The Role of Diet in Osteoporotic Fracture Healing: a Systematic Review

Curr Osteoporos Rep. 2020 Jun;18(3):138-147. doi: 10.1007/s11914-020-00573-8.

Abstract

Purpose of review: Summarize the in vivo evidences on the association between nutrition and osteoporosis fracture healing.

Recent findings: Osteoporotic fractures constitute a considerable public health burden. The healing capacity of fractures is influenced by local factors related to the fracture and by general factors (e.g., age, sex, osteoporosis, muscular mass, smoking, alcohol, drugs, and diet). The systematic review was conducted according to PRISMA statement. From the literature search on PubMed and Web of Science, from January 2016 to October 2019, twelve studies were selected and resulted highly variable in samples, exposure, methods, outcomes, and outcome assessment. Eleven studies were conducted on laboratory animals. Only one study aimed to investigate the impact of nutritional status on fracture healing in osteoporotic patients. In this review, the role of calcium/vitamin D supplementation remained controversial, while sialoglycoprotein supplementation, phytoestrogen-rich herb extract, flavonoids, and phosphorylated peptides showed a positive effect on osteoporotic fracture healing.

Keywords: Bone Fracture; Bone Health; Diet; Nutrition; Osteoporosis; Review.

Publication types

  • Systematic Review

MeSH terms

  • Bone Density Conservation Agents / therapeutic use
  • Calcium / therapeutic use
  • Diet*
  • Dietary Supplements*
  • Flavonoids / therapeutic use
  • Fracture Healing*
  • Humans
  • Osteoporotic Fractures / therapy*
  • Phosphopeptides / therapeutic use
  • Phytoestrogens / therapeutic use
  • Plant Preparations / therapeutic use
  • Sialoglycoproteins / therapeutic use
  • Vitamin D / therapeutic use

Substances

  • Bone Density Conservation Agents
  • Flavonoids
  • Phosphopeptides
  • Phytoestrogens
  • Plant Preparations
  • Sialoglycoproteins
  • Vitamin D
  • Calcium