Assessment Of A Nutrient-Based Approach On Bone Health

J. Blum
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Abstract

Background: Complementary and alternative medicine use in adults with, or at risk for, osteopenia is common. Although most of the herbs and supplements appear to be fairly safe, there is insufficient evidence that demonstrates their beneficial effects. Aim of the Study: This study was done to determine whether the current nutrients improve indicators of calcium metabolism and bone status. Materials and Methods: This human clinical trial was randomized, double-blind, placebo-controlled, and prospective in design. Of a population of 72 individuals who were screened over the telephone, 47 post-menopausal females age 50-75 were included in the study. The enrolled subjects were randomly assigned to receive the active product or placebo, one capsule four times per day for six weeks. The major outcome variables were 24-hour urinary calcium per gram of creatinine, serum Bone Specific Alkaline Phosphatase (BSAP), C-Terminal Telopeptide (CTX), and Osteocalcin (OST). Results: At the conclusion of the study, subjects who received the active product showed reduction in the 24-hour urinary calcium loss and serum CTX levels. They revealed an increase in BSAP and no change was noted for OST. Conclusions: Nutrient-based supplementation is able to improve measures of calcium metabolism and bone health in postmenopausal females. Studies of longer duration using endpoints including fracture incidence and bone densitometry should be conducted in the future.
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以营养为基础的骨骼健康评估方法
背景:骨质减少或有骨质减少风险的成年人使用补充和替代药物是很常见的。虽然大多数草药和补品看起来相当安全,但没有足够的证据证明它们的有益效果。研究目的:本研究旨在确定当前营养素是否能改善钙代谢指标和骨骼状况。材料和方法:该人体临床试验采用随机、双盲、安慰剂对照和前瞻性设计。在72名通过电话接受筛查的人群中,47名年龄在50-75岁之间的绝经后女性参与了这项研究。入选的受试者被随机分配接受活性产品或安慰剂,每天四次,一次胶囊,持续六周。主要结局变量为24小时尿钙/克肌酐、血清骨特异性碱性磷酸酶(BSAP)、c -末端末端肽(CTX)和骨钙素(OST)。结果:在研究结束时,接受活性产品的受试者显示24小时尿钙流失和血清CTX水平降低。他们发现BSAP增加,而OST没有变化。结论:营养补充能够改善绝经后女性的钙代谢和骨骼健康。未来应该进行更长时间的研究,以骨折发生率和骨密度为终点。
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