Asian Journal of Home Science

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Bone Mineral Density and Nutritional Status of Postmenopausal Women


Affiliations
1 Department of Dietetics, Brahm Shakti Hospital, Delhi, India
2 Department of Food and Technology, Vivekananda College (University of Delhi), Delhi, India
     

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The study was carried out to assess the nutrient intake and to identify errors in dietary habits of postmenopausal women with special relevance to bone health. Another purpose of the study was to assess their lifestyle habits including physical activity and sun- exposure. Thirty seven women aged 45 to 60 years were enrolled according to the inclusion and exclusion criteria stated in the study. Data analysis revealed that as per World Health Organization standards 75.68 per cent (28) women had normal BMD, 18.92 per cent (7) had osteopenia and 5.41 per cent (2) women were suffering from osteoporosis. Intake of energy, protein, visible fat, invisible fat, calcium, phosphorus, iron, magnesium, vitamin A, vitamin D, vitamin E, vitamin K were below the RDA (India) in the diets of about 59.46 per cent (22), 37.84 per cent (14), 29.73 per cent (11), 5.41 per cent (2), 16.22 per cent (6), 0 per cent, 59.46 per cent (22), 18.92 per cent (7), 100 per cent (37), 86.49 per cent (32), 75.68 per cent (28), 2.70 per cent (1) women, respectively.59.46 per cent (22) women were taking nutrient supplements i.e. calcium, vitamin D and multivitamins. 16.22 per cent (6) women had deficient calcium status; they were consuming significantly low dietary calcium and were not taking calcium supplements. It was found that, except 36.36 per cent (8) women (those taking Vitamin D supplements); all were deficient in vitamin D. Several reasons/ causes for lower physical activity or disinterest in regular exercise were identified. 29.73 per cent (11) postmenopausal women experienced discomfort while walking. Sub-optimal nutritional status could be one of the major contributory factor of poor bone health. In the absence of balanced diet and sun exposure, nutrient supplements become necessary to support bone health of postmenopausal women.

Keywords

Bone Mineral Density, Osteoporosis, Postmenopausal Women, Serum Vitamin D, Anthropometric Measurements.
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  • Aggarwal, Neelam, Raveendran, Ainharan, Khandelwal Niranjan, Sen Ramesh Kumar, Thakur J.S., Dhaliwal Lakhbir Kaur, Singla Veenu, and Rajaram Manoharan Sakthivel Rajan (2011). Prevalence and related risk factors of osteoporosis in peri-and postmenopausal Indian women. J. Midlife Health, 2(2):81-5

  • Alekel, D.L., Loan M.D.V., Kochler, K.J., Hanson, L.N., Stewart, J.W., Hanson, K.B., Kurzer, M.S. and Peterson, C.T. (2010). The soy isoflavones for reducing bone loss (SIRBL) study: a 3- y randomized controlled trial in postmenopausal women. American J. Clinical Nutrition, 91: 218-230.

  • Anderson, J.J.B., Mahan, L.K. and Escott- Stump (2010). S. Krause’s Food, Nutrition and Diet Therapy, Saunders/ Elsevier. 12: 337-362.

  • Battacharya, S.M. and Jha, A. (2010). Effect of transdermal estradiol gel and oral tibolone on health- related quality of life after surgical menopause. Internat. J. Gynaecol. & Obstetrics India, Elsevier Ireland Ltd., 110: 321-324.

  • Bhan, Nirojini Bhat, Kour, Guneet and Masoodi, Farhat (2015). Assessment of menopausal symptoms in perimenopause and postmenopausal working women (above 40 years) in Urban area of Jammu city. Internat. J. Appl. Home Sci., 2 (3&4) : 81-86.

  • Brinson, K.N., Rafikova, O. and Sullivan, J.C. (2014). Female sex hormones protect against salt-sensitive hypertension but not essential hypertension. American Journal of Physiology, Regulatory Integrative and Comparative Physiology, 15; 307(2):R149-57.

