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Erschienen in: Osteoporosis International 3/2014

01.03.2014 | Original Article

An investigation of the association between omega 3 FA and bone mineral density among older adults: results from the National Health and Nutrition Examination Survey years 2005–2008

verfasst von: K. M. Mangano, J. E. Kerstetter, A. M. Kenny, K. L. Insogna, S. J. Walsh

Erschienen in: Osteoporosis International | Ausgabe 3/2014

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Abstract

Summary

The relation of omega 3 fatty acids (n-3 FA) with bone mineral density (BMD) was assessed among adults >60 years; NHANES data (2005–2008). The association of dietary n-3 FA with measures of hip BMD was equivocal, but n-3 FA supplement use was significantly associated with higher spine BMD—a finding that deserves further study.

Introduction

Associations between polyunsaturated fatty acids and bone mineral density are not well understood.

Purpose

To evaluate the cross-sectional relation between dietary omega 3 fatty acid intake (specifically docosahexaenoic acid, eicosapentaenoic acid, and octadecatetraenoic) and BMD at the hip and spine among older adults.

Methods

Omega 3 FA intake (g/day) was assessed from two 24-h recalls using the National Health and Nutrition Examination Survey (NHANES, in 2005–2008); and omega 3 FA supplement use (yes/no) via questionnaire. Multivariable regression models were developed to explain variance in femoral neck, total femur, and lumbar spine BMD among 2,125 men and women over 60 years.

Results

Mean age was 70 years. In adjusted models, dietary omega 3 FA were marginally associated with greater femoral neck BMD (p = 0.0505), but not with total femur BMD (p = 0.95) or lumbar spine BMD (p = 0.74). Omega 3 supplement use was significantly positively associated with lumbar spine BMD (p = 0.005) but not with femoral neck or total femur BMD.

