Journals of Gerontology: Series A:高蛋白摄入可降低老人骨折风险

2021-03-21 MedSci原创 MedSci原创

总蛋白摄入量较高的参与者(≥15%TEI)髋部、全身和腰椎骨密度较高,椎体骨折风险较低。

蛋白质的可接受的常量营养素分布范围(占总能量摄入量的10-35%;TEI)和推荐的膳食供给量(RDA;0.8g/kg体重/天)主要来自年轻人的尿氮平衡研究,可能低估了老年人最佳保护骨骼、瘦体重和身体功能所需的蛋白质。较低的膳食蛋白质摄入量可能会加剧与年龄相关的骨密度(BMD)下降,从而导致骨质疏松症和骨折,这与显著的死亡率和发病率有关。系统评价和meta分析发现蛋白质摄入量与髋部、全身和腰椎的骨密度呈正相关,超过RDA的蛋白质摄入量占骨密度变化的2-4%。另一项meta分析发现,适度的证据表明,较高的蛋白质摄入量可能会保护老年人的腰椎骨密度减少。两项meta分析发现,较高的蛋白质摄入量可降低髋部骨折风险11-16%,而其他分析未发现显著相关性,可能是由于活动不足。根据最近文献的综合,国际骨质疏松症基金会和欧洲骨质疏松症、骨关节炎和肌肉骨骼疾病临床和经济方面的专家共识得出结论:只要饮食中钙的摄入量充足,蛋白质摄入量高于当前的RDA与更高的BMD、更慢的骨丢失和降低髋部骨折的风险有关。然而,还需要进一步的证据,特别是关于较高蛋白质摄入量对骨折发生率的影响,以及蛋白质和钙摄入量对骨骼健康的协

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    2021-03-23 海豹
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    2021-03-22 ms2000001361349190

    学习到了

    0

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    2021-03-21 jyzxjiangqin

    好文章!

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=2021701, encodeId=78572021e0185, content=<a href='/topic/show?id=31e8e9669d' target=_blank style='color:#2F92EE;'>#GER#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7966, encryptionId=31e8e9669d, topicName=GER)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=48732500158, createdName=12498c32m68暂无昵称, createdTime=Mon Jan 17 18:39:31 CST 2022, time=2022-01-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1390429, encodeId=a5741390429bd, content=<a href='/topic/show?id=22c6101695c9' target=_blank style='color:#2F92EE;'>#骨折风险#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=101695, encryptionId=22c6101695c9, topicName=骨折风险)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTKnILSXam1GxPwj04ylEzibYLFA2eGl5Ev02klt80JA0xejMPqrn0mYHNNnLEgyqYTPbicXpY3tn6SA/132, createdBy=38fd2500059, createdName=新生儿张玉军, createdTime=Tue Mar 23 08:39:31 CST 2021, time=2021-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1630001, encodeId=430d1630001f9, content=<a href='/topic/show?id=019910264461' target=_blank style='color:#2F92EE;'>#高蛋白#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=102644, encryptionId=019910264461, topicName=高蛋白)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=defd21414234, createdName=海豹, createdTime=Tue Mar 23 08:39:31 CST 2021, time=2021-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=950079, encodeId=3b9f9500e9b6, content=学习到了, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=dffa5465843, createdName=ms2000001361349190, createdTime=Mon Mar 22 11:23:21 CST 2021, time=2021-03-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=949947, encodeId=ef8d94994ef7, content=好文章!, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Sun Mar 21 17:54:45 CST 2021, time=2021-03-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=949940, encodeId=f31094994074, content=谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d32e5443543, createdName=ms4000002058097226, createdTime=Sun Mar 21 17:52:42 CST 2021, time=2021-03-21, status=1, ipAttribution=)]
    2021-03-21 ms4000002058097226

    谢谢

    0

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