Intake of Calcium and Phosphorus and Levels of Bone Mineralization (BMC) and Mineral Bone Density (BMD) of Female Swimmers in the Pubescence Period
The objective of this study was to evaluate bone mineralization (BMC) and bone mineral density (BMD) of the osseous tissue in girls training swimming an being in the period of reaching the peak bone mass, as compared to girls being at a similar age and non-practicing sport, taking into account dietary allowances for calcium and phosphorus and dietary ratios of these elements.
Both the swimmers and their non-training colleagues were found to meet nutritional demands to the same extent and their diets did not differ in the intakes of energy nor nutrients (protein, calcium, phosphorus), which is incorrect in the case of the non-training girls. An alarmingly low intake of calcium at a, simultaneously, excessive intake of protein and phosphorus, as well as incorrect ratios between calcium and phosphorus and between calcium and protein observed especially in the case of the swimmers, might have an adverse effect on the mineralization of osseous tissue in the period of reaching peak bone mass.
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Barzel U. S. The skeleton as an ion exchange system: implications for the role of acid-base imbalance in the genesis of osteoporosis. J. Bone Miner. Res. 1995 10 1431-1436.
Błaszczyk A. Chlebna-Sokół D. Nutritional factors vs. mineralization status of skeleton in schoolchildren. Post. Osteoartrologii 2003 14 (Suppl. 1) 45-85 (in Polish).
Bos C. Gaudichon C. Tomé D. Nutritional and physiological criteria in the assessment of milk protein quality for humans. J. Am. Coll. Nutr. 2000 19 191S-205S.
Cichy W. Rosińska A. Nutrition vs. osteoporosis in children: an example to medicine integration. Terapia 2005 2 12-15 (in Polish).
Czeczelewski J. Raczyńska B. Contents of calcium and phosphorus in everyday food rations of children and adolescents from the Bialski District. Roczn. PZH 2005 56 237-243 (in Polish; English abstract).
Du X. Q. Greenfield H. Flaser D. R. Ge K. Y. Liu Z. H. He W. Milk consumption and bone mineral content in Chinese adolescent girls. Bone 2002 30 521-528.
Eastell R. Lambert H. Diet and healthy bones. Calcif. Tissue Int. 2002 70 400-404.
Fenton T. R. Lyon A. W. Eliasziw M. Tough S. C. Hanley D. A. Phosphate decreases urine calcium and increases calcium balance: A meta-analysis of the osteoporosis acid-ash diet hypothesis. Nutr. J. 2009 8 41-56.
Fiorito L. M. Mitchell D. C. Smiciklas-Wright H. Birch L. L. Girls' calcium intake is associated with bone mineral content during middle childhood. J. Nutr. 2006 136 1281-1286.
Górecka E. Zych-Litwin C. Gałuszko P. Osteoporosis in children. Med. Sportiva 2000 4 (Suppl.1) 91-97 (in Polish; English abstract).
Guéguen L. Pointillart A. The bioavailability of dietary calcium. J. Am. Coll. Nutr. 2000 19 119S-136S.
Gustavsson A. Thorsen K. Nordstrom P. A 3-year longitudinal study of the effect of physical activity on the accrual of bone mineral density in healthy adolescent males. Calcif. Tissue Int. 2003 73 108-114.
Heaney R. P. Protein intake and calcium economy. J. Am. Diet. Assoc. 1993 93 1261-1262.
Heaney R. P. Dietary protein and phosphorus do not affect calcium absorption. Am. J. Clin. Nutr. 2000 72 758-761.
Heaney R. P. Protein intake and bone health: the influence of belief systems on the conduct of nutritional science. Am. J. Clin. Nutr. 2001 73 5-6.
Heaney R. P. The importance of calcium intake for livelong skeletal health. Calcif. Tissue Int. 2002a 70 70-73.
Heaney R. P. Protein and calcium: antagonists or synergists? Am. J. Clin. Nutr. 2002b 75 609-610.
Janz K. F. Burns T. L. Levy S. L. Torner J. C. Willing M. C. Beck T. J. Gilmore J. M. Marshall T. A. Everyday activity predicts bone geometry in children: The low bone development study. Med. Sci. Sports Exerc. 2004 36 1124-1131.
Jarosz M. Bułhak-Jachymczyk B. Normy żywienia człowieka. Podstawy prewencji otyłości i chorób niezakaźnych. PZWL Warszawa 2008 p. 460 (in Polish).
Johannsen N. Binkley T. Englert V. Neiderauer G. Specker B. Bone response to jumping is site-specific in children: a randomized trial. Bone 2003 33 533-539.
Karlsson M. K. Johnell O. Obrant J. J. Bone mineral density in weight lifters. Calcif. Tissue Int. 1993 52 212-215.
Karlsson M. K. Has exercise antifracture efficacy in women? Scand. J. Med. Sci. Sports 2004 14 2-15.
Kerstetter J. E. O'Brien K. O. Insogna K. L. Dietary protein calcium metabolism and skeletal homeostasis revisited. Am. J. Clin. Nutr. 2003 78 (Suppl) 584S-592S.
Kranz S. Lin P. J. Wagstaff D. A. Children's dairy intake in the United States: too little too fat? J. Pediatr. 2007 151 642-646.
Kunachowicz H. Nadolna I. Przygoda B. Iwanow K. Tabele składu i wartości odżywczej żywności. 2005 PZWL Warszawa p. 671 (in Polish).
