Folate and Vitamin B‐12 Status Is Associated With Bone Mineral Density and Hip Strength of Postmenopausal Chinese‐Singaporean Women
ABSTRACT The role of micronutrients such as folate and vitamin B‐12 in bone quality has been widely studied with conflicting results. Ethnicity seems to play a large role on nutrient intake, as diet varies across cultures. In this study, we examined the relationships of BMD, proximal femur strength,...
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Published in | JBMR plus Vol. 4; no. 10; pp. e10399 - n/a |
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Main Authors | , , , , , , , , |
Format | Journal Article |
Language | English |
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Hoboken, USA
John Wiley & Sons, Inc
01.10.2020
Oxford University Press |
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Abstract | ABSTRACT
The role of micronutrients such as folate and vitamin B‐12 in bone quality has been widely studied with conflicting results. Ethnicity seems to play a large role on nutrient intake, as diet varies across cultures. In this study, we examined the relationships of BMD, proximal femur strength, and bone resorption with plasma folate and vitamin B‐12 in a cohort of 93 healthy postmenopausal women of Chinese‐Singaporean descent. The parameters examined were areal (aBMD) and volumetric BMD (vBMD) of the proximal femur and the third lumbar vertebra (L3), total body aBMD, proximal femur bending, compressive and impact strength indices (composite strength indices) and circulating levels of C‐telopeptide of type I collagen. Eighteen participants (19.4%) had aBMD in the osteoporotic range (osteoporosis group), 59 (63.4%) in the osteopenic range (osteopenia group), and the remaining 16 (17.2%) in the normal range (normal BMD group). Circulating folate levels were significantly higher in the normal BMD group compared with the osteoporosis group. Using linear regression analysis, we found that overall, aBMD and vBMD are positively associated with folate concentrations, whereas composite strength indices were positively associated with vitamin B‐12 concentrations. These findings support the existing literature and suggest a link between levels of circulating folate/vitamin B‐12 and BMD/bone strength in the cohort examined. Further investigation is needed to examine if individuals with inadequate circulating levels of these nutrients could decrease their risk for fragility fractures through better nutrition or vitamin supplementation. © 2020 The Authors. JBMR Plus published by Wiley Periodicals, Inc. on behalf of American Society for Bone and Mineral Research © 2020 The Authors. JBMR Plus published by Wiley Periodicals LLC on behalf of American Society for Bone and Mineral Research. |
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AbstractList | ABSTRACT
The role of micronutrients such as folate and vitamin B‐12 in bone quality has been widely studied with conflicting results. Ethnicity seems to play a large role on nutrient intake, as diet varies across cultures. In this study, we examined the relationships of BMD, proximal femur strength, and bone resorption with plasma folate and vitamin B‐12 in a cohort of 93 healthy postmenopausal women of Chinese‐Singaporean descent. The parameters examined were areal (aBMD) and volumetric BMD (vBMD) of the proximal femur and the third lumbar vertebra (L3), total body aBMD, proximal femur bending, compressive and impact strength indices (composite strength indices) and circulating levels of C‐telopeptide of type I collagen. Eighteen participants (19.4%) had aBMD in the osteoporotic range (osteoporosis group), 59 (63.4%) in the osteopenic range (osteopenia group), and the remaining 16 (17.2%) in the normal range (normal BMD group). Circulating folate levels were significantly higher in the normal BMD group compared with the osteoporosis group. Using linear regression analysis, we found that overall, aBMD and vBMD are positively associated with folate concentrations, whereas composite strength indices were positively associated with vitamin B‐12 concentrations. These findings support the existing literature and suggest a link between levels of circulating folate/vitamin B‐12 and BMD/bone strength in the cohort examined. Further investigation is needed to examine if individuals with inadequate circulating levels of these nutrients could decrease their risk for fragility fractures through better nutrition or vitamin supplementation. © 2020 The Authors. JBMR Plus published by Wiley