in Korean women over 50 years of age

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Abstract

Inadequate calcium and vitamin D intake is a possible risk factor of osteoporosis. Our purposes were to estimate calcium and vitamin D intake in Korean women, and to determine associated risk factors for low calcium and vitamin D intake. This is a multicenter, hospital-based, and cross-sectional study on osteoporosis. In this study, 1516 women of 50 years or older were involved. Dietary calcium and vitamin D intake were evaluated using the self-reporting KCAT questionnaire. Average daily calcium intake was 662.8 ± 473.8 mg, and vitamin D intake 9.5 ± 10.7 μg. In multivariate analysis, older age (OR 1.02, 95 % CI 1.00–1.04, p = 0.001), and rural residence (OR 2.43, 95 % CI 1.34–4.43, p = 0.004) were significant risk factors for lower calcium intake, and older age (OR 1.03, 95 % CI 1.02–1.04, p < 0.001), and rural residence (OR 1.85, 95 % CI 1.10–3.11, p < 0.001) were significant risk factors for lower vitamin D intake. About 70 % of women aged 50 years or older had calcium and vitamin D intake below the recommended dietary intake. Older age and rural residence were significant risk factors for lower calcium and vitamin D intake in Korean women.

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References

  1. Reginster JY, Burlet N (2006) Osteoporosis: a still increasing prevalence. Bone 2 Suppl 1:S4–S9

    Article  Google Scholar 

  2. Johnell O, Kanis J (2005) Epidemiology of osteoporotic fractures. Osteoporos Int 16 Suppl 2:S3–S7

    Article  PubMed  Google Scholar 

  3. Borgstrom F, Sobocki P, Strom O, Jonsson B (2007) The societal burden of osteoporosis in Sweden. Bone 6:1602–1609

    Article  Google Scholar 

  4. Park C, Ha YC, Jang S, Yoon HK, Lee YK (2011) The incidence and residual lifetime risk of osteoporosis-related fractures in Korea. J Bone Miner Metab 6:744–751

    Article  Google Scholar 

  5. Yi H, Ha YC, Lee Y-K, Lim YT (2013) National healthcare budget impact analysis of the treatment for osteoporosis and fractures in Korea. J Bone Metab 1:17–23

    Article  Google Scholar 

  6. Boonen S, Vanderschueren D, Haentjens P, Lips P (2006) Calcium and vitamin D in the prevention and treatment of osteoporosis—a clinical update. J Intern Med 6:539–552

    Article  Google Scholar 

  7. Weinsier RL, Krumdieck CL (2000) Dairy foods and bone health: examination of the evidence. Am J Clin Nutr 3:681–689

    Google Scholar 

  8. Wlodarek D, Glabska D, Kolota A, Adamczyk P, Czekajlo A, Grzeszczak W, Drozdzowska B, Pluskiewicz W (2014) Calcium intake and osteoporosis: the influence of calcium intake from dairy products on hip bone mineral density and fracture incidence—a population-based study in women over 55 years of age. Public Health Nutr 2:383–389

    Article  Google Scholar 

  9. Nieves JW, Barrett-Connor E, Siris ES, Zion M, Barlas S, Chen YT (2008) Calcium and vitamin D intake influence bone mass, but not short-term fracture risk, in Caucasian postmenopausal women from the National Osteoporosis Risk Assessment (NORA) study. Osteoporos Int 5:673–679

    Article  Google Scholar 

  10. Tanaka S, Kuroda T, Yamazaki Y, Shiraki Y, Yoshimura N, Shiraki M (2014) Serum 25-hydroxyvitamin D below 25 ng/mL is a risk factor for long bone fracture comparable to bone mineral density in Japanese postmenopausal women. J Bone Miner Metab 5:514–523

    Article  Google Scholar 

  11. AACE Clinical Practice Guidelines for the Prevention and (1996) Treatment of Postmenopausal Osteoporosis. J Fla Med Assoc 8:552–566

    Google Scholar 

  12. Javid KS, Thien A, Hill R (2008) Implementation of and compliance with NICE guidelines in the secondary prevention of osteoporotic fractures in postmenopausal women. Ann R Coll Surg Engl 3:213–215

    Article  Google Scholar 

  13. Rizzoli R, Boonen S, Brandi ML, Burlet N, Delmas P, Reginster JY (2008) The role of calcium and vitamin D in the management of osteoporosis. Bone 2:246–249

    Article  Google Scholar 

  14. Varenna M, Binelli L, Casari S, Zucchi F, Sinigaglia L (2007) Effects of dietary calcium intake on body weight and prevalence of osteoporosis in early postmenopausal women. Am J Clin Nutr 3:639–644

    Google Scholar 

  15. Cosman F, de Beur SJ, LeBoff MS, Lewiecki EM, Tanner B, Randall S, Lindsay R (2014) Clinician's Guide to Prevention and Treatment of Osteoporosis. Osteoporos Int 10:2359–2381

