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Relationship between long-term calcium intake and bone mineral content of children aged from birth to 5 years

Published online by Cambridge University Press:  09 March 2007

Warren T. K. Lee ,
Sophie S. F. Leung ,
Susan S. H. Lui  and
Joseph Lau
Warren T. K. Lee
Affiliation:
Department of Paediatrics, The Chinese University of Hong Kong, Shatin, Hong Kong
Sophie S. F. Leung
Affiliation:
Department of Paediatrics, The Chinese University of Hong Kong, Shatin, Hong Kong
Susan S. H. Lui
Affiliation:
Department of Paediatrics, The Chinese University of Hong Kong, Shatin, Hong Kong
Joseph Lau
Affiliation:
Centre for Clinical Trials and Epidemiological Research, The Chinese University of Hong Kong, Shatin, Hong Kong
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Abstract

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This study evaluated Ca intake in Hong Kong Chinese children and examined the association between long-term Ca intake and bone mineral content (BMC) in children. Longitudinal dietary intake from birth to 5 years was obtained in 128 children (sixty-seven boys, sixty-one girls). Ca intakes were evaluated by dietary history and cross-checked with food frequency and 24 h recall. At age 5 years BMC was determined at the one-third distal radius of the right arm using single-photon absorptiometry. The mean Ca intake of 133 children at 5 years was 546 (SD 325) mg/d. Milk was the chief source of Ca (43·5 %). From birth to 5 years, 90 % of the children had been taking milk regularly. The mean BMC and bone width (BW) of these children were 0·317 (SD 0·042) g/cm and 0·756 (SD 0·074) cm respectively. BMC was not correlated with current intakes of Ca, energy and protein but was positively correlated with weight (r 0·57), height (r 0·47) and BW (r 0·66). However, cumulative Ca intake throughout the past 5 years showed significant correlation with BMC (r 0·235, P = 0·0133). The significant correlation remained even after weight, height, BW, sex. and cumulative intakes of energy and protein were adjusted in multiple regression analysis (r 0·248, P = 0·0107). Moreover, using principal component analysis, Ca intake during the 2nd year of life had the strongest correlation with BMC at 5 years (r 0·240, P = 0·02). Ca intake of Hong Kong Chinese children was higher than the RDA of the Food and Agriculture Organization/World Health Organization (1962) and achieved 66% of the current US recommendation (National Research Council, 1989). The increased regular milk consumption reflects a significant change in dietary habits of the younger generation. Children with a habitually higher Ca intake throughout the past 5 years, particularly in the 2nd year, were found to have higher BMC.

Keywords

CalciumChildhoodBone mineral contentSingle-photon absorptiometry
Type
Calcium Intake and Bone Mineralisation in Children
Information
British Journal of Nutrition , Volume 70 , Issue 1 , July 1993 , pp. 235 - 248
Copyright
Copyright © The Nutrition Society 1993

