Effect of Sodium Chloride Supplementation on Bone Metablism in Rats Consuming a Low Calcium Diet

저칼슘 식이 섭취시 식염첨가가 흰쥐의 골격대사에 미치는 영향

  • 최미자 (계명대학교 가정대학 식품영양학과)
  • Published : 1996.12.01

Abstract

This study was performed to evaluate the effect of sodium cholride supplementation on bone metabolism in female rats consuming a low calcium diet. Twenty five female rats were divided into three dietary groups (control Na : 0.1038%, 1% Na : 1.036%, 2% Na : 2.072%). All experimental diets contained 0.27% Ca and were fed to rats with deionized water for 7 weeks. Bone mineral density(BMD) and bone mineral content(BMC) of total body, spine and femur were measured using energy x-ray absorptiometry(DEXA) by small animal software. Then Ca efficiency was calculated from BMD and BMC. Serum Ca, P, Na and urine Ca, P, Na were determined. Urinary pyridinoline, serum ALP were measured to monitor bone resorption. Following 7 weeks, sodium cholride supplemented groups had higher urinary Ca excreteion, urinary pyridinoline, crosslinks value and serum ALP. There was no significant difference in case of serum Ca among all groups. Sodium chloride supplemnted groups had lower Ca effciency of total, spine and femur BMD and BMC than that of control group. In conclusion high salt intake not only increases urinary Ca excretion as urinary Na excretion does but also increase bone resorption and decrease Ca efficiency of each bone. It is been suggested that high salt intake may be harmful for bone maintenance. Therfore, the decrease of salt intake to the level of recommendation would be desirable.