Periodicals, Inc. on behalf of American Society for Bone and Mineral Research © 2020 The Authors. JBMR Plus published by Wiley Periodicals LLC on behalf of American Society for Bone and Mineral Research. The role of micronutrients such as folate and vitamin B-12 in bone quality has been widely studied with conflicting results. Ethnicity seems to play a large role on nutrient intake, as diet varies across cultures. In this study, we examined the relationships of BMD, proximal femur strength, and bone resorption with plasma folate and vitamin B-12 in a cohort of 93 healthy postmenopausal women of Chinese-Singaporean descent. The parameters examined were areal (aBMD) and volumetric BMD (vBMD) of the proximal femur and the third lumbar vertebra (L3), total body aBMD, proximal femur bending, compressive and impact strength indices (composite strength indices) and circulating levels of C-telopeptide of type I collagen. Eighteen participants (19.4%) had aBMD in the osteoporotic range (osteoporosis group), 59 (63.4%) in the osteopenic range (osteopenia group), and the remaining 16 (17.2%) in the normal range (normal BMD group). Circulating folate levels were significantly higher in the normal BMD group compared with the osteoporosis group. Using linear regression analysis, we found that overall, aBMD and vBMD are positively associated with folate concentrations, whereas composite strength indices were positively associated with vitamin B-12 concentrations. These findings support the existing literature and suggest a link between levels of circulating folate/vitamin B-12 and BMD/bone strength in the cohort examined. Further investigation is needed to examine if individuals with inadequate circulating levels of these nutrients could decrease their risk for fragility fractures through better nutrition or vitamin supplementation. © 2020 The Authors. published by Wiley Periodicals, Inc. on behalf of American Society for Bone and Mineral Research © 2020 The Authors. published by Wiley Periodicals LLC on behalf of American Society for Bone and Mineral Research. The role of micronutrients such as folate and vitamin B-12 in bone quality has been widely studied with conflicting results. Ethnicity seems to play a large role on nutrient intake, as diet varies across cultures. In this study, we examined the relationships of BMD, proximal femur strength, and bone resorption with plasma folate and vitamin B-12 in a cohort of 93 healthy postmenopausal women of Chinese-Singaporean descent. The parameters examined were areal (aBMD) and volumetric BMD (vBMD) of the proximal femur and the third lumbar vertebra (L3), total body aBMD, proximal femur bending, compressive and impact strength indices (composite strength indices) and circulating levels of C-telopeptide of type I collagen. Eighteen participants (19.4%) had aBMD in the osteoporotic range (osteoporosis group), 59 (63.4%) in the osteopenic range (osteopenia group), and the remaining 16 (17.2%) in the normal range (normal BMD group). Circulating folate levels were significantly higher in the normal BMD group compared with the osteoporosis group. Using linear regression analysis, we found that overall, aBMD and vBMD are positively associated with folate concentrations, whereas composite strength indices were positively associated with vitamin B-12 concentrations. These findings support the existing literature and suggest a link between levels of circulating folate/vitamin B-12 and BMD/bone strength in the cohort examined. Further investigation is needed to examine if individuals with inadequate circulating levels of these nutrients could decrease their risk for fragility fractures through better nutrition or vitamin supplementation. © 2020 The Authors. JBMR Plus published by Wiley Periodicals, Inc. on behalf of American Society for Bone and Mineral Research © 2020 The Authors. JBMR Plus published by Wiley Periodicals LLC on behalf of American Society for Bone and Mineral Research. The role of micronutrients such as folate and vitamin B‐12 in bone quality has been widely studied with conflicting results. Ethnicity seems to play a large role on nutrient intake, as diet varies across cultures. In this study, we examined the relationships of BMD, proximal femur strength, and bone resorption with plasma folate and vitamin B‐12 in a cohort of 93 healthy postmenopausal women of Chinese‐Singaporean descent. The parameters examined were areal (aBMD) and volumetric BMD (vBMD) of the proximal femur and the third lumbar vertebra (L3), total body aBMD, proximal