Conclusions

Dietary intakes of omega 3 FA were marginally associated with femoral neck BMD; however, omega 3 supplement use was significantly associated with higher lumbar spine BMD in older adults. These results emphasize the need for assessment of total omega 3 intakes (diet and supplements) to provide a greater range of intake and a more accurate picture of the relation between omega 3 FA and BMD.
Literatur
1.
Zurück zum Zitat Bone Health and Osteoporosis: A Report of the Surgeon General. (2004) Reports of the Surgeon General. Rockville (MD) Bone Health and Osteoporosis: A Report of the Surgeon General. (2004) Reports of the Surgeon General. Rockville (MD)
2.
Zurück zum Zitat Leibson CL, Tosteson AN, Gabriel SE, Ransom JE, Melton LJ (2002) Mortality, disability, and nursing home use for persons with and without hip fracture: a population-based study. J Am Geriatr Soc 50(10):1644–1650PubMedCrossRef Leibson CL, Tosteson AN, Gabriel SE, Ransom JE, Melton LJ (2002) Mortality, disability, and nursing home use for persons with and without hip fracture: a population-based study. J Am Geriatr Soc 50(10):1644–1650PubMedCrossRef
3.
Zurück zum Zitat Burge R, Dawson-Hughes B, Solomon DH, Wong JB, King A, Tosteson A (2007) Incidence and economic burden of osteoporosis-related fractures in the United States, 2005–2025. J Bone Miner Res 22(3):465–475. doi:10.1359/jbmr.061113 PubMedCrossRef Burge R, Dawson-Hughes B, Solomon DH, Wong JB, King A, Tosteson A (2007) Incidence and economic burden of osteoporosis-related fractures in the United States, 2005–2025. J Bone Miner Res 22(3):465–475. doi:10.​1359/​jbmr.​061113 PubMedCrossRef
4.
Zurück zum Zitat Kris-Etherton PM, Taylor DS, Yu-Poth S, Huth P, Moriarty K, Fishell V, Hargrove RL, Zhao G, Etherton TD (2000) Polyunsaturated fatty acids in the food chain in the United States. Am J Clin Nutr 71(1 Suppl):179S–188SPubMed Kris-Etherton PM, Taylor DS, Yu-Poth S, Huth P, Moriarty K, Fishell V, Hargrove RL, Zhao G, Etherton TD (2000) Polyunsaturated fatty acids in the food chain in the United States. Am J Clin Nutr 71(1 Suppl):179S–188SPubMed
5.
Zurück zum Zitat Simopoulos AP (2008) The importance of the omega-6/omega-3 fatty acid ratio in cardiovascular disease and other chronic diseases. Exp Biol Med 233(6):674–688. doi:10.3181/0711-MR-311 CrossRef Simopoulos AP (2008) The importance of the omega-6/omega-3 fatty acid ratio in cardiovascular disease and other chronic diseases. Exp Biol Med 233(6):674–688. doi:10.​3181/​0711-MR-311 CrossRef
6.
Zurück zum Zitat Weiss LA, Barrett-Connor E, von Muhlen D (2005) Ratio of n-6 to n-3 fatty acids and bone mineral density in older adults: the Rancho Bernardo Study. Am J Clin Nutr 81(4):934–938PubMed Weiss LA, Barrett-Connor E, von Muhlen D (2005) Ratio of n-6 to n-3 fatty acids and bone mineral density in older adults: the Rancho Bernardo Study. Am J Clin Nutr 81(4):934–938PubMed
8.
Zurück zum Zitat Kettler DB (2001) Can manipulation of the ratios of essential fatty acids slow the rapid rate of postmenopausal bone loss? Alternative Med Rev 6(1):61–77 Kettler DB (2001) Can manipulation of the ratios of essential fatty acids slow the rapid rate of postmenopausal bone loss? Alternative Med Rev 6(1):61–77
9.
Zurück zum Zitat Watkins BA, Li Y, Lippman HE, Feng S (2003) Modulatory effect of omega-3 polyunsaturated fatty acids on osteoblast function and bone metabolism. Prostaglandins Leukot Essent Fatty Acids 68(6):387–398PubMedCrossRef Watkins BA, Li Y, Lippman HE, Feng S (2003) Modulatory effect of omega-3 polyunsaturated fatty acids on osteoblast function and bone metabolism. Prostaglandins Leukot Essent Fatty Acids 68(6):387–398PubMedCrossRef
11.
Zurück zum Zitat Farina EK, Kiel DP, Roubenoff R, Schaefer EJ, Cupples LA, Tucker KL (2011) Dietary intakes of arachidonic acid and alpha-linolenic acid are associated with reduced risk of hip fracture in older adults. J Nutr 141(6):1146–1153. doi:10.3945/jn.110.133728 PubMedCrossRef Farina EK, Kiel DP, Roubenoff R, Schaefer EJ, Cupples LA, Tucker KL (2011) Dietary intakes of arachidonic acid and alpha-linolenic acid are associated with reduced risk of hip fracture in older adults. J Nutr 141(6):1146–1153. doi:10.​3945/​jn.​110.​133728 PubMedCrossRef
12.
Zurück zum Zitat Farina EK, Kiel DP, Roubenoff R, Schaefer EJ, Cupples LA, Tucker KL (2011) Protective effects of fish intake and interactive effects of long-chain polyunsaturated fatty acid intakes on hip bone mineral density in older adults: the Framingham Osteoporosis Study. Am J Clin Nutr 93(5):1142–1151. doi:10.3945/ajcn.110.005926 PubMedCrossRef Farina EK, Kiel DP, Roubenoff R, Schaefer EJ, Cupples LA, Tucker KL (2011) Protective effects of fish intake and interactive effects of long-chain polyunsaturated fatty acid intakes on hip bone mineral density in older adults: the Framingham Osteoporosis Study. Am J Clin Nutr 93(5):1142–1151. doi:10.​3945/​ajcn.​110.​005926 PubMedCrossRef
