Sodium and Bone Health:Impact of Moderately High and Low Salt Intakes on Calcium Metabolism in Postmenopausal Women

Teucher, Birgit, Dainty, Jack R ORCID:, Spinks, Caroline A, Majsak-Newman, Gosia, Berry, David J, Hoogewerff, Jurian A, Foxall, Robert J, Jakobsen, Jette, Cashman, Kevin D, Flynn, Albert and Fairweather-Tait, Susan J ORCID: (2008) Sodium and Bone Health:Impact of Moderately High and Low Salt Intakes on Calcium Metabolism in Postmenopausal Women. Journal of Bone and Mineral Research, 23 (9). pp. 1477-1485. ISSN 0884-0431

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High salt intake is a well-recognized risk factor for osteoporosis because it induces calciuria, but the effects of salt on calcium metabolism and the potential impact on bone health in postmenopausal women have not been fully characterized. This study investigated adaptive mechanisms in response to changes in salt and calcium intake in postmenopausal women. Eleven women completed a randomized cross-over trial consisting of four successive 5-wk periods of controlled dietary intervention, each separated by a minimum 4-wk washout. Moderately low and high calcium (518 versus 1284 mg) and salt (3.9 versus 11.2 g) diets, reflecting lower and upper intakes in postmenopausal women consuming a Western-style diet, were provided. Stable isotope labeling techniques were used to measure calcium absorption and excretion, compartmental modeling was undertaken to estimate bone calcium balance, and biomarkers of bone formation and resorption were measured in blood and urine. Moderately high salt intake (11.2 g/d) elicited a significant increase in urinary calcium excretion (p = 0.0008) and significantly affected bone calcium balance with the high calcium diet (p = 0.024). Efficiency of calcium absorption was higher after a period of moderately low calcium intake (p < 0.05) but was unaffected by salt intake. Salt was responsible for a significant change in bone calcium balance, from positive to negative, when consumed as part of a high calcium diet, but with a low calcium intake, the bone calcium balance was negative on both high and low salt diets.

Item Type: Article
Faculty \ School: Faculty of Science > School of Biological Sciences

Faculty of Medicine and Health Sciences > Norwich Medical School
Faculty of Science > School of Chemistry
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Depositing User: EPrints Services
Date Deposited: 25 Nov 2010 11:11
Last Modified: 23 Oct 2022 06:31
DOI: 10.1359/jbmr.080408

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