    Article  Google Scholar 

  16. Seo MH, Kim MK, Park SE, Rhee EJ, Park CY, Lee WY, Baek KH, Song KH, Kang MI, Oh KW (2013) The association between daily calcium intake and sarcopenia in older, non-obese Korean adults: the fourth Korea National Health and Nutrition Examination Survey (KNHANES IV) 2009. Endocr J 5:679–686

    Article  Google Scholar 

  17. Park Y, Kim SH, Lim YT, Ha YC, Chang JS, Kim IS, Min YK, Chung HY (2013) Validation of a new food frequency questionnaire for assessment of calcium and vitamin d intake in korean women. J Bone Metab 2:67–74

    Article  Google Scholar 

  18. The Korean Nutrition Society (2010) Dietary reference intakes for Koreans 2010. The Korean Nutrition Society, Seoul, Korea

    Google Scholar 

  19. Joo NS, Dawson-Hughes B, Kim YS, Oh K, Yeum KJ (2013) Impact of calcium and vitamin D insufficiencies on serum parathyroid hormone and bone mineral density: analysis of the fourth and fifth Korea National Health and Nutrition Examination Survey (KNHANES IV-3, 2009 and KNHANES V-1, 2010). J Bone Miner Res 4:764–770

    Article  Google Scholar 

  20. Skowronska-Jozwiak E, Jaworski M, Grzywa A, Lorenc R, Lewinski A (2014) Influence of calcium intake on bone mineral density and incidence of fractures in treatment-naive women from Lodz urban area—a part of EPOLOS study. Ann Agric Environ Med 1:201–204

    Google Scholar 

  21. Bruyere O, De Cock C, Mottet C, Neuprez A, Malaise O, Reginster JY (2009) Low dietary calcium in European postmenopausal osteoporotic women. Public Health Nutr 1:111–114

    Article  Google Scholar 

  22. Bischoff-Ferrari HA, Kiel DP, Dawson-Hughes B, Orav JE, Li R, Spiegelman D, Dietrich T, Willett WC (2009) Dietary calcium and serum 25-hydroxyvitamin D status in relation to BMD among US adults. J Bone Miner Res 5:935–942

    Article  Google Scholar 

  23. Fardellone P, Cotte FE, Roux C, Lespessailles E, Mercier F, Gaudin AF (2010) Calcium intake and the risk of osteoporosis and fractures in French women. Joint Bone Spine 2:154–158

    Article  Google Scholar 

  24. Michaelsson K, Melhus H, Bellocco R, Wolk A (2003) Dietary calcium and vitamin D intake in relation to osteoporotic fracture risk. Bone 6:694–703

    Article  Google Scholar 

  25. Chapuy MC, Arlot ME, Duboeuf F, Brun J, Crouzet B, Arnaud S, Delmas PD, Meunier PJ (1992) Vitamin D3 and calcium to prevent hip fractures in the elderly women. N Engl J Med 23:1637–1642

    Article  Google Scholar 

  26. Shea B, Wells G, Cranney A, Zytaruk N, Robinson V, Griffith L, Hamel C, Ortiz Z, Peterson J, Adachi J, Tugwell P, Guyatt G (2006) Osteoporosis Methodology G, Osteoporosis Research Advisory G. WITHDRAWN: Calcium supplementation on bone loss in postmenopausal women. Cochrane Database Syst Rev 1:CD004526

    Google Scholar 

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Acknowledgments

This study was supported by Takeda Pharmaceuticals, South Korea.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, Seongnam, Korea

    Young-Kyun Lee

  2. Department of Orthopaedic Surgery, Asan Medical Center, Seoul, Korea

    Jae-Suk Chang

  3. Division of Endocrinology and Metabolism, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

    Yong-Ki Min

  4. Department of Endocrinology, Soon Chun Hyang University Hospital, Seoul, Korea

    Dong-Won Byun

  5. Department of Food and Nutrition, College of Human Ecology, Hanyang University, Seoul, Korea

    Yongsoon Park

  6. Department of Orthopedic Surgery, Chung-Ang University College of Medicine, 102 Heukseok-ro, Dongjak-ku, Seoul, 156-755, South Korea

    Yong-Chan Ha

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  1. Young-Kyun Lee
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  4. Dong-Won Byun
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Correspondence to Yong-Chan Ha.

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Young-Kyun Lee, Jae-Suk Chang, Yong-Ki Min, Dong-Won Byun, Yongsoon Park, and Yong-Chan Ha declare that they have no conflicts of interest.

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Lee, YK., Chang, JS., Min, YK. et al. Low calcium and vitamin D intake in Korean women over 50 years of age. J Bone Miner Metab 35, 522–528 (2017). https://doi.org/10.1007/s00774-016-0782-7

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  • DOI: https://doi.org/10.1007/s00774-016-0782-7

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