Hormonal relationships to bone mass in elderly Spanish men as influenced by dietary calcium and vitamin D

Nutrients. 2013 Dec 4;5(12):4924-37. doi: 10.3390/nu5124924.

Abstract

We aim to evaluate whether calcium and vitamin D intake is associated with 25-hydroxyvitamin D (25-OH-Vitamin D3) and parathyroid hormone (PTH) serum concentrations or is associated with either the phalangeal dual energy X-ray absorptiometry (pDXA) or the quantitative bone ultrasound (QUS) in independent elderly men. Serum PTH and 25-OH-Vitamin D3 were measured in 195 healthy elderly men (mean age: 73.31 ± 5.10 year). Food intake was quantified using a dietetic scale. Participants with 25-OH-Vitamin D3 levels ≥ 30 ng/mL (75 nmol/L) and a calcium intake of 800-1200 mg/day exhibited the lowest PTH levels (41.49 ± 16.72 ng/mL). The highest PTH levels (75.60 ± 14.16 ng/mL) were observed in the <30 ng/mL group 25-OH-Vitamin D3 with a calcium intake >1200 mg/day. No significant differences in the serum PTH levels based on the serum 25-OH-Vitamin D3 levels were observed among participants with a calcium intake of 800-1200 mg/day. Serum PTH was inversely correlated with serum 25-OH-Vitamin D3 in the entire patient sample (r = -0.288, p = 0.019). No differences in any of the three densitometry techniques were observed between any of the age groups in the 800-1200 mg/day and >1200 mg/day calcium intake groups. PTH levels correlate negatively with serum 25-OH-Vitamin D3 levels, and neither calcium nor vitamin D intake exert a strong influence on either of the two parameters.

MeSH terms

  • Absorptiometry, Photon
  • Aged
  • Aged, 80 and over
  • Bone Density*
  • Bone and Bones / diagnostic imaging
  • Calcium, Dietary / administration & dosage*
  • Calcium, Dietary / blood
  • Humans
  • Linear Models
  • Male
  • Parathyroid Hormone / blood*
  • Pilot Projects
  • Rural Population
  • Spain
  • Ultrasonography
  • Vitamin D / administration & dosage*
  • Vitamin D / blood

Substances

  • Calcium, Dietary
  • Parathyroid Hormone
  • Vitamin D