  • Brooks, J.D., Ward, W.E., Lewis J.E., Hilditdh, J., Nickell, L., Wong, E. and Thompson, L.U. (2004). Supplementation with flaxseed alters estrogen metabolism in postmenopausal women to a greater extent than does supplementation with an equal amount of soy. American J. Clinical Nutrition, Elsevier, 79: 318-325.

  • Burke, G.L., Legault, C., Anthony, M., Bland, D.R., Morgan, T.M., Naughton, M.J., Leggett, K., Washburn, S.A. and Vitolins, M.Z. (2003). Soy protein and isoflavone effects on vasomotor symptoms in peri- and postmenopausal women: the Soy Estrogen Alternative Study. Menopause, 10 : 147–153.

  • Cashman, K.D. (2007). Diet, nutrition and bone health. Journal of Nutrition, American Society for Nutrition, 137: 2507S-2512S.

  • Chattha, R., Nagarathna, R., Padmaltha, V. and Nagendra, Hr. (2008). Effect of yoga on cognitive functions in climacteric syndrome: a randomized control study. Internat. J. Obstetrics & Gynaecology, 115: 991-1000.

  • Finkelstein, J.S., Brockwell, S.E., Mehta, V., Greendale, G.A., Sowers, M.R., Ettinger, B., Lo, J.C., Johnston, J.M., Cauley, J. A., Danielson, M. E. and Neer, R.M (2008). Bone mineral density changes during the menopause transition in a multiethnic cohort of women. J. Clinical Endocrinol. & Metabolism, 93(3): 861-868.

  • Gennari, C. (2001). Calcium and vitamin D nutrition and bone disease of the elderly. Public Health Nutrition, 4(2B):547-59.

  • Gupta, A. (1996). Osteoporosis in India—the nutritional hypothesis. National Medical J. India, 9(6):268-274.

  • Heaney, R.P. and Recker, R.R (1982). Effect of nitrogen, phosphorus and caffeine on calcium balance in women. J. Laboratory & Clinical Medicine, 99 : 46-55.

  • Indian council of medical research (ICMR), Nutrient requirements and recommended dietary allowances for Indians (2010). National institute of nutrition Indian council of medical research, NIN, Hyderabad, A.P.. 12: 194-236.

  • Jarvinen, R., Tuppurainen, M., Erkkila, A.T., Penttinen, P., Karkkainen, M., Salovaara, K., Jurvelin, J.S. and Kroger, H. (2012). Associations of dietary polyunsaturated fatty acids with bone mineral density in elderly women. European J. Clinical Nutrition, 66(4):496-503.

  • Knight, D.C., Howes, J.B., Eden, J.A. and Howes, L.G. (2001). Effects on menopausal symptoms and acceptability of isoflavone-containing soy powder dietary supplementation. Climacteric., 4 : 13–18.

  • Lucas, E.A., Wild, R.D., Hammond, L.J., Khalil, D.A., Juma, S., Daggy, B.P., Stoeker, B.J. and Arjmandi, B.H. (2002). Flaxseed improves lipid profile without altering biomarkers of bone metabolism in postmenopausal women. J. Clinical Endocrinol. & Metabolism, 87(4):1527-1532.

  • Maria, A. and Singh, F. (2000). Exercise, nutrition and the older women (wellness for women over fifty), CRC Press. 1st Ed.

  • McCarty, C.A. (2008). Sunlight exposure assessment: can we accurately assess vitamin D exposure from sunlight questionnaire? American J. Clinical Nutrition, 87: 1097S1101S.

  • NahlaElbostany, A., Hala, A. Thabet and Hanan, F. Ahmed (2013). The effect of supplementation with flaxseed and its extract on bone health. Nature & Sci., 11(5).

  • Orchard, T.S., Pan, X., Cheek, F., Ing, S.W. and Jackson, R.D. (2012). A systematic review of omega-3 fatty acids and osteoporosis. British J. Nutrition, 107 (Suppl 2) : S253-60.

  • Pechere-Bertschi, A. and Burnier, M. (2004). Female sex hormones, salt, and blood pressure regulation. American J. Hypertension, 17(10):994-1001.

