1. Associations of Dietary Calcium, Vitamin D, Milk Intakes, and 25-Hydroxyvitamin D With Bone Mass in Spanish Adolescents: The HELENA Study.
- Author
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Mouratidou, Theodora, Vicente-Rodriguez, German, Gracia-Marco, Luis, Huybrechts, Inge, Sioen, Isabelle, Widhalm, Kurt, Valtueña, Jara, González-Gross, Marcela, and Moreno, Luis A.
- Subjects
DIETARY calcium ,VITAMIN D in human nutrition ,MILK in human nutrition ,BONE density ,ADOLESCENT nutrition ,DUAL-energy X-ray absorptiometry - Abstract
Abstract: Adequate nutrition is needed for the accrual of bone mass during the pre- and postpubertal growth periods. This study aimed to examine the associations between dietary calcium, vitamin D (calciferol), and milk intakes and 25-hydroxyvitamin D [25(OH)D] status and bone mineral content (BMC) and bone mineral density (BMD) in Spanish adolescents, aged 12.5–17.5yr, participating in the Healthy Lifestyle in Europe by Nutrition in Adolescence Cross-Sectional Study (HELENA-CSS). Bone mass was measured with dual-energy X-ray absorptiometry and diet via 2 nonconsecutive 24-h dietary recalls (n=227; 48% males). A random subsample of 101 adolescents (46% males) had available measures of 25(OH)D. Multiple linear regression was applied. Significant adjusted associations were observed in males, among milk intakes and BMC and BMD. Also in males, whole-body, head, and right arm BMD were positively related to calcium intakes. In females, 25(OH)D was positively related among others to whole-body, subtotal, and left and right arm BMC and BMD. It could be speculated that diet is not a limiting factor of bone mass development in this group of healthy adolescents, and further research on the effect of other factors in addition to diet in a larger sample should be undertaken. [Copyright &y& Elsevier]
- Published
- 2013
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