Skip to main content
Log in

The Effect of Water Fluoridation on the Bone Mineral Density of Young Women

  • Published:
Canadian Journal of Public Health Aims and scope Submit manuscript

Abstract

Introduction: Osteogenic effects of therapeutic fluoride have been reported; however, the impact of exposure to low level water fluoridation on bone density is not clear. We investigated the effect of long-term exposure to fluoridated water from growth to young adulthood on bone mineral density (BMD).

Methods: BMD was measured in 24 healthy women from Regina (fluoride 0.1 mg/L) and 33 from Saskatoon (fluoride 1.0 mg/L), with no differences between groups for height, weight, lifestyle or dietary factors.

Results: Saskatoon women had significantly higher mean BMD at total anterior-posterior lumbar spine (APS) and estimated volumetric L3 (VLS), with no difference at total body (TB) or proximal femur (PF).

Conclusion: Exposure to water fluoridation during the growing years may have a positive impact on axial spine bone density in young women.

Résumé

Introduction: Des effets ostéogénétiques du fluorure thérapeutique ont été signalés; cependant, l’influence d’une exposition à un faible niveau de fluoruration de l’eau sur la densité osseuse n’est pas claire. Nous avons étudié les effets d’une exposition de longue durée à l’eau fluorée sur la teneur minérale de l’os, pendant les années de croissance.

Méthodes: Chez 24 femmes en santé venant de Regina, on a mesuré la teneur minérale de l’os (fluorure 0,1 mg/l) ainsi que chez 33 femmes venant de Saskatoon (fluorure 1,0 mg/l), sans noter aucune différence entre les groupes par rapport aux facteurs taille, poids, mode de vie ou régime.

Résultats: Les femmes de Saskatoon avaient une teneur minérale de l’os moyenne significativement plus élevée aux tomographies de la colonne lombaire antéropostérieures et de l’analyse volumétrique estimée à L3, sans aucune différence pour l’ensemble du corps ou le fémur proximal.

Conclusion: Une exposition à la fluoruration de l’eau pendant les années de croissance peut avoir un effet positif sur la densité osseuse rachidienne chez les jeunes femmes

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Melton III L. Fluoride in the prevention of osteoporosis and fractures. J Bone Miner Res 1990;5(1):S163–S167.

    PubMed  Google Scholar 

  2. Riggs L. Treatment of osteoporosis with sodium fluoride or parathyroid hormone. Am J Med 1991;91(Supp.5B):37S-41S.

    Google Scholar 

  3. Pak C, Khashayer S, Adams-Huet B, et al. Treatment of postmenopausal osteoporosis with slow-release sodium fluoride. Ann Intern Med 1995;123(6):401–8.

    Article  Google Scholar 

  4. Canadian Public Health Association. Criteria Document in Support of a Drinking Water Standard for Fluoride. (Final Report) Ottawa, ON: CPHA, 1979.

    Google Scholar 

  5. Simonen O, Laitinen O. Does fluoridation of drinking water prevent bone fragility and osteoporosis? Lancet 1985;24:432–33.

    Article  Google Scholar 

  6. Danielson C, Lyon J, Egger M, Goodenough G. Hip fracture and fluoridation in Utah’s elderly population. JAMA 1992;268(6):746–74.

    Article  CAS  Google Scholar 

  7. Suarez-Almazor M, Flowerdew G, Saunders D, et al. The fluoridation of drinking water and hip fracture hospitalization rates in two Canadian communities. Am J Public Health 1993;83(5):689–93.

    Article  CAS  Google Scholar 

  8. Gedalia I, Zipkin I. The Role of Fluoride in Bone Structure. St. Louis, Missouri: Warren H. Green Inc., 1973;6–7.

    Google Scholar 

  9. Kroger H, Alhava E, Honkanen R, et al. The effect of fluoridated drinking water on axial bone mineral density — a population based study. Bone Miner Res 1994;27:33–41.

    Article  CAS  Google Scholar 

  10. Arnala I, Alhava E, Kauranen P. Effects of fluoride on bone in Finland. Acta Orthop Scand 1985;56:161–66.

    Article  CAS  Google Scholar 

  11. Weidmann S, Weatherell J. Distribution in hard tissues. In: Fluorides and Human Health. World Health Organization Monographs (Serial, No. 59) Geneva, Switzerland: World Health Organization, 1970;105–14.

    Google Scholar 

  12. Armamento-Villareal R, Villareal D, Avioli L, Civitelli R. Estrogen status and heredity are major determinants of pre-menopausal bone mass. J Clin Invest 1992;90:2464–71.

    Article  CAS  Google Scholar 

  13. Hologic QDR Operater’s Manual and User’s Guide. Waltham, MA: Hologic Inc., 1991.

  14. Peel N, Eastell R. Diagnostic value of estimated volumetric bone mineral density of the lumbar spine in osteoporosis. J Bone Miner Res 1994;9(3):317–20.

    Article  CAS  Google Scholar 

  15. Dequeker J, Ranstam J, Valsson J, et al. The mediterranean osteoporosis (MEDOS) study questionnaire. Clin Rheumatol 1991;10(1):54–72.

    Article  CAS  Google Scholar 

  16. Sallis J, Buono M, Roby J, et al. Seven day recall and other physical activity self reports in children and adolescents. Med Sci Sports Exerc 1993;25:99–108.

    Article  CAS  Google Scholar 

  17. McCulloch R, Bailey D, Houston S, Dodd B. The effects of physical activity, calcium intake and selected lifestyle factors on bone mineral density in young women. CMAJ 1990;142(3):221–27.

    Google Scholar 

  18. McKay H, Whiting S, Faulkner R, Bailey D. The relationship of dietary calcium intake to lumbar spine bone mineral density maintenance in premenopausal women. Bone 1993;16:S191.

    Google Scholar 

  19. Priest N, Van De Vyver F. Trace Metals and Fluoride in Bones and Teeth. Boca Raton, Florida: CRC Press, 1990.

    Google Scholar 

  20. Carter D, Bouxsein M, Marcus R. New approaches for interpreting projected bone densitometry data. J Bone Miner Res 1992;7:137–45.

    Article  CAS  Google Scholar 

  21. Stevenson J. Pathogenesis, prevention and treatment of osteoporosis. Obstet Gynecol 1990;75(4- Suppl.):36S–41S.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Cathy M. Arnold MSc.

Additional information

This study was funded by the Health Services Utilization and Research Commission.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Arnold, C.M., Bailey, D.A., Faulkner, R.A. et al. The Effect of Water Fluoridation on the Bone Mineral Density of Young Women. Can J Public Health 88, 388–391 (1997). https://doi.org/10.1007/BF03403912

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03403912

Navigation