References

REFERENCES

Bingham, S. A. (1987). The dietary assessment of individuals; methods, accuracy, new techniques and recommendations. Nutrition Abstracts and Reviews 51, 705 742.Google Scholar
Burke, B. S. (1947). The dietary history as a tool in research. Journal of the American Dietetic Association 23, 104 1–1046.CrossRefGoogle Scholar
Cameron, J. R., Mazess, R. B. & Sorenson, J. A. (1968). Precision and accuracy of bone mineral determination by direct photon absorptiometry. Investigative Rudiology 3, 141 150.Google ScholarPubMed
Cameron, J. R. & Sorenson, J. A. (1963). Measurement of bone mineral in vivo: an improved method. Science 142, 230–232.CrossRefGoogle ScholarPubMed
Census and Statistics Department (1981). Hong Kong Census Tables, 1981. Hong Kong: Hong Kong Government Press.Google Scholar
Census and Statistics Department (1990). General Household Survey, Labour Force Characteristics (Quarterly report, April to June 1989). Hong Kong: Hong Kong Government Press.Google Scholar
Christiansen, C. & Rodbro, P. (1975). Estimation of total body calcium from the bone mineral content of the forearm. Scandinavian Journal of Clinical Laboratory Investigation 35, 4254–431.Google ScholarPubMed
Christiansen, C., Rodbro, P. & Jensen, H. (1975). Bone mineral content in the forearm measured by photon absorptiometry. Scandinavian Journal of Clinical Laboratory Investigation 35, 323–330.CrossRefGoogle ScholarPubMed
Church, C. F. & Church, H. N. (1975). Food Values of Portions Commonly Used. Philadelphia: J. B. Lippincott Co.Google Scholar
Cohn, S. H., Ellis, K. J., Caselnova, R. C., Asad, S. N. & Letteri, J. M. (1975). Correlation of radial bone mineral content with total body calcium in chronic renal failure. Journal of Laboratory and Clinical Medicine 86, 910–919.Google ScholarPubMed
DePriester, J. A., Cole, T. J. & Bishop, N. J. (1991). Bone growth and mineralisation in children aged 4 to 10 years. Bone and Mineral 12, 57–65.CrossRefGoogle ScholarPubMed
Dequeker, J. (1988). Calcified tissues: structure-function relationships. In Calcium in Humun Biology, pp. 209–340 [Nordin, B. E. C., editor]. London: Springer-Verlag.CrossRefGoogle Scholar
Food and Agriculture Organization/World Health Organization Expert Group (1962). Calcium requirements. In FAO Nutrition Meetings Report Series No. 230. Rome: FAO.Google Scholar
Halioua, L. & Anderson, J. J. B. (1989). Lifetime calcium intake and physical activity habits: independent and combined effects on the radial bone of healthy premenopausal Caucasian women. American Journal sf Clinical Nutrition 49, 534–541.CrossRefGoogle ScholarPubMed
Institute of Health (1980). Food Composition Table. Chinese Academy of Medical Sciences, Beijing: Chinese People's Health Publishing Co.Google Scholar
Jain, M. G. (1989). Diet history: questionnaire and interview techniques used in some retrospective studies of cancer. Journal of the American Dietetic Association 89, 1647 1652.CrossRefGoogle ScholarPubMed
Johnston, C. C., Miller, J. Z., Slemenda, C. W., Reister, T. K., Hui, S., Christian, J. C. & Peacock, M. (1992). Calcium supplementation and increases in bone mineral density in children. New England Journal of Medicine 327, 82 87.CrossRefGoogle ScholarPubMed
Katzman, D. K., Bachrach, L. K., Carter, D. R. & Marcus, R. (1991). Clinical and anthropometric correlates of bone mineral acquisition in healthy adolescent girls. Journal of Clinical Endocrinology, and Metabolism 73 1332 1339.CrossRefGoogle ScholarPubMed
Kelly, P. J., Pocock, N. A., Sambrook, P. N. & Eisman, J. A. (1990). Dietary calcium, sex hormone, and bone mineral density in men. British Medical Journal 300, 1361–1364.CrossRefGoogle ScholarPubMed
Kroger, H., Kotaniemi, A., Vainio, P. & Alhava, E. (1992). Bone densitometry of the spine and femur in children by dual-energy x-ray absorptiometry. Bone and Mineral 17, 75 85.CrossRefGoogle ScholarPubMed
Lau, E. M. C. (1988). Osteoporosis in elderly Chinese (letter). British Medical Journal 296, 1263.CrossRefGoogle Scholar
Leung, S. S. F. & Davies, D. P. (1989). Anthropometric assessment of nutritional status: a need for caution. In Auxology 88, Perspectives in the Science of Growth and Development. pp. 133–137 [Tanner, J. M., editor]. London: Smith-Gordon.Google Scholar
Leung, S. S. F. & Lui, S. (1989). Chinese infants are smaller than Caucasian: nutritional or genetic? Pediatric Reviews and Communications 3, 309–316.Google Scholar
Leung, S. S. F. & Lui, S. H. (1990). Nutritive value of Hong Kong Chinese weaning diet. Nurrition Research 10, 707–715.CrossRefGoogle Scholar
Marcus, R. (1987). Calcium intake and skeletal integrity: is there a critical relationship? Journal of Nutrition 117, 631–635.CrossRefGoogle Scholar