13.
Zurück zum Zitat Farina EK, Kiel DP, Roubenoff R, Schaefer EJ, Cupples LA, Tucker KL (2012) Plasma phosphatidylcholine concentrations of polyunsaturated fatty acids are differentially associated with hip bone mineral density and hip fracture in older adults: the Framingham Osteoporosis Study. J Bone Miner Res 27(5):1222–1230. doi:10.1002/jbmr.1581 PubMedCentralPubMedCrossRef Farina EK, Kiel DP, Roubenoff R, Schaefer EJ, Cupples LA, Tucker KL (2012) Plasma phosphatidylcholine concentrations of polyunsaturated fatty acids are differentially associated with hip bone mineral density and hip fracture in older adults: the Framingham Osteoporosis Study. J Bone Miner Res 27(5):1222–1230. doi:10.​1002/​jbmr.​1581 PubMedCentralPubMedCrossRef
14.
Zurück zum Zitat Orchard TS, Cauley JA, Frank GC, Neuhouser ML, Robinson JG, Snetselaar L, Tylavsky F, Wactawski-Wende J, Young AM, Lu B, Jackson RD (2010) Fatty acid consumption and risk of fracture in the Women's Health Initiative. Am J Clin Nutr 92(6):1452–1460. doi:10.3945/ajcn.2010.29955 PubMedCrossRef Orchard TS, Cauley JA, Frank GC, Neuhouser ML, Robinson JG, Snetselaar L, Tylavsky F, Wactawski-Wende J, Young AM, Lu B, Jackson RD (2010) Fatty acid consumption and risk of fracture in the Women's Health Initiative. Am J Clin Nutr 92(6):1452–1460. doi:10.​3945/​ajcn.​2010.​29955 PubMedCrossRef
15.
Zurück zum Zitat Virtanen JK, Mozaffarian D, Cauley JA, Mukamal KJ, Robbins J, Siscovick DS (2010) Fish consumption, bone mineral density, and risk of hip fracture among older adults: the cardiovascular health study. J Bone Miner Res 25(9):1972–1979. doi:10.1002/jbmr.87 PubMedCrossRef Virtanen JK, Mozaffarian D, Cauley JA, Mukamal KJ, Robbins J, Siscovick DS (2010) Fish consumption, bone mineral density, and risk of hip fracture among older adults: the cardiovascular health study. J Bone Miner Res 25(9):1972–1979. doi:10.​1002/​jbmr.​87 PubMedCrossRef
16.
17.
Zurück zum Zitat Jarvinen R, Tuppurainen M, Erkkila AT, Penttinen P, Karkkainen M, Salovaara K, Jurvelin JS, Kroger H (2011) Associations of dietary polyunsaturated fatty acids with bone mineral density in elderly women. Eur J Clin Nutr. doi:10.1038/ejcn.2011.188 PubMed Jarvinen R, Tuppurainen M, Erkkila AT, Penttinen P, Karkkainen M, Salovaara K, Jurvelin JS, Kroger H (2011) Associations of dietary polyunsaturated fatty acids with bone mineral density in elderly women. Eur J Clin Nutr. doi:10.​1038/​ejcn.​2011.​188 PubMed
21.
Zurück zum Zitat Krall EA, Dawson-Hughes B, Garvey AJ, Garcia RI (1997) Smoking, smoking cessation, and tooth loss. J Dent Res 76(10):1653–1659PubMedCrossRef Krall EA, Dawson-Hughes B, Garvey AJ, Garcia RI (1997) Smoking, smoking cessation, and tooth loss. J Dent Res 76(10):1653–1659PubMedCrossRef
22.
Zurück zum Zitat Blanton CA, Moshfegh AJ, Baer DJ, Kretsch MJ (2006) The USDA automated multiple-pass method accurately estimates group total energy and nutrient intake. J Nutr 136(10):2594–2599PubMed Blanton CA, Moshfegh AJ, Baer DJ, Kretsch MJ (2006) The USDA automated multiple-pass method accurately estimates group total energy and nutrient intake. J Nutr 136(10):2594–2599PubMed
25.
Zurück zum Zitat Survey NHaE (January 2007) Dual energy X-ray absorptiometry (DXA) procedures manual. Survey NHaE (January 2007) Dual energy X-ray absorptiometry (DXA) procedures manual.
26.
Zurück zum Zitat Trumbo P, Schlicker S, Yates AA, Poos M, Food, Nutrition Board of the Institute of Medicine TNA (2002) Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein and amino acids. J Am Diet Assoc 102(11):1621–1630PubMedCrossRef Trumbo P, Schlicker S, Yates AA, Poos M, Food, Nutrition Board of the Institute of Medicine TNA (2002) Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein and amino acids. J Am Diet Assoc 102(11):1621–1630PubMedCrossRef
27.
Zurück zum Zitat Report of the Dietary Guidelines Advisory Committee on the Dietary Guidelines for Americans, 2005. Washington, DC Report of the Dietary Guidelines Advisory Committee on the Dietary Guidelines for Americans, 2005. Washington, DC
28.
Zurück zum Zitat World Health Organization (2003) Population nutrient intake goals for preventing diet-related chronic diseases: Geneva, Switzerland World Health Organization (2003) Population nutrient intake goals for preventing diet-related chronic diseases: Geneva, Switzerland
