DOI: https://doi.org/10.14710/jpki.20.1.8-15

Analysis of The Association Between Nutrient Intake and Bone Mineral Density in College Students

*Dian Isti Angraini orcid  -  Faculty of Medicine, University of Lampung, Indonesia
Firdawati Firdawati  -  Department of Agricultural Technology, Lampung State Polytechnic, Indonesia
Yaktiworo Indriani  -  Faculty of Agriculture, University of Lampung, Indonesia
Open Access Copyright (c) 2024 Jurnal Promosi Kesehatan Indonesia

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Abstract

Background: Osteoporosis is a condition characterized by brittle bone prone to fracture. The risk increases significantly with age, particularly among women. An effective approach for understanding and preventing the progression of osteoporosis is by examining bone mineral density (BMD), with diet playing an essential role. Therefore, this study aimed to analyze the association between nutrient intake and BMD in female students at the University of Lampung.

Method: This analytical observational study adopted a cross-sectional design. A total of 150 female students at the University of Lampung, were selected as samples using a multistage random sampling technique. The study variables were BMD and nutrient intake, specifically calcium, phosphorus, magnesium, vitamin C, vitamin D, and protein. BMD was assessed based on examination using an ultrasound bone densitometer, while nutrient intake was measured through 2x24h food recall. In the process, data analysis was conducted using the chi-square test.

Result: The results showed that female students had BMD in the osteopenia category of 52.7% and osteoporosis of 10%. Calcium and phosphorus intake were associated with BMD in Lampung University female students (p<0.01; p=0.11), while intake of magnesium, vitamin C, vitamin D, and protein did not correlate (p=0.751; p=0.382; p =0.41; p=0.694). Therefore, meeting calcium and phosphorus needs from an early age is essential to prevent osteoporosis.

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Keywords: bone mineral density; female students; food intake

