Antioxidant intake and bone status in a cross-sectional study of Brazilian women with osteoporosis

Nutr Health. 2013 Apr;22(2):133-42. doi: 10.1177/0260106014563445. Epub 2015 Jan 14.

Abstract

This study aimed to investigate the association between antioxidant intake and bone mineral density (BMD) in postmenopausal women with osteoporosis. We conducted a cross-sectional study with 150 women, mean age 68.7 (SD 9.1) years. BMD and body composition were obtained using dual-energy X-ray absorptiometry (DXA). We assessed anthropometric measures and dietary intake and applied an adapted Dietary Antioxidant Quality Score (a-DAQS) to evaluate the antioxidant consumption. 65.3% of women had higher scores on the a-DAQS. We found no relationship between the a-DAQS and BMD; however, we observed an inverse correlation between vitamin A and lumbar spine (LS) BMD in g/cm(2) (r = - 0.201; p = 0.013). An analysis of variance (ANOVA) test also showed that vitamin A was negatively associated with the LS BMD (F = 6.143; p = 0.013, but without significance when a multivariate analysis was applied. The a-DAQS did not have an association with BMD; however, Vitamin A showed a negative correlation with BMD, but such an association disappeared when the other antioxidants were taken together. Our findings encourage an antioxidant-based dietary approach to osteoporosis prevention and treatment, since the negative effect of vitamin A was neutralized by the intake of such nutrients.

Keywords: Antioxidants; bone mineral density; dietary antioxidant quality score; lumbar spine; osteoporosis; postmenopausal women; vitamin A.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Absorptiometry, Photon
  • Aged
  • Aged, 80 and over
  • Antioxidants / administration & dosage*
  • Body Composition
  • Body Mass Index
  • Bone Density / drug effects
  • Brazil / epidemiology
  • Calcium, Dietary / administration & dosage
  • Cross-Sectional Studies
  • Dietary Supplements
  • Energy Intake
  • Female
  • Humans
  • Lumbar Vertebrae / drug effects
  • Lumbar Vertebrae / metabolism
  • Middle Aged
  • Motor Activity
  • Osteoporosis / drug therapy*
  • Osteoporosis / epidemiology*
  • Trace Elements
  • Vitamin A / administration & dosage
  • Vitamin D / administration & dosage
  • Vitamins / administration & dosage
  • Waist Circumference

Substances

  • Antioxidants
  • Calcium, Dietary
  • Trace Elements
  • Vitamins
  • Vitamin A
  • Vitamin D