Abstract
Summary
Data indicate that various protein sources may exhibit a differential effect on bone metabolism. We investigated associations of milk and meat protein intake with bone mineral content (BMC) in adolescents. Milk, but not meat, protein intake was positively associated with size-adjusted BMC. Milk-derived protein may be beneficial for bone mineralization.
Introduction
Milk and meat protein intake has been reported to exhibit a differential effect on serum insulin-like growth factor-I (IGF-I). IGF-I plays a key role in bone metabolism. Therefore, we investigated associations of different protein sources with BMC and bone area (BA) in adolescents.
Methods
This was a cross-sectional study of 17-year-old girls (n = 63) and boys (n = 46) participating in the second follow-up of The Copenhagen Cohort Study. We measured dietary intake (7-day food record), BMC and BA (dual-energy X-ray absorptiometry), serum markers for bone turnover and serum IGF-I (immunoassays).
Results
The mean total protein intake (∼1.2 g/kg) was modestly higher than that recommended. Total and milk (∼0.3 g/kg) protein intake, but not meat protein intake (∼0.4 g/kg), was positively associated with size-adjusted BMC (P ≤ 0.05). The positive association between milk protein intake and size-adjusted BMC remained significant after correction for energy, calcium, and physical activity (P ≤ 0.01) and did not seem to be mediated via current serum IGF-I. None of the analyzed protein sources was significantly associated with size-adjusted BA.
Conclusions
Our results suggest that some components of milk protein may promote bone mineralization. Further studies are needed to elucidate this phenomenon.
Similar content being viewed by others
References
Ferrari SL (2005) Osteoporosis: a complex disorder of aging with multiple genetic and environmental determinants. World Rev Nutr Diet 95:35–51
Johnell O, Kanis JA (2006) An estimate of the worldwide prevalence and disability associated with osteoporotic fractures. Osteoporos Int 17:1726–1733
Ginty F (2003) Dietary protein and bone health. Proc Nutr Soc 62:867–876
Alexy U, Remer T, Manz F, Neu CM, Schoenau E (2005) Long-term protein intake and dietary potential renal acid load are associated with bone modeling and remodeling at the proximal radius in healthy children. Am J Clin Nutr 82:1107–1114
Bounds W, Skinner J, Carruth BR, Ziegler P (2005) The relationship of dietary and lifestyle factors to bone mineral indexes in children. J Am Diet Assoc 105:735–741
Iuliano-Burns S, Stone J, Hopper JL, Seeman E (2005) Diet and exercise during growth have site-specific skeletal effects: a co-twin control study. Osteoporos Int 16:1225–1232
Jones G, Riley MD, Whiting S (2001) Association between urinary potassium, urinary sodium, current diet, and bone density in prepubertal children. Am J Clin Nutr 73:839–844
Hoppe C, Mølgaard C, Michaelsen KF (2000) Bone size and bone mass in 10-year-old Danish children: effect of current diet. Osteoporos Int 11:1024–1030
Yakar S, Rosen CJ, Beamer WG, Ackert-Bicknell CL, Wu Y, Liu JL, Ooi GT, Setser J, Frystyk J, Boisclair YR, LeRoith D (2002) Circulating levels of IGF-1 directly regulate bone growth and density. J Clin Invest 110:771–781
Juul A (2003) Serum levels of insulin-like growth factor I and its binding proteins in health and disease. Growth Horm IGF Res 13:113–170
Hoppe C, Mølgaard C, Juul A, Michaelsen KF (2004) High intakes of skimmed milk, but not meat, increase serum IGF-I and IGFBP-3 in eight-year-old boys. Eur J Clin Nutr 58:1211–1216
Hoppe C, Udam TR, Lauritzen L, Mølgaard C, Juul A, Michaelsen KF (2004) Animal protein intake, serum insulin-like growth factor I, and growth in healthy 2.5-y-old Danish children. Am J Clin Nutr 80:447–452
Michaelsen KF (1997) Nutrition and growth during infancy. The Copenhagen Cohort Study. Acta Paediatr Suppl 420:1–36
Mølgaard C, Thomsen LB, Michaelsen KF (2006) The influence of calcium intake and physical activity on bone mineral content and bone size in heathy children and adolescence. Osteoporos Int 12:887–894
Prentice A, Parsons TJ, Cole TJ (1994) Uncritical use of bone mineral density in absorptiometry may lead to size-related artifacts in the identification of bone mineral determinants. Am J Clin Nutr 60:837–842
Nysom K, Mølgaard C, Michaelsen KF, Hutchings B, Andersen E (2002) Body mass index. Reference values for 0–45-year-old Danes (in Danish with English abstract). Ugeskr Laeger 164:5773–5777
