A dairy product to reconstitute enriched with bioactive nutrients stops bone loss in high-risk menopausal women without pharmacological treatment

Osteoporosis is a multifactorial disease characterized by the loss of bone mass and deterioration of the internal structure of the bone, increasing the risk of fractures, and is becoming an economic and social problem. The main treatment is pharmacological, however, the population demands other ther...

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Authors: Morato-Martínez, Marina; López-Plaza, Bricia; Santurino, Cristina; Palma Milla, Samara; Gómez Candela, Carmen
Format: Article
Publication date:2020
Country:España
Institution:Universidad Autónoma de Madrid
Repository:Biblos-e Archivo. Repositorio Institucional de la UAM
Language:English
OAI Identifier:oai:repositorio.uam.es:10486/694723
Online Access:http://hdl.handle.net/10486/694723
https://dx.doi.org/10.3390/nu12082203
Access Level:Open access
Keyword:Bone mineral density
Functional foods
Nutrition
Osteoporosis
Prevention
Medicina
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author Morato-Martínez, Marina
author2 López-Plaza, Bricia
Santurino, Cristina
Palma Milla, Samara
Gómez Candela, Carmen
author2_role author
author
author
author
author_browse Gómez Candela, Carmen
López-Plaza, Bricia
Morato-Martínez, Marina
Palma Milla, Samara
Santurino, Cristina
author_facet Morato-Martínez, Marina
López-Plaza, Bricia
Santurino, Cristina
Palma Milla, Samara
Gómez Candela, Carmen
author_role author
collection Biblos-e Archivo. Repositorio Institucional de la UAM
description Osteoporosis is a multifactorial disease characterized by the loss of bone mass and deterioration of the internal structure of the bone, increasing the risk of fractures, and is becoming an economic and social problem. The main treatment is pharmacological, however, the population demands other therapies, such as foods with nutrients beneficial to bone health. Seventy-eight healthy menopausal women at risk of osteoporosis or untreated osteopenia were recruited for a randomized, parallel, double-blind clinical trial with two intervention groups: one group consumed a serving a day of the experimental enriched product (experimental group (EG)) and the other group (control group (CG)) consumed the same product without enrichment. The main objective was to compare the effect of consuming a dairy preparation to reconstitute, similar to yogurt when prepared, enriched in calcium, vitamin D, vitamin K, vitamin C, zinc, magnesium, L-leucine and probiotic (Lactobacillus plantarum 3547) on bone metabolism markers for 24 weeks. The EG showed a significantly increased bone mass compared to the CG (0.01 ± 0.03 vs. −0.01 ± 0.03 kg; p < 0.05). In addition, the EG maintained their bone mineral density (BMD) compared to the CG, whose BMD significantly decreased at the end of the study. For biochemical markers, the EG significantly increased the serum levels of the N-terminal propeptide of type I collagen (P1NP) bone formation marker (13.19 ± 25.17 vs. −4.21 ± 15.62 ng/mL; p < 0.05), and decreased the carbo-terminal telopeptide of type I collagen (CTx) bone resorption marker compared to the CG (−0.05 ± 0.19 vs. 0.04 ± 0.14 ng/mL; p < 0.05). On the other hand, the EG exhibited a significantly decreased systolic and diastolic blood pressure compared to the start of the study. Finally, the EG significantly increased their dietary calcium and vitamin D intake compared to the CG. In conclusion, the regular consumption of a dairy product to reconstitute enriched with bioactive nutrients improves bone health markers in menopausal women at risk of osteoporosis without pharmacological treatment.