femur bending, compressive and impact strength indices (composite strength indices) and circulating levels of C‐telopeptide of type I collagen. Eighteen participants (19.4%) had aBMD in the osteoporotic range (osteoporosis group), 59 (63.4%) in the osteopenic range (osteopenia group), and the remaining 16 (17.2%) in the normal range (normal BMD group). Circulating folate levels were significantly higher in the normal BMD group compared with the osteoporosis group. Using linear regression analysis, we found that overall, aBMD and vBMD are positively associated with folate concentrations, whereas composite strength indices were positively associated with vitamin B‐12 concentrations. These findings support the existing literature and suggest a link between levels of circulating folate/vitamin B‐12 and BMD/bone strength in the cohort examined. Further investigation is needed to examine if individuals with inadequate circulating levels of these nutrients could decrease their risk for fragility fractures through better nutrition or vitamin supplementation. © 2020 The Authors. JBMR Plus published by Wiley Periodicals, Inc. on behalf of American Society for Bone and Mineral Research © 2020 The Authors. JBMR Plus published by Wiley Periodicals LLC on behalf of American Society for Bone and Mineral Research. ABSTRACT The role of micronutrients such as folate and vitamin B‐12 in bone quality has been widely studied with conflicting results. Ethnicity seems to play a large role on nutrient intake, as diet varies across cultures. In this study, we examined the relationships of BMD, proximal femur strength, and bone resorption with plasma folate and vitamin B‐12 in a cohort of 93 healthy postmenopausal women of Chinese‐Singaporean descent. The parameters examined were areal (aBMD) and volumetric BMD (vBMD) of the proximal femur and the third lumbar vertebra (L3), total body aBMD, proximal femur bending, compressive and impact strength indices (composite strength indices) and circulating levels of C‐telopeptide of type I collagen. Eighteen participants (19.4%) had aBMD in the osteoporotic range (osteoporosis group), 59 (63.4%) in the osteopenic range (osteopenia group), and the remaining 16 (17.2%) in the normal range (normal BMD group). Circulating folate levels were significantly higher in the normal BMD group compared with the osteoporosis group. Using linear regression analysis, we found that overall, aBMD and vBMD are positively associated with folate concentrations, whereas composite strength indices were positively associated with vitamin B‐12 concentrations. These findings support the existing literature and suggest a link between levels of circulating folate/vitamin B‐12 and BMD/bone strength in the cohort examined. Further investigation is needed to examine if individuals with inadequate circulating levels of these nutrients could decrease their risk for fragility fractures through better nutrition or vitamin supplementation. © 2020 The Authors. JBMR Plus published by Wiley Periodicals, Inc. on behalf of American Society for Bone and Mineral Research © 2020 The Authors. JBMR Plus published by Wiley Periodicals LLC on behalf of American Society for Bone and Mineral Research. |
Author | Leek, Francesca Kruger, Marlena C Koh, Huann Rong Totman, John J Wang, Nan Xin Kalimeri, Maria Henry, Christiani Jeyakumar Cameron‐Smith, David Roy, Nicole C |
AuthorAffiliation | 6 Department of Human Nutrition University of Otago Dunedin New Zealand 1 Clinical Imaging Research Centre, Yong Loo Lin School of Medicine National University of Singapore Republic of Singapore 4 High‐Value Nutrition, National Science Challenge, Liggins Institute The University of Auckland Auckland New Zealand 2 Clinical Nutrition Research Centre, Singapore Institute for Food and Biotechnology Innovation Agency for Science, Technology and Research (ASTAR) Republic of Singapore 5 Riddet Institute Massey University Palmerston North New Zealand 3 Food Nutrition & Health Team AgResearch Grasslands Palmerston North New Zealand 9 School of Health Sciences Massey University Palmerston North New Zealand 7 Liggins Institute The University of Auckland Auckland New Zealand 8 Singapore Institute for Clinical Sciences, Agency for Science Technology and Research (ASTAR) Republic of Singapore |
