Asupan vitamin, mineral, rasio asupan kalsium dan fosfor dan hubungannya dengan kepadatan mineral tulang kalkaneus wanita

https://doi.org/10.22146/ijcn.17752

Rita Ramayulis(1*), I Dewa Pramantara(2), Retno Pangastuti(3)

(1) Jurusan Gizi Politeknik Kesehatan Departemen Kesehatan RI Jakarta
(2) Bagian Penyakit Dalam RS Dr. Sardjito Yogyakarta
(3) Instalasi Gizi RS Dr. Sardjito Yogyakarta
(*) Corresponding Author

Abstract


Background: The prevalence of osteoporosis as defined by bone mineral density (BMD) > - 2.5 below the average of young women in Indonesia is not yet known; however the risk for the prevalence of osteoporosis is relatively high. Nutrients especially micronutrients have an important role in maintaining bone status. Yet, until today millions of people have micronutrient deficiency in vitamin and mineral such as calcium, zinc and beta-carotene.

Objective: To identify the relationship between intake of vitamin A, C and mineral calcium, phosphor, zinc and ratio of intake of calcium and phosphor and BMD.

Method: The study was observational with cross sectional design. Subject of the study were young women of 35 – 40 years old at Health Fitness Centre of the Ministry of Health in 2007.  There were as many as 102 subjects purposively taken. The dependent variable of the study was BMD and the independent variables were intake of vitamin A, C, and mineral calcium, phosphor, zinc and ratio of calcium and phosphor intake. The confounding variables were nutritional status, exercise, smoking, alcohol consumption, caffeine consumption, genetic, disease and medication factors. Intake data were obtained through blood record and food frequency methods. Data analysis used chi square, Fisher’s exact test and independent t-test.

Results: The proportion of BMD of young women was 6,9% osteoporosis, 32,4% osteopenia and 60,8% normal. Young women with good intake of vitamin A and C, calcium, phosphor, zinc had average score of BMD as much as 0,35 point; 0,36 point and 0,97 point; 1,02 point; 1,26 point subsequently higher than those with less intake. Young women with ratio of good calcium and phosphor intake had BMD score as much as 1,13 point lower than those with ratio of poor calcium and phosphor intake. However, the relationship between intake of vitamin A, C, calcium, phosphor, zinc and ratio of calcium and phosphor intake and BMD was statistically insignificant (p>0.05).

Conclusion: The relationship between intake of vitamin A, C, calcium, phosphor, zinc and ratio of calcium and phosphor intake and BMD was statistically insignifcant. Young women with good intake of vitamin A, C and calcium, phosphor, zinc tended to have higher score of BMD than those with poor intake.


Keywords


vitamin A; vitamin C; calcium; phosphor; zinc; bone mineral density

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References

Departemen Kesehatan RI. 1 dari 3 wanita dan 1 dari 5 pria memiliki kecenderungan menderita osteoporosis. News Letter 2005; 9.

Anderson JB. Nutrition for bone health (krause’s food, nutrition, and diet therapy) editor L Kathleen Mahan, Sylvia Escott-Stump WB. Philadelphia, Pennsylvania: Saunders company; 2000.

Weaver CM. Calcium requirements of physically active people. Am J Clin Nutr 2000;72(2):579s-84s.

Susanti E, Pramantara IDP, Pangastuti R. Asupan kalsium, vitamin D, kafein, merokok, indeks massa tubuh dan hubungannya dengan kejadian osteoporosis pada pria di Kecamatan Duren Sawit, Jakarta Timur. Jurnal Gizi Klinik Indonesia 2009; 6(2): 53-9.

Serfontein WJ. Osteoporosis : new perspectives. The South African Journal of Natural Medicine [serial online] 2005 [cited 2006 Jun 21]. Available from;http:// www.naturalmedicine.co.za/sajnm_main/article. php?story=20030724105453400.

New SA, Robins SP, Campbell MK, Martin JC, Garton MJ, Bolton-Smith C, Grubb DA, Lee SJ, Reid DM. Dietary, influences on bone mass and bone metabolism : further evidence of a positive link between fruit and vegetable consumption and bone health. Am J of Clin Nutr 2000; 71(1):142-51.

Almatsier S. Prinsip dasar ilmu gizi. Jakarta: Gramedia; 2003. 8. UNICEF. Vitamin & mineral deficiency, a global progress report; 2003.

