Prevalence of Vitamin D inadequacy among postmenopausal North American women receiving osteoporosis therapy.
Holick MF, Siris ES, Binkley N, Beard MK, Khan A, Katzer JT, Petruschke RA, Chen E, de Papp AE.
J Clin Endocrinol Metab. 2005 Jun;90(6):3215-24. Epub 2005 Mar 29.
PMID: 15797954
doi:10.1210/jc.2004-2364
Conclusions: More than half of North American women receiving therapy to treat or prevent osteoporosis have vitamin D inadequacy, underscoring the need for improved physician and public education regarding optimization of vitamin D status in this population.
[Vitamin K2]
Ishida Y.
Clin Calcium. 2008 Oct;18(10):1476-82. Review. Japanese.
PMID: 18830045
"Vitamin K2 has been approved for the treatment of osteoporosis in Japan since 1995. Vitamin K2 treatment in osteoporosis has been shown to inhibit the occurrence of new bone fractures and to maintain BMD. The uniqueness of the prevention of bone fractures by vitamin K2 is that there has been no direct evidence of the relationship between increase of BMD and a decrease in the occurrence of bone fractures. A recent systematic review of seven Japanese randomized controlled trials by Cockayne has also shown that supplementation with phytonadione (Vitamin K1) and menaquinone (Vitamin K2) , particularly menaquinone-4, is associated with increased BMD and reduced fracture incidence. To confirm these results, a larger well design RCT using fractures as the primary endpoint is clearly needed."
Vitamin K in the treatment and prevention of osteoporosis and arterial calcification.\nAdams J, Pepping J.\nAm J Health Syst Pharm. 2005 Aug 1;62(15):1574-81. Review.\nPMID: 16030366
Fruit and vegetables: the unexpected natural answer to the question of osteoporosis prevention?
Lanham-New SA.
Am J Clin Nutr. 2006 Jun;83(6):1254-5. No abstract available.
PMID: 16762933
Vitamin D and vitamin D analogues for preventing fractures associated with involutional and post-menopausal osteoporosis.
Avenell A, Gillespie WJ, Gillespie LD, O'Connell D.
Cochrane Database Syst Rev. 2009 Apr 15;(2):CD000227. Review.
PMID: 19370554
DOI: 10.1002/14651858.CD000227.pub3
AUTHORS' CONCLUSIONS: Frail older people confined to institutions may sustain fewer hip fractures if given vitamin D with calcium. Vitamin D alone is unlikely to prevent fracture. Overall there is a small but significant increase in gastrointestinal symptoms and renal disease associated with vitamin D or its analogues. Calcitriol is associated with an increased incidence of hypercalcaemia.
The importance of calcium, potassium, and acid-base homeostasis in bone health and osteoporosis prevention.
Tylavsky FA, Spence LA, Harkness L.
J Nutr. 2008 Jan;138(1):164S-165S.
PMID: 18156418
In concert with the acid-base literature, protein intake is considered to be a net acid-producing substance and thus a net negative risk factor for bone dissolution. However, substantial literature supports the beneficial effects on skeletal metabolism when higher protein levels are consumed in concert with adequate calcium, potassium, and other minerals, regardless of the source of protein (24-26). The Dietary Approaches to Stopping Hypertension (DASH) diet (27) is a calcium-rich diet that emphasizes fruits, vegetables, and low-fat dairy products. This diet underscores the importance of consuming a complement of foods from meats, grains, dairy, fruits, and vegetables as prudent for promoting optimal bone health. In the following articles, Rafferty and Lanham-New carefully review the evidence on the interaction of specific diet components that impact bone health and conclude that a balanced diet with recommended servings of dairy products and a variety of fruits and vegetables is prudent for optimal bone health. Additionally, they comment on future research directions for consideration by the scientific community.
The acid-base hypothesis: diet and bone in the Framingham Osteoporosis Study.
Tucker KL, Hannan MT, Kiel DP.
Eur J Nutr. 2001 Oct;40(5):231-7.
PMID: 11842948
RESULTS: As hypothesized, magnesium, potassium, fruit and vegetable intakes were significantly associated with bone mineral density at baseline and among men, with lower bone loss over four years. In contrast to the hypothesis, higher rather than lower protein intakes were associated with lower bone loss. CONCLUSION: Together these results support the role of base forming foods and nutrients in bone maintenance. The role of protein appears to be complex and is probably dependent on the presence of other nutrients available in a mixed diet. A balanced diet with ample fruit and vegetables and adequate protein appears to be important to bone mineral density.
Protective Effect of Total Carotenoid and Lycopene Intake on the Risk of Hip Fracture: A 17-Year Follow-Up From the Framingham Osteoporosis Study.
Sahni S, Hannan MT, Blumberg J, Cupples LA, Kiel DP, Tucker KL.
J Bone Miner Res. 2009 Jan 12. [Epub ahead of print]
PMID: 19138129
DOI: 2009:10.1359/jbmr
Role of vitamin K2 in the treatment of postmenopausal osteoporosis.
Iwamoto J, Takeda T, Sato Y.
Curr Drug Saf. 2006 Jan;1(1):87-97. Review.
PMID: 18690918
Marangella M, Di Stefano M, Casalis S, Berutti S, D'Amelio P, Isaia GC.
Effects of potassium citrate supplementation on bone metabolism.
Calcif Tissue Int. 2004 Apr;74(4):330-5.
PMID: 15255069 [PubMed - indexed for MEDLINE]
Frassetto LA, Nash E, Morris RC Jr, Sebastian A.
Comparative effects of potassium chloride and bicarbonate on
thiazide-induced reduction in urinary calcium excretion.
Kidney Int. 2000 Aug;58(2):748-52.
PMID: 10916098 [PubMed - indexed for MEDLINE]
Bushinsky DA, Krieger NS, Geisser DI, Grossman EB, Coe FL.
Effects of pH on bone calcium and proton fluxes in vitro.
Am J Physiol. 1983 Aug;245(2):F204-9.
PMID: 6881337 [PubMed - indexed for MEDLINE]
Frick KK, LaPlante K, Bushinsky DA.
RANK ligand and TNF-alpha mediate acid-induced bone calcium efflux in vitro.
Am J Physiol Renal Physiol. 2005 Nov;289(5):F1005-11. Epub 2005 Jun 21.
PMID: 15972386 [PubMed - indexed for MEDLINE
Bushinsky DA, Parker WR, Alexander KM, Krieger NS. Metabolic, but not respiratory, acidosis increases bone PGE(2) levels and calcium release.
Am J Physiol Renal Physiol. 2001 Dec;281(6):F1058-66.
PMID: 11704556 [PubMed - indexed for MEDLINE]
Heaney RP. Functional indices of vitamin D status and ramifications of vitamin D deficiency.Am J Clin Nutr. 2004 Dec;80(6 Suppl):1706S-9S. Review.PMID: 15585791 [PubMed - indexed for MEDLINE]
Zittermann A.
Vitamin D in preventive medicine: are we ignoring the evidence?
Br J Nutr. 2003 May;89(5):552-72. Review.
PMID: 12720576 [PubMed - indexed for MEDLINE]