30.
Zurück zum Zitat Hogstrom M, Nordstrom P, Nordstrom A (2007) n-3 Fatty acids are positively associated with peak bone mineral density and bone accrual in healthy men: the NO2 Study. Am J Clin Nutr 85(3):803–807PubMed Hogstrom M, Nordstrom P, Nordstrom A (2007) n-3 Fatty acids are positively associated with peak bone mineral density and bone accrual in healthy men: the NO2 Study. Am J Clin Nutr 85(3):803–807PubMed
32.
Zurück zum Zitat Kris-Etherton PM, Harris WS, Appel LJ, American Heart Association. Nutrition C (2002) Fish consumption, fish oil, omega-3 fatty acids, and cardiovascular disease. Circulation 106(21):2747–2757PubMedCrossRef Kris-Etherton PM, Harris WS, Appel LJ, American Heart Association. Nutrition C (2002) Fish consumption, fish oil, omega-3 fatty acids, and cardiovascular disease. Circulation 106(21):2747–2757PubMedCrossRef
33.
Zurück zum Zitat Terano T (2001) Effect of omega 3 polyunsaturated fatty acid ingestion on bone metabolism and osteoporosis. World Rev Nutr Diet 88:141–147PubMedCrossRef Terano T (2001) Effect of omega 3 polyunsaturated fatty acid ingestion on bone metabolism and osteoporosis. World Rev Nutr Diet 88:141–147PubMedCrossRef
34.
Zurück zum Zitat Bassey EJ, Littlewood JJ, Rothwell MC, Pye DW (2000) Lack of effect of supplementation with essential fatty acids on bone mineral density in healthy pre- and postmenopausal women: two randomized controlled trials of Efacal v. calcium alone. Br J Nutr 83(6):629–635PubMedCrossRef Bassey EJ, Littlewood JJ, Rothwell MC, Pye DW (2000) Lack of effect of supplementation with essential fatty acids on bone mineral density in healthy pre- and postmenopausal women: two randomized controlled trials of Efacal v. calcium alone. Br J Nutr 83(6):629–635PubMedCrossRef
35.
Zurück zum Zitat Appleton KM, Fraser WD, Rogers PJ, Ness AR, Tobias JH (2010) Supplementation with a low-moderate dose of n-3 long-chain PUFA has no short-term effect on bone resorption in human adults. Br J Nutr:1–5. doi:10.1017/S0007114510004861 Appleton KM, Fraser WD, Rogers PJ, Ness AR, Tobias JH (2010) Supplementation with a low-moderate dose of n-3 long-chain PUFA has no short-term effect on bone resorption in human adults. Br J Nutr:1–5. doi:10.1017/S0007114510004861
38.
Zurück zum Zitat Watkins BA, Shen CL, Allen KG, Seifert MF (1996) Dietary (n-3) and (n-6) polyunsaturates and acetylsalicylic acid alter ex vivo PGE2 biosynthesis, tissue IGF-I levels, and bone morphometry in chicks. J Bone Miner Res 11(9):1321–1332. doi:10.1002/jbmr.5650110917 PubMedCrossRef Watkins BA, Shen CL, Allen KG, Seifert MF (1996) Dietary (n-3) and (n-6) polyunsaturates and acetylsalicylic acid alter ex vivo PGE2 biosynthesis, tissue IGF-I levels, and bone morphometry in chicks. J Bone Miner Res 11(9):1321–1332. doi:10.​1002/​jbmr.​5650110917 PubMedCrossRef
39.
Zurück zum Zitat Watkins BA, Li Y, Allen KG, Hoffmann WE, Seifert MF (2000) Dietary ratio of (n-6)/(n-3) polyunsaturated fatty acids alters the fatty acid composition of bone compartments and biomarkers of bone formation in rats. J Nutr 130(9):2274–2284PubMed Watkins BA, Li Y, Allen KG, Hoffmann WE, Seifert MF (2000) Dietary ratio of (n-6)/(n-3) polyunsaturated fatty acids alters the fatty acid composition of bone compartments and biomarkers of bone formation in rats. J Nutr 130(9):2274–2284PubMed
41.
Zurück zum Zitat Haubrock J, Nothlings U, Volatier JL, Dekkers A, Ocke M, Harttig U, Illner AK, Knuppel S, Andersen LF, Boeing H, European Food Consumption Validation C (2011) Estimating usual food intake distributions by using the multiple source method in the EPIC-Potsdam Calibration Study. J Nutr 141(5):914–920. doi:10.3945/jn.109.120394 PubMedCrossRef Haubrock J, Nothlings U, Volatier JL, Dekkers A, Ocke M, Harttig U, Illner AK, Knuppel S, Andersen LF, Boeing H, European Food Consumption Validation C (2011) Estimating usual food intake distributions by using the multiple source method in the EPIC-Potsdam Calibration Study. J Nutr 141(5):914–920. doi:10.​3945/​jn.​109.​120394 PubMedCrossRef
42.
Metadaten
Titel
An investigation of the association between omega 3 FA and bone mineral density among older adults: results from the National Health and Nutrition Examination Survey years 2005–2008
verfasst von
K. M. Mangano
J. E. Kerstetter
A. M. Kenny
K. L. Insogna
S. J. Walsh
Publikationsdatum
01.03.2014
Verlag
Springer London
Erschienen in
Osteoporosis International / Ausgabe 3/2014
Print ISSN: 0937-941X
Elektronische ISSN: 1433-2965
DOI
https://doi.org/10.1007/s00198-013-2501-8

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