AuthorAffiliation_xml | – name: 1 Clinical Imaging Research Centre, Yong Loo Lin School of Medicine National University of Singapore Republic of Singapore – name: 3 Food Nutrition & Health Team AgResearch Grasslands Palmerston North New Zealand – name: 5 Riddet Institute Massey University Palmerston North New Zealand – name: 4 High‐Value Nutrition, National Science Challenge, Liggins Institute The University of Auckland Auckland New Zealand – name: 9 School of Health Sciences Massey University Palmerston North New Zealand – name: 6 Department of Human Nutrition University of Otago Dunedin New Zealand – name: 2 Clinical Nutrition Research Centre, Singapore Institute for Food and Biotechnology Innovation Agency for Science, Technology and Research (ASTAR) Republic of Singapore – name: 8 Singapore Institute for Clinical Sciences, Agency for Science Technology and Research (ASTAR) Republic of Singapore – name: 7 Liggins Institute The University of Auckland Auckland New Zealand |
Author_xml | – sequence: 1 givenname: Maria orcidid: 0000-0002-2807-6512 surname: Kalimeri fullname: Kalimeri, Maria email: medv2358@nus.edu.sg organization: National University of Singapore – sequence: 2 givenname: Francesca surname: Leek fullname: Leek, Francesca organization: National University of Singapore – sequence: 3 givenname: Nan Xin surname: Wang fullname: Wang, Nan Xin organization: Agency for Science, Technology and Research (ASTAR) – sequence: 4 givenname: Huann Rong surname: Koh fullname: Koh, Huann Rong organization: Agency for Science, Technology and Research (ASTAR) – sequence: 5 givenname: Nicole C surname: Roy fullname: Roy, Nicole C organization: The University of Auckland – sequence: 6 givenname: David surname: Cameron‐Smith fullname: Cameron‐Smith, David organization: Technology and Research (ASTAR) – sequence: 7 givenname: Marlena C surname: Kruger fullname: Kruger, Marlena C organization: Massey University – sequence: 8 givenname: Christiani Jeyakumar surname: Henry fullname: Henry, Christiani Jeyakumar organization: Agency for Science, Technology and Research (ASTAR) – sequence: 9 givenname: John J surname: Totman fullname: Totman, John J organization: National University of Singapore |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/33103028$$D View this record in MEDLINE/PubMed |
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Copyright | 2020 The Authors. published by Wiley Periodicals LLC on behalf of American Society for Bone and Mineral Research. 2020 The Authors. JBMR Plus published by Wiley Periodicals LLC on behalf of American Society for Bone and Mineral Research. 2020. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. |
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Keywords | POSTMENOPAUSE BONE MINERAL DENSITY HIP STRENGTH FOLATE VITAMIN B‐12 |
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Notes | Role of Glycaemic Index and High Protein Meal in Response of Blood Biomarkers for Pre‐diabetes. http://clinicaltrials.gov/show/NCT03309254 Public clinical trial registration ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Public clinical trial registration: http://clinicaltrials.gov/show/NCT03309254; Role of Glycaemic Index and High Protein Meal in Response of Blood Biomarkers for Pre‐diabetes. |
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Snippet | ABSTRACT
The role of micronutrients such as folate and vitamin B‐12 in bone quality has been widely studied with conflicting results. Ethnicity seems to play a... The role of micronutrients such as folate and vitamin B-12 in bone quality has been widely studied with conflicting results. Ethnicity seems to play a large... The role of micronutrients such as folate and vitamin B‐12 in bone quality has been widely studied with conflicting results. Ethnicity seems to play a large... ABSTRACT The role of micronutrients such as folate and vitamin B‐12 in bone quality has been widely studied with conflicting results. Ethnicity seems to play a... |
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SubjectTerms | Age Biomarkers Body composition Bone density BONE MINERAL DENSITY Bone resorption Bone strength Collagen Collagen (type I) Diabetes Dietary supplements Femur FOLATE Folic acid Fractures Glucose HIP STRENGTH Homocysteine Hormone replacement therapy Immunoassay Insulin resistance Laboratories Micronutrients Nutrients Nutrition research Original Osteopenia Osteoporosis Plasma Post-menopause POSTMENOPAUSE Statistical analysis Vertebrae Vitamin B VITAMIN B‐12 Vitamin D Womens health |
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Title | Folate and Vitamin B‐12 Status Is Associated With Bone Mineral Density and Hip Strength of Postmenopausal Chinese‐Singaporean Women |
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