  • Rikkonen, T., Salovaara, K., Sirola, J., Karkkainen, M., Tuppurainen, M., Jurvelin, J., Honkanen, R., Alhava, E. and Kroger, H. (2010). Physical activity slows femoral bone loss but promotes wrist fractures in postmenopausal women: A 15- year follow- up of the OSTPRE Study. J. Bone & Mineral Res., American Society for Bone and Mineral Research, 25: 2332-2340.

  • Salve, H., Gupta, V., Palanivel, C., Yadav, K. and Singh, B. (2010). Prevalence of knee osteoarthritis amongst perimenopausal women in an urban resettlement colony in South Delhi. Indian J. Public Health, 54 : 155- 57.

  • Sharma, Seema and Khandelwal, Sunila (2010) .Effective risk assessment tools for osteoporosis in the Indian menopausal female. J. Midlife Health, 1(2): 79–85

  • Simbalista, R.L., Sauerbronn, V., Aldrighi, J.M. and Areas, J.A.G. (2010). Consumption of a Flaxseed- Rich food is not more effective than a placebo in alleviating the Climacteric symptom of postmenopausal women. J. Nutrition, American Society for Nutrition, 10 : 293-98.

  • St. Germain, A., Peterson, C.T., Robinson, J.G. and Alekel, D.L. (2001). Isoflavone-rich or isoflavone-poor soy protein does not reduce menopausal symptoms during 24 weeks of treatment. Menopause -J. North American Menopause Soc., 8:17–26.

  • Tortora, G.J. and Derrickson, B.H. (2009). Principles of Anatomy and Physiology, Hoboken: John Wiley and Sons. 12th Edition: 21 : 688.

  • Weiss, L.A., Barrett- Connor, E. and Muhlen, D.V. (2005). Ratio of n-6 to n-3 fatty acids and bone mineral density in older adults: the Rancho Bernardo Study. American J. Clinical Nutrition, 81: 934-938.

  • World Health Organization (2007). Scientific group on the assessment of osteoporosis at primary health care level.


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  • Bone Mineral Density and Nutritional Status of Postmenopausal Women

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Authors

Lata Kusum
Department of Dietetics, Brahm Shakti Hospital, Delhi, India
Sukhneet Suri
Department of Food and Technology, Vivekananda College (University of Delhi), Delhi, India

Abstract


The study was carried out to assess the nutrient intake and to identify errors in dietary habits of postmenopausal women with special relevance to bone health. Another purpose of the study was to assess their lifestyle habits including physical activity and sun- exposure. Thirty seven women aged 45 to 60 years were enrolled according to the inclusion and exclusion criteria stated in the study. Data analysis revealed that as per World Health Organization standards 75.68 per cent (28) women had normal BMD, 18.92 per cent (7) had osteopenia and 5.41 per cent (2) women were suffering from osteoporosis. Intake of energy, protein, visible fat, invisible fat, calcium, phosphorus, iron, magnesium, vitamin A, vitamin D, vitamin E, vitamin K were below the RDA (India) in the diets of about 59.46 per cent (22), 37.84 per cent (14), 29.73 per cent (11), 5.41 per cent (2), 16.22 per cent (6), 0 per cent, 59.46 per cent (22), 18.92 per cent (7), 100 per cent (37), 86.49 per cent (32), 75.68 per cent (28), 2.70 per cent (1) women, respectively.59.46 per cent (22) women were taking nutrient supplements i.e. calcium, vitamin D and multivitamins. 16.22 per cent (6) women had deficient calcium status; they were consuming significantly low dietary calcium and were not taking calcium supplements. It was found that, except 36.36 per cent (8) women (those taking Vitamin D supplements); all were deficient in vitamin D. Several reasons/ causes for lower physical activity or disinterest in regular exercise were identified. 29.73 per cent (11) postmenopausal women experienced discomfort while walking. Sub-optimal nutritional status could be one of the major contributory factor of poor bone health. In the absence of balanced diet and sun exposure, nutrient supplements become necessary to support bone health of postmenopausal women.

Keywords


Bone Mineral Density, Osteoporosis, Postmenopausal Women, Serum Vitamin D, Anthropometric Measurements.

References