Keywords

References

  1. 한국영양학회지 v.27 no.6 골다공증과 식이인자 김화영
  2. Am. J. Clin. Nutr. v.46 Dietary Ca intake and bone loss from the spine in healthy postmenopausal women Bess,D.H.;Clantons,P.J.
  3. J. Nutr. v.117 Effect of calcium supplementation on forearm bone mineral content in postmenopausal women Polley,K.J.
  4. J. Nutr. v.102 Calcium retention in the adult human male as affected by protein intake Walker,R.M.;Linkswiler,H.M.
  5. J. Nutr. v.111 Long term effects of protein intake on calcium metabolism in young adult woman Hegisted,M.;Linkswiler,H.H.
  6. J. Nutr. v.23 Dietary phosphorus, calcium metabolism and bone Mona Shiess Calvo
  7. J. Clin. Endo. Metab. v.42 Effects of oral therapy with calcium and vit D in Primary osteoporosis Riggs,B.L.;Jowsey,J.;Kelly,P.J.
  8. Modern Nutrition in Health and Disease(7th) Calcium and Phosphorus Goodhart,R.S.;Shils,M.E.
  9. Am. J. Physiology v.200 Calcium Clearance as a Function of Sodium Clearance in the dog Walser,M.
  10. Med. J. Australia v.11 A study of the urinary calcium, phosphorus, creatinine and sodium excretion of young adults in sydney Dale,N.E.
  11. 한국영양학회지 v.25 no.2 한국 젊은 성인 여성과 중년 여성의 소변중 Ca 배설과 이에 영향을 미치는 요인 분석 조재현;백희영
  12. 대한의학협회지 v.34 정상성인 남자의 칼슘섭취량 및 운동량과 골밀도와의 관계 송영득;이종호;안광진;정춘희;김미림;이관우;이명희;임승길;김경래;이현철;문수재;허갑범
  13. Lancet v.24 Relation between urinary calcium and sodium in patients with idiopathic hypercalciuria Phillips,M.J.;Cooke,J.N.C.
  14. Kidney International v.22 Importance of dietary sodium in the hypercalciuria syndrome Muldowney,F.P.;Freaney,R.;Moloney,M.F.
  15. J. Clin. Endo. and Metab. v.55 no.2 The Role of Dietary sodium on renal excretion and intestinal absorption of calcium and on vitamen D metabolism Breslau,N.A.;Mcguire,J.L.;Zerwekh,J.E.;Pak,C.Y.C.
  16. Am. J. Clin. Nutr. v.50 Sodium chloride supplementation and urinary calcium excretion Zarkadas,M.;Rejeanne,G.R.;Marliss,E.B.;Block,E.;Mary,A.M.
  17. Br. Med. J. v.299 Dietary salt effects biochemical markers of resorption and formation of bone in elderly women McParland,B.E.;Goulding,A.;Campbell,D.
  18. J. Nutr. v.123 The nature and significance of the relationship between urinary sodium and urinary calcium in women Nordin,B.E.C.;Need,A.G.;Morris,H.A.;Horowitz,M.
  19. Am. J. Clin. Nutr. v.41 The effect of dietary sodium on urinary calcium and potassium excretion in normotensive men with different calcium intakes Castenmiller,J.J.M.;Mensink,R.P.;Heihden,L.;Kouwenhoven,K.;Hautvast,J.G.;Leeuw,P.W.;Schaafsma,J.
  20. Investgative Urology v.1 Relation of sodium intake to urinary calcium excretion King,J.S.;Jackson,R.;Ashe,B.
  21. Euro. J. Clin. Nutr. v.42 Influence of dietary sodium intake on urinary calcium excretion in selected irish individuals Shortt,C.;Flynn,A.;Morrissey,P.A.
  22. J. Nutr. v.116 Effects of NaCl on calcium balance, parathyroid function and hydroxyproline excretion in prednisolone-treated rats consuming low calcium diet Goulding,A.;McIntosh,J.
  23. J. Nutr. v.113 NaCl loads promote calciuria and bone loss in adult oophorectomized rats consuming a low calcium diet Goulding,A.;Campbell,D.
  24. Mineral Elctrolyte Metab. v.10 Effects of oral loads of sodium chloride on bone composition in growing rats consuming ample dietary calcium Goulding,A.;Campbell,D.
  25. J. Nutr. v.107 Report of the American institute of nutrition ad aommittee on standards for nutritional studies American Institute of Nutrition
  26. Med. J. Aust. v.140 Influence of urinary sodium on calcium excretion in noral indivisuals Sabto,J.;Powell,M.J.;Breidahl,M.J.;Gurr,J.W.
  27. Am. J. Nephrol v.1 Urinary calcium excretion at wxtremes of sodium intake in normal man McCarron,D.A.;Rankin,L.I.;Bennett,W.M.;Krutzi,S.;McClung,M.R.;Luft,F.C.
  28. 한국영양학회지 v.20 no.4 한국 성인 여자에 있어서 나트륨 섭취 수준이 체내 칼슘대사에 미치는 영향 김양애;승정자
  29. 한국인의 영양권장량(제6차개정) 제 6차 영양권장의 개요 한국영양학회
  30. 국민영양조사보고서 보건사회부
  31. 한국영양학회 추계심포지움 초록집 다량 무기질 권장량 이연숙;임현숙;안홍석
  32. In present knowledge in nutrition(fifth ed.) Sodium, Chloride, Potassium Friedrich,C.L.
  33. Anal. Biochem. v.18 An improved automated procedure for the determination of calcium in biological specimens Gitelman,H.J.
  34. Biochem. Biophys. Acta. v.320 The determination of inorganic orthophosphate in biological systems Atkinson,A.;Gatenby,A.D.;Lowe,A.G.
  35. Clin. Chem. v.11 An automated ρ-nitrophenylphosphate serum alkaline phosphatase procedure for the autoanalyzer Morgenstern,S.;Kessler,G.;Auerbach,J.;Flor,R.V.;Klein,B.
  36. Metab. Clin. Exp. v.25 Control of calcium absorption : Effect f sodium chloride loading and depletion Walter,J.M.;Transbol,I.B.;Frederic,C.B.;Catherine,D.
  37. Miner Electrolyte Metab. v.2 Ionized serum calcium, urinary cAMP and immunoreactive PTH after DOGA +NaCl treatment in the rat Pernot,F.;Berthelot,A.;Schleiffer,R.;Gairard,A.
  38. 대한의학협회지 v.35 no.5 폐경과 골다공증 조수현
  39. 대한의학협회지 v.35 no.1 골조송증의 진단과 치료 장준섭
  40. 골대사학회지 v.1 no.1 Bone Turnover Marker의 임상적 의의와 응용 임승길
  41. Arch. Intern. Med. v.151 Effect of salt restriction on urine hydroxyproline excretion in postmenopausal women Need,A.G.;Morris,H.A.;Cleghorn,D.B.;De Nichilo,D.;Horowitz,M.;Nordin,B.E.
  42. Osteoporos Int. v.3 no.6 The effect of high sodium intake on bone mineral content in rats fed a normal calcium or a low calcium diet Chan,A.Y.;Poon,P.;Chan,E.L.;Fung,S.L.;Swaminathan,R.