eu_rights_str_mv openAccess
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institution Universidad Autónoma de Madrid
instname_str Universidad Autónoma de Madrid
language eng
network_acronym_str ES
network_name_str España
oai_identifier_str oai:repositorio.uam.es:10486/694723
publishDate 2020
publishDateSort 2020
publisher MDPI, Basel, Switzerland
publisherStr MDPI, Basel, Switzerland
reponame_str Biblos-e Archivo. Repositorio Institucional de la UAM
spelling A dairy product to reconstitute enriched with bioactive nutrients stops bone loss in high-risk menopausal women without pharmacological treatment Morato-Martínez, Marina López-Plaza, Bricia Santurino, Cristina Palma Milla, Samara Gómez Candela, Carmen Bone mineral density Functional foods Nutrition Osteoporosis Prevention Medicina Osteoporosis is a multifactorial disease characterized by the loss of bone mass and deterioration of the internal structure of the bone, increasing the risk of fractures, and is becoming an economic and social problem. The main treatment is pharmacological, however, the population demands other therapies, such as foods with nutrients beneficial to bone health. Seventy-eight healthy menopausal women at risk of osteoporosis or untreated osteopenia were recruited for a randomized, parallel, double-blind clinical trial with two intervention groups: one group consumed a serving a day of the experimental enriched product (experimental group (EG)) and the other group (control group (CG)) consumed the same product without enrichment. The main objective was to compare the effect of consuming a dairy preparation to reconstitute, similar to yogurt when prepared, enriched in calcium, vitamin D, vitamin K, vitamin C, zinc, magnesium, L-leucine and probiotic (Lactobacillus plantarum 3547) on bone metabolism markers for 24 weeks. The EG showed a significantly increased bone mass compared to the CG (0.01 ± 0.03 vs. −0.01 ± 0.03 kg; p < 0.05). In addition, the EG maintained their bone mineral density (BMD) compared to the CG, whose BMD significantly decreased at the end of the study. For biochemical markers, the EG significantly increased the serum levels of the N-terminal propeptide of type I collagen (P1NP) bone formation marker (13.19 ± 25.17 vs. −4.21 ± 15.62 ng/mL; p < 0.05), and decreased the carbo-terminal telopeptide of type I collagen (CTx) bone resorption marker compared to the CG (−0.05 ± 0.19 vs. 0.04 ± 0.14 ng/mL; p < 0.05). On the other hand, the EG exhibited a significantly decreased systolic and diastolic blood pressure compared to the start of the study. Finally, the EG significantly increased their dietary calcium and vitamin D intake compared to the CG. In conclusion, the regular consumption of a dairy product to reconstitute enriched with bioactive nutrients improves bone health markers in menopausal women at risk of osteoporosis without pharmacological treatment. This study was supported by the CARINSA S.A. through the project IDI-20131125 from the Centre for the Development of Industrial Technology (CDTI) of Economy and Competitiveness Ministry of Spain (MINECO). MDPI, Basel, Switzerland http://hdl.handle.net/10486/694723 https://dx.doi.org/10.3390/nu12082203
spellingShingle A dairy product to reconstitute enriched with bioactive nutrients stops bone loss in high-risk menopausal women without pharmacological treatment
Morato-Martínez, Marina
Bone mineral density
Functional foods
Nutrition
Osteoporosis
Prevention
Medicina
title A dairy product to reconstitute enriched with bioactive nutrients stops bone loss in high-risk menopausal women without pharmacological treatment
title_full A dairy product to reconstitute enriched with bioactive nutrients stops bone loss in high-risk menopausal women without pharmacological treatment
title_fullStr A dairy product to reconstitute enriched with bioactive nutrients stops bone loss in high-risk menopausal women without pharmacological treatment
title_full_unstemmed A dairy product to reconstitute enriched with bioactive nutrients stops bone loss in high-risk menopausal women without pharmacological treatment
title_short A dairy product to reconstitute enriched with bioactive nutrients stops bone loss in high-risk menopausal women without pharmacological treatment
title_sort A dairy product to reconstitute enriched with bioactive nutrients stops bone loss in high-risk menopausal women without pharmacological treatment
topic Bone mineral density
Functional foods
Nutrition
Osteoporosis
Prevention
Medicina
topic_facet Bone mineral density
Functional foods
Nutrition
Osteoporosis
Prevention
Medicina
url http://hdl.handle.net/10486/694723
https://dx.doi.org/10.3390/nu12082203