Cole TJ, Bellizzi MC, Flegal KM, Dietz WH (2000) Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 320:1240–1243
Alexander J, Andressen SA, Aro A, Becker W, Lyhne N, Meltzer HM, Pedersen AN, Pedersen JI, Porsdottir I (eds) (2004) Nordic nutrition recommendations. Integrating nutrition and physical activity. Norden. Århus
Mølgaard C, Thomsen BL, Prentice A, Cole TJ, Michaelsen KF (1997) Whole body bone mineral content in healthy children and adolescents. Arch Dis Child 76:9–15
Juul A, Dalgaard P, Blum WF, Bang P, Hall K, Michaelsen KF, Muller J, Skakkebaek NE (1995) Serum levels of insulin-like growth factor (IGF)-binding protein-3 (IGFBP-3) in healthy infants, children, and adolescents: the relation to IGF-I, IGF-II, IGFBP-1, IGFBP-2, age, sex, body mass index, and pubertal maturation. J Clin Endocrinol Metab 80:2534–2542
Fares JE, Choucair M, Nabulsi M, Salamoun M, Shahine CH, Fuleihan G (2003) Effect of gender, puberty, and vitamin D status on biochemical markers of bone remodeling. Bone 33:242–247
Crofton PM, Evans N, Taylor MR, Holland CV (2002) Serum CrossLaps: pediatric reference intervals from birth to 19 years of age. Clin Chem 48:671–673
Lloyd T, Rollings N, Andon MB, Demers LM, Eggli DF, Kieselhorst K, Kulin H, Landis JR, Martel JK, Orr G, (1992) Determinants of bone density in young women. I. Relationships among pubertal development, total body bone mass, and total body bone density in premenarchal females. J Clin Endocrinol Metab 75:383–387
Mølgaard C, Thomsen BL, Michaelsen KF (1999) Whole body bone mineral accretion in healthy children and adolescents. Arch Dis Child 81:10–15
Cadogan J, Eastell R, Jones N, Barker ME (1997) Milk intake and bone mineral acquisition in adolescent girls: randomised, controlled intervention trial. BMJ 315:1255–1260
Du X, Zhu K, Trube A, Zhang Q, Ma G, Hu X, Fraser DR, Greenfield H (2004) School-milk intervention trial enhances growth and bone mineral accretion in Chinese girls aged 10–12 years in Beijing. Br J Nutr 92:159–168
Zhu K, Du X, Cowell CT, Greenfield H, Blades B, Dobbins TA, Zhang Q, Fraser DR (2005) Effects of school milk intervention on cortical bone accretion and indicators relevant to bone metabolism in Chinese girls aged 10–12 y in Beijing. Am J Clin Nutr 81:1168–1175
Du XQ, Greenfield H, Fraser DR, Ge KY, Liu ZH, He W (2002) Milk consumption and bone mineral content in Chinese adolescent girls. Bone 30:521–528
Budek AZ, Hoppe C, Michaelsen KF, Mølgaard C (2007) High intake of milk, but not meat, decreases bone turnover in prepubertal boys after 7 days. Eur J Clin Nutr DOI 10.1038/sj.ejcn.1602605
Budek AZ, Hoppe C, Michaelsen KF, Bügel S, Mølgaard C (2007) Associations of total, dairy, and meat protein with markers for bone turnover in healthy, prepubertal boys. J Nutr 137:930–934
Slemenda CW, Peacock M, Hui S, Zhou L, Johnston CC (1997) Reduced rates of skeletal remodeling are associated with increased bone mineral density during the development of peak skeletal mass. J Bone Miner Res 12:676–682
Libanati C, Baylink DJ, Lois-Wenzel E, Srinvasan N, Mohan S (1999) Studies on the potential mediators of skeletal changes occurring during puberty in girls. J Clin Endocrinol Metab 84:2807–2814
Scholz-Ahrens KE , Schrezenmeir J (2000) Effects of bioactive substances in milk on mineral and trace element metabolism with special reference to casein phosphopeptides. Br J Nutr 84 Suppl 1:S147–S153
Zimecki M, Artym J (2005) Therapeutic properties of proteins and peptides from colostrum and milk (in Polish with English abstract). Postepy Hig Med Dosw 59:309–323
Acknowledgments
We thank V.J. Anker, M. Ege, B. Hermansen and H. Lysdal Petersen for their contributions to data collection and T. Mark for valuable discussions. The study was supported by the Danish Medical Research Council, the Danish Dairy Research Foundation, and a Ph.D. scholarship (University of Copenhagen). None of the authors had financial or personal conflict of interest related to this study.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Budek, A.Z., Hoppe, C., Ingstrup, H. et al. Dietary protein intake and bone mineral content in adolescents—The Copenhagen Cohort Study. Osteoporos Int 18, 1661–1667 (2007). https://doi.org/10.1007/s00198-007-0422-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00198-007-0422-0