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Section: Research Article
Language : EN
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  1. Mithal A, Bansal B, Kyer SC, Ebeling P. The Asia-Pacific Regional Audit-Epidemiology, costs, and burden of osteoporosis in India 2013: A report of International Osteoporosis Foundation. Indian Journal of Endocrinology and Metabolism. Medknow Publications; 2014;18(4):449–54
  2. Gold DT, Williams SA, Weiss RJ, Wang Y, Watkins C, Carroll J, et al. Impact of fractures on quality of life in patients with osteoporosis: a US cross-sectional survey. J Drug Assess. 2019;8(1):175–83
  3. Xiao Z, Tan Z, Shang J, Cheng Y, Tang Y, Guo B, et al. Sex-specific and age-specific characteristics of body composition and its effect on bone mineral density in adults in southern China: A cross-sectional study. BMJ Open. 2020;10(4)
  4. Heidari B, Muhammadi A, Javadian Y, Bijani A, Hosseini R, Babaei M. Associated factors of bone mineral density and osteoporosis in elderly males. Int J Endocrinol Metab. 2017;15(1)
  5. Haseltine KN, Chukir T, Smith PJ, Jacob JT, Bilezikian JP, Farooki A. Bone mineral density: Clinical relevance and quantitative assessment. Journal of Nuclear Medicine. 2021;62(4):446–54
  6. Desrida, Afriwardi, Kadri H. Hubungan Tingkat Aktivitas Fisik, Jumlah Asupan Vitamin D dan Kalsium Terhadap Tingkat Densitas Tulang Remaja Putri di SMA Negeri Kecamatan Tilatang Kamang Kabupaten Agam. Jurnal Kesehatan Andalas 2017;6(3):572–80
  7. Idrees Z, Zakir U, Khusdil A, Shehzadi H. Osteoporosis: Knowledge and Practice Among Female of Reproductive Age Group. Rawal Medical Journal. 2018;43(1):56–60
  8. Dolan E, Sale C. Symposium 2: Nutrient interactions and their role in protection from chronic diseases: Protein and bone health across the lifespan. In: Proceedings of the Nutrition Society. Cambridge University Press; 2019:45–55
  9. Rondanelli M, Faliva MA, Barrile GC, Cavioni A, Mansueto F, Mazzola G, et al. Nutrition, physical activity, and dietary supplementation to prevent bone mineral density loss: A food pyramid. Nutrients. 2021;14(1):74
  10. Voulgaridou G, Papadopoulou SK, Detopoulou P, Tsoumana D, Giaginis C, Kondyli FS, et al. Vitamin D and Calcium in Osteoporosis, and the Role of Bone Turnover Markers: A Narrative Review of Recent Data from RCTs. Diseases. 2023;11(1)
  11. Nimitphong H, Holick MF. Vitamin D status and sun exposure in Southeast Asia. Dermatoendocrinol. 2013;5(1):34–7
  12. Lee JH, Ha AW, Kim WK, Kim SH. The combined effects of milk intake and physical activity on bone mineral density in Korean adolescents. Nutrients. 2021;13(3):1–13
  13. Prowting JL, Skelly LE, Kurgan N, Fraschetti EC, Klentrou P, Josse AR. Acute Effects of Milk vs. Carbohydrate on Bone Turnover Biomarkers Following Loading Exercise in Young Adult Females. Front Nutr. 2022;9:840973
  14. Segheto KJ, Juvanhol LL, de Carvalho CJ, da Silva DCG, Kakehasi AM, Longo GZ. Factors associated with bone mineral density in adults: A cross-sectional population-based study. Revista da Escola de Enfermagem. 2020;54
  15. Cahyaningsih M, Saraswati L, Yuliawati S, Wuryanto M. Gambaran Densitas Mineral Tulang (DMT) pada Kelompok Dewasa Awal (19-25 Tahun) (Studi di Fakultas Kesehatan Masyarakat Universitas Diponegoro). Jurnal Kesehatan Masyarakat. 2017;5(4):2356–3346
  16. Noprisanti, Masrul, Defrin. Hubungan Asupan Protein, Kalsium, Fosfor dan Magnesium dengan Kepadatan Tulang pada Remaja Putri di SMP Negeri 5 Padang. Jurnal Kesehatan Andalas. 2018;7(3):29–36
  17. Al-Khammash A, Ajeen R, Tayyem RF. Assessment of Nutrients Associated With the Risk of Osteoporosis in Postmenopausal Women: A Case-Control Study. Current Research in Nutrition and Food Science. 2022;10(1):113–28
  18. Chuang TL, Chuang MH, Lin CH, Chou SC, Wang YF. Significant association factors of bone mineral density in Taiwan adults. Tzu Chi Med J. 2020;32(4):367–72
  19. Pan K, Zhang C, Yao X, Zhu Z. Association between dietary calcium intake and BMD in children and adolescents. Endocr Connect. 2020;9(3):194–200
  20. Méndez-Gallegos E, Caire-Juvera G, Astiazarán-García H, Méndez-Estrada RO. Comparison of measurements of bone mineral density in young and middle-aged adult women in relation to dietary, anthropometric and reproductive variables. Nutrients. 2018;10(11)
  21. Sozen T, Ozisik L, Calik Basaran N. An overview and management of osteoporosis. Eur J Rheumatol. 2017;4(1):46–56
  22. Yu E, Sharma S. Physiology, Calcium. In: StatPearls. Treasure Island (FL): StatPearls Publishing; August 14, 2023
  23. Safitri FR, Sari EM, Nurfajriah S. Analysis Of Calcium Levels in Wet and Dried Anchovies at Traditional Markets in Bekasi City. Chempublish Journal. 2023;7(2):88–98
  24. Lee AW, Cho SS. Association between phosphorus intake and bone health in the NHANES population. Nutr J. 2015;14(1)
  25. Vorland CJ, Stremke ER, Moorthi RN, Hill Gallant KM. Effects of Excessive Dietary Phosphorus Intake on Bone Health. Curr Osteoporos Rep. 2017 Oct;15(5):473-482
  26. Groenendijk I, van Delft M, Versloot P, van Loon LJC, de Groot LCPGM. Impact of magnesium on bone health in older adults: A systematic review and meta-analysis. Bone. 2022;154
  27. Stevens CM, Bhusal K, Levine SN, Dhawan R, Jain SK. The association of vitamin C and vitamin D status on bone mineral density and VCAM-1 levels in female diabetic subjects: Is combined supplementation with vitamin C and vitamin D potentially more successful in improving bone health than supplementation with vitamin D alone? Human Nutrition and Metabolism. 2023;34
  28. Malmir H, Shab-Bidar S, Djafarian K. Vitamin C intake in relation to bone mineral density and risk of hip fracture and osteoporosis: a systematic review and meta-analysis of observational studies. Br J Nutr. 2018 Apr;119(8):847-858
  29. Li H, Hou JL, Yang WY, Zhang Q, Feng H, Wang XB, et al. Associations between Dietary Antioxidant Vitamin Intake and the Changes in Bone Mass in Chinese Adolescents: A 2.5-Year Longitudinal Study. Nutrients. 2022;14(19)
  30. Shahudin NN, Sameeha MJ, Ludin AFM, Manaf ZA, Chin KY, Jamil NA. Barriers towards sun exposure and strategies to overcome these barriers in female indoor workers with insufficient vitamin D: A qualitative approach. Nutrients. 2020;12(10):1–15
  31. Kopiczko A. Bone mineral density in old age: The influence of age at menarche, menopause status and habitual past and present physical activity. Archives of Medical Science. 2020;16(2):657–65
  32. Yoo KO, Kim MJ, Ly SY. Association between vitamin D intake and bone mineral density in Koreans aged ≥ 50 years: Analysis of the 2009 Korea National Health and nutrition examination survey using a newly established vitamin D database. Nutr Res Pract. 2019;13(2):115–25
  33. Lonnie M, Hooker E, Brunstrom JM, Corfe BM, Green MA, Watson AW, Williams EA, Stevenson EJ, Penson S, Johnstone AM. Protein for Life: Review of Optimal Protein Intake, Sustainable Dietary Sources and the Effect on Appetite in Ageing Adults. Nutrients. 2018 Mar 16;10(3):360

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