| Autor: |
Malczewska-Lenczowska J; Department of Nutrition Physiology, Institute of Sport, National Research Institute, 01-982 Warsaw, Poland., Surała O; Department of Nutrition Physiology, Institute of Sport, National Research Institute, 01-982 Warsaw, Poland., Granda D; Department of Nutrition Physiology, Institute of Sport, National Research Institute, 01-982 Warsaw, Poland., Szczepańska B; Department of Nutrition Physiology, Institute of Sport, National Research Institute, 01-982 Warsaw, Poland., Czaplicki A; Faculty of Physical Education and Health in Biała Podlaska, Józef Piłsudski University of Physical Education, 00-968 Warsaw, Poland., Kubacki R; Faculty of Physical Education & Sport, University School of Physical Education, 51-612 Wroclaw, Poland. |
| Abstrakt: |
Vitamin D, calcium, and iron are micronutrients crucial for bone health. However, their effect has been studied primarily in the cortical bone, with vitamin D status being assessed mainly from the total 25(OH)D serum fraction. The study aimed to investigate the impact of vitamin D (total and free fraction) and iron status (i.e., serum ferritin or soluble transferrin receptor) and calcium intake (ADOS-Ca questionnaire) on lumbar cortical and trabecular bone. In a cohort of 113 male subjects (76 athletes, 37 non-athletes) aged 15-19, the lumbar spine status (Z-score, bone mineral apparent density (BMAD), and trabecular bone score (TBS)) was determined using dual-energy X-ray absorptiometry (DXA). Relationships between the examined micronutrients and bone health parameters were observed only in athletes. Free 25(OH)D was significantly ( p < 0.001) correlated with Z-score and BMAD, while total 25(OH)D ( p < 0.001) and iron status (ferritin, Fe stores; p < 0.01) correlated solely with BMAD. Free 25(OH)D and ferritin concentrations were the best determinants of bone status (R 2 = 0.330; p < 0.001) and explained 25% and 7% of the BMAD variance, respectively. No relationships were found between the micronutrients and TBS. The results confirmed the positive influence of vitamin D and iron on cortical, but not trabecular, bone status solely in physically active subjects. In athletes, free 25(OH)D seems to be a superior indicator of bone health to a total 25(OH)D fraction. |