Rebecca J, Bryant MS, Cadogan JO, Weaver CM. The new dietary reference intakes for calcium: implications for osteoporosis. J Am Coll Nutr 1999;18(90005):406S- 12S.

Lwanga SK, Lemeshow S. Sample size determination in health studies, a practical manual. WHO: Geneva; 2005.

Sastroasmoro A, Ismael S. Dasar-dasar metodologi penelitian klinis. Jakarta : Sagung Seto; 2002.

Promislow JH, Goadman GD, Slymen DJ, Elizabeth BC. Retinol intake and bone mineral density in the elderly ; the Rancho Bernardo study. J Bone Mineral Res 2002; 17(8): 1349-58.

Sankaran B. Osteoporosis; clinical, radiological, histological, assessment and an experimental study. New Delhi, India: World Health Organisation; 2000.

Rejnmark P, Vestegaard P, Charles P, Hermann AP, Brot C, Eiken P, Mosekilde L. No effect of vitamin A intake on bone mineral density and fracture risk in perimenopausal women. Osteoporosis Int; 15 (11):872-80.

Johansson, Sara. Vitamin A and osteoporosis : experimental and clinical studies [dissertation]. Sweden: Upssala University; 2004.

Skelly, A. Too much vitamin A bad for bones. The Swedish Research, Medical post, Totonto [serial online] 2003 [cited 2006 Jun 21];39(7):21. Available from : http://proquest.umi.com/pqdweb?did=294971311&sid=5&Fmt=2&clientld=58310&RQT=309&VName=PQD.

Branca, F. Calcium, micronutrients and physical activity to maximize bone mass during growth. Rome, Italy: The national Institute of Nutrition; 1997.

Kaptoge S, Welch A, McTaggart, Mulligan A, Dalzell N, Day NE, Bingham S, Khaw KT, Reeve J. Effects of dietary nutrients and food groups on bone loss from the proximal femur in men and women in the 7th and 8th decades of age. Osteoporosis Int; 14(5): 418-28.

Nicholson, P. Activity essential for young women to build bone mineral content. Medical Post, Toronto [serial online] 2006 [cited 2006 Jun 21];42(23):38. Available from: http://proquest.umi.com/pqdweb?index=0&sid=1&srchmode=1&vinst=PROD&fmt=3.

Wolf RL, Cauley JA, Pettinger M, Jackson R, Lacroix A, Leboff MS, Lewis CE, Nevitt MC, Simon JA, Stone KL, Wactawski-Wende J. Lack of a relation between vitamin and mineral antioxidants and bone mineral density: results from the women’s health initiative. Am J Clin Nutr; 82(3): 581-8.

Segal E, Dvorkin L, Lavy A, Rozen GS, Yaniv I, Raz B, Tamir A, Ish-Shalom S. Bone density in axial and appendicular skeletaon in patients with lactose intolerance: influence of calcium intake and vitamin D status. J Am Coll Nutr 2003; 22(3): 201-7.

MacDonald, Bishop H. Protein and calcium ; a winning combination. The Canadian Nurse 2003; 99(9).

Vainionpaa R, Korpelainen R, Vihriala E, Rinta-Paalova A, Leppaluoto J, Jamsa T. Intensity of exercise is associated with bone density change in premenoupausal women. Osteoporos Int 2006;17(3):455-63.

Whitting SJ, Boyle JL, Thompson A, Mirwald RL, Faulkner RA. Dietary protein, phosphorus and potassium are beneficial to bone mineral density in adult men consuming adequate dietary calcium. J Am Coll Nutr 2002; 21(5):402-9.

Palacios, C. The role of nutrients in bone health, from A to Z. Crit Rev Food Sci Nutr 2006; 46(8):621-8.

Teegarden D, Lyle RM, McCabe GP, McCabe LD, Proulx WR, Michon K, Knight AP, Johnston CC, Weaver CM. Dietary calcium, protein, and phosphorus are related to bone mineral density and content in young women. Am J of Clin Nutr 1998; 68: 749-54.

Nordstrom A, Olsson T, Nordstrom P. Bone gained from physical activity and lost through detraining : a longitudinal study in young males. Osteoporosis Int 2005; 16(7):85.

Mangoenprasodjo, AS. Osteoporosis & bahaya tulang rapuh. Yogyakarta:Think Fresh; 2005.



DOI: https://doi.org/10.22146/ijcn.17752

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