Skip to main content

Lund University Publications

LUND UNIVERSITY LIBRARIES

Increased incidence of fractures in middle-aged and elderly men with low intakes of phosphorus and zinc

Elmståhl, S. LU ; Gullberg, B. LU ; Janzon, L. LU ; Johnell, O. LU and Elmståhl, B. LU (1998) In Osteoporosis International 8(4). p.333-340
Abstract

The aim of the study was to determine dietary risk factors for fracture in men aged 46-68 years. Six thousand five hundred and seventy-six men were randomly invited using the Municipal Registry to a diet and health study. The diet was assessed using a combined 7-day menu book for hot meals, beverages and dietary supplements and a quantitative food frequency questionnaire for other foods. The fracture incidence was 103/10,000 person-years during a mean follow-up of 2.4 years. Zinc and phosphorus intake were associated with fracture risk and showed a threshold effect. The zinc intake in the lowest decentile, 10 mg daily, was associated with almost a doubled risk of fracture compared with the fourth and fifth quintiles (RR = 0.47; 95%... (More)

The aim of the study was to determine dietary risk factors for fracture in men aged 46-68 years. Six thousand five hundred and seventy-six men were randomly invited using the Municipal Registry to a diet and health study. The diet was assessed using a combined 7-day menu book for hot meals, beverages and dietary supplements and a quantitative food frequency questionnaire for other foods. The fracture incidence was 103/10,000 person-years during a mean follow-up of 2.4 years. Zinc and phosphorus intake were associated with fracture risk and showed a threshold effect. The zinc intake in the lowest decentile, 10 mg daily, was associated with almost a doubled risk of fracture compared with the fourth and fifth quintiles (RR = 0.47; 95% confidence interval, 27-82) of zinc intake adjusted for energy, previous fractures, lifestyle factors and co-morbidity. Energy-adjusted phosporus intake in the lowest quintile, mean level 1357 mg, was associated with an increased fracture risk compared with subjects in the second quintile. Smoking, martial status and physical activity were independently associated with fracture risk. Calcium, retinol and vitamin D showed no associations with fracture risk. We conclude that inadequate intakes of zinc and phosporus are important risk factors for fracture.

(Less)
Please use this url to cite or link to this publication:
author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Epidemiology, Fracture, Incidence, Phosphorus, Zinc
in
Osteoporosis International
volume
8
issue
4
pages
333 - 340
publisher
Springer
external identifiers
  • scopus:0031684810
  • pmid:10024903
ISSN
0937-941X
DOI
10.1007/s001980050072
language
English
LU publication?
yes
id
3428e890-11a8-4ae2-94b7-2a3a7592facd
date added to LUP
2019-06-19 11:26:57
date last changed
2024-01-01 11:26:23
@article{3428e890-11a8-4ae2-94b7-2a3a7592facd,
  abstract     = {{<p>The aim of the study was to determine dietary risk factors for fracture in men aged 46-68 years. Six thousand five hundred and seventy-six men were randomly invited using the Municipal Registry to a diet and health study. The diet was assessed using a combined 7-day menu book for hot meals, beverages and dietary supplements and a quantitative food frequency questionnaire for other foods. The fracture incidence was 103/10,000 person-years during a mean follow-up of 2.4 years. Zinc and phosphorus intake were associated with fracture risk and showed a threshold effect. The zinc intake in the lowest decentile, 10 mg daily, was associated with almost a doubled risk of fracture compared with the fourth and fifth quintiles (RR = 0.47; 95% confidence interval, 27-82) of zinc intake adjusted for energy, previous fractures, lifestyle factors and co-morbidity. Energy-adjusted phosporus intake in the lowest quintile, mean level 1357 mg, was associated with an increased fracture risk compared with subjects in the second quintile. Smoking, martial status and physical activity were independently associated with fracture risk. Calcium, retinol and vitamin D showed no associations with fracture risk. We conclude that inadequate intakes of zinc and phosporus are important risk factors for fracture.</p>}},
  author       = {{Elmståhl, S. and Gullberg, B. and Janzon, L. and Johnell, O. and Elmståhl, B.}},
  issn         = {{0937-941X}},
  keywords     = {{Epidemiology; Fracture; Incidence; Phosphorus; Zinc}},
  language     = {{eng}},
  month        = {{09}},
  number       = {{4}},
  pages        = {{333--340}},
  publisher    = {{Springer}},
  series       = {{Osteoporosis International}},
  title        = {{Increased incidence of fractures in middle-