Matkovic, V., Fontana, D., Tominac, C., Goel, P. & Chesnut, C. H. III (1990). Factors that influence peak bone mass formation: a study of calcium balance and the inheritance of bone mass in adolescent females. American Journul of Clinical Nutrition 52, 878–888.CrossRefGoogle ScholarPubMed
Matkovic, V., Kostial, K., Simonovic, I., Buzina, R., Brodarec, A. & Nordin, B. E. C. (1979). Bone status and fracture rates in two regions of Yugoslavia. American Journal of Clinical Nutrition 32, 540–549.CrossRefGoogle ScholarPubMed
Mazess, R. B. (1982). On aging bone loss. Clinical Orthopedics 165, 239–252.CrossRefGoogle Scholar
Mazess, R. B., Barden, H. S. & Ettinger, M. (1987). Spine and femur density using dual-photon absorptiometry in US white women. Bone and Mineral 2, 211–219.Google ScholarPubMed
National Institute of Health (1984). Osteoporosis: Consensus Conference. Journal of the American Medical Association 252, 799–802.CrossRefGoogle Scholar
National Research Council (1989). Food and Nutrition Board: Recommended Dietary Allowances, 10th edn. Washington, D.C.: National Academy Press.Google Scholar
Nordin, B. E. C. (1976). Plasma calcium and plasma magnesium homeostasis. In Calcium, Phosphate and Magnesium Metabolism, pp. 186–216 [Nordin, B. E. C., editor]. Edinburgh: Churchill Livingstone.Google Scholar
Paul, A. A. & Southgate, D. A. T. (1978). McCance and Widdowson's the Composition of Foods. 4th revised edn. London: H.M. Stationery Office.Google Scholar
Picard, D., Ste-Marie, L. G., Carrier, L., Chartrand, R., Lepage, R. & A'Amonr, P. (1987). Influence of calcium intake during early adulthood on bone mineral content in premenopausal women. In Calcium Regulation and Bone Metabolism: Basic and Clinical Aspects, vol. 9, pp. 128–131 [Cohn, D. V., Martin, T. J. and Meunier, P. J., editors]. Amsterdam: Elsevier.Google Scholar
Picard, D., Ste-Marie, L. G., Coutu, D., Carrier, L., Chartrand, R., Lepage, R., Fugére, P. & A'Amour, P. (1988). Premenopausal bone mineral content relates to height, weight, and calcium intake during early adulthood. Bone and Mineral 4, 299 309.Google ScholarPubMed
Pollitzer, W. S. & Anderson, J. B. (1989). Ethnic and genetic differences in bone mass: a review with a hereditary vs environment perspective. American Journal of Clinical Nutrition 50, 1244–1259.CrossRefGoogle Scholar
Prentice, A., Laskey, M. N., Shaw, J., Cole, T. J. & Fraser, D. R. (1990). Bone mineral content of Gambian and British children aged 0–36 months. Bone and Mineral 10, 211 224.CrossRefGoogle ScholarPubMed
Pun, K. K., Chan, L. W. T. & Chung, V. (1989). The problem of calcium deficiency in Hong Kong. The Hong Kong Practitioner 11, 287–294.Google Scholar
Riggs, B. L. & Melton, L. J. (1986). lnvolutional osteoporosis. The New England Journal of Medicine 314 1676 1686.CrossRefGoogle ScholarPubMed
Sandler, R. B., Slemenda, C. W., LaPorte, R. E., Cauley, J. A., Schramm, M. M., Barresi, M. L. & Kriska, A. M. (1985). Postmenopausal bone density and milk consumption in children and adolescence. American Journal of Clinical Nutrition 42, 270–274.CrossRefGoogle Scholar
Schlenker, R. A. & Von Seggen, W. W. (1976). The distribution of cortical and trabecular bone mass along the lengths of the radius and the ulna and the implications for in vivo bone mass measurements. Calcified Tissue International 20, 41–52.CrossRefGoogle ScholarPubMed
Sentipal, J. M., Wardlaw, G. M., Mahan, J. & Matkovic, V. (1991). Influence of calcium intake and growth indexes on vertebral bone mineral density in young females. American Journal of Clinical Nutrition 54, 425–428.CrossRefGoogle ScholarPubMed
Sorenson, J. A. & Cameron, J. R. (1967). A reliable in vivo measurement of bone mineral content. Journal of Bone and Joint Surgery 49A, 481–497.CrossRefGoogle Scholar
Steichen, J. J., Steichen Asch, P. A. & Tsang, R. C. (1988). Bone mineral content measurement in small infants by single-photon absorptiometry; current methodologic issues. Journal of Pediatrics 113, 181–187.CrossRefGoogle ScholarPubMed
Tung, T. C., Huang, P. C. & Li, H. C. (1961). Composition of foods used in Taiwan. Journal of the Formosan Medical Association 60, 973–1005.Google ScholarPubMed
US Department of Health, Education and Welfare (1972). Food Composition Table, for Use in South East Asia. Department of Health, Education and Welfare. Bethseda, Maryland, USA.Google Scholar
Walker, A. R. P. (1972). The human requirement of calcium: should low intakes be supplemented? American Journal of Clinical Nutrition 25, 518–530.CrossRefGoogle ScholarPubMed
Watt, B. K. & Merrill, H. L. (1983). Composition of Foods. Agriculture Handbook no. 8. U.S. Department of Agriculture, Washington, DC.Google Scholar