Lanou A. J. Berkow S. E. Bernard N. D. Calcium dairy products and bone health in children and young adults: A reevaluation of the evidence. Pediatrics 2005 115 736-743.
Lemon P. W. R. Do regular physical exercises affect protein demand? Med. Sportiva 2001 5 177-184 (in Polish).
Libuda L. Alexy U. Remer T. Stehle P. Schoenau E. Kersting M. Association between long-term consumption of soft drinks and variables of bone modeling and remodeling in a sample of healthy German children and adolescents. Am. J. Clin Nutr. 2008 88 1670-1677.
Mac Auley D. Potential benefits from physical activity undertaken by older people. Med. Sportiva 2001 5 229-236 (in Polish; English abstract).
Matkovic V. Goel P. K. Badenhop-Stevens N. E. Landoll J. D. Li B. Ilich J. Z. Skugor M. Nagode L. A. Mobley S. L. Ha E. J. Hangartner T. N. Clairmont A. Calcium supplementation and bone mineral density in females from childhood to young adulthood: a randomized controlled trial. Am. J. Clin. Nutr. 2005 81 175-188.
Moore L. L. Bradlee M. L. Gao D. Singer M. R. Effects of average childhood dairy intake on adolescent bone health. J. Pediatr. 2008 153 667-673.
Murphy S. P. Guenther P. M. Kretsch M. Using the Dietary Reference Intakes to assess intakes of groups: pitfalls to avoid. JADA 2006 106 10 1550-1553.
Nadolna I. Kunachowicz H. Przygoda B. Iwanow K. Mleko a zdrowie. IŻŻ Warszawa 2001 p. 152 (in Polish).
Nowak D. Food additives used in the meat industry in the light of legal regulations. Gosp. Mięsna 2004 9 44-47 (in Polish).
Nurmi-Lawton J. A. Baxter-Jones A. D. Mirwald R. L. Bishop J. A. Taylor P. Cooper C. New S. A. Evidence of sustained skeletal benefits from impact-loading exercise in young females: A 3-year longitudinal study. J. Bone Miner. Res. 2004 19 314-322.
Palczewska I. Niedźwiecka Z. Wskaźniki rozwoju somatycznego dzieci i młodzieży warszawskiej. Med. Wiek. Rozw. 2001 5 2 (Supl. I) 120 (in Polish).
Peer K. S. Bone health in athletes. Factors and future considerations. Orthopa-edic Nursing 2004 23 178-181.
Rutkowska U. Kunachowicz H. Evaluation of phosphorus intake including phosphates added to food and its effect on metabolism of calcium and other minerals. Żyw. Człow. Metab. 1994 21 180-191 (in Polish; English abstract).
Schwarz P. Physical activity and bone strength. Scand. J. Med. Sci. Sports 2004 14 1.
Sellmeyer D. E. Stone K. L. Sebastian A. Cummings S. R. A high ratio of dietary animal to vegetable protein increases the rate of bone loss and the risk of fracture in postmenopausal women. Study of Osteoporotic Fractures Research Group. Am. J. Clin. Nutr. 2001 73 118-122.
Slaughter M. H. Lohman T. G. Boileau R. A. Horswill C. A. Stillman R. J. Van Loan M. D. Bemben D. A. Skinfold equations for estimation of body fatness in children and youth. Hum. Biol. 1988 60 709-723.
Specker B. Binkley T. Randomized trial of physical activity and calcium supplementation on bone mineral content in 3- to 5-year-old children. J. Bone Miner. Res. 2003 18 885-892.
Szponar L. Wolnicka K. Rychlik E. Album fotografii produktów i potraw. 2008 IŻŻ Warszawa p. 87 (in Polish).
Taaffe D. R. Robinson T. L. Snow C. M. Marcus R. High-impact exercise promotes bone gain in well-trained female athletes. J. Bone Miner. Res. 1997 12 255-260.
Ustynowicz-Fabiszewska J. Smorczewska-Czupryńska B. Karczewska J. Lach J. Content of calcium in food ratios of children from primary schools of Białystok and surroundings. Roczn. PZH 2002 53 419-428 (in Polish; English abstract).
Ward K. A. Roberts S. A. Adams J. E. Lanhman-New S. Mughal M. Z. Calcium supplementation and weight bearing physical activity-Do they have a combined effect on the bone density of pre-pubertal children? Bone 2007 41 496-504.
Vatanparast H. Bailey D. A. Baxter-Jones A. D. G. Whiting S. J. The effects of dietary protein on bone mineral mass in young adults may be modulated by adolescent calcium intake. J. Nutr. 2007 137 2674-2679.
Vicente-Rodríguez G. Ezquerra J. Mesana M. I. Fernández-Alvira J. M. Rey-López J. P. Casajus J. A. Morena L. A. Independent and combined effect of nutrition and exercise on bone mass development. J. Bone Miner. Metab. 2008 26 416-424.
Zagórecka E. Stopnicka B. Jerulank I. Szamrej I. K. Piotrowska-Jastrzębska J. Piotrowska-Depta M. J. Realization of recommended dietary allowances for calcium considering milk and dairy products as its main sources in diet of children originating from Białostocczyzna region. Ped. Pol. 2000 75 647653 (in Polish; English abstract).
Zanker C. L. Osborne C. Cooke C. B. Oldroyd B. Truscott J. G. Bone density body composition and menstrual history of sedentary female former gymnasts aged 20-32 years. Osteoporosis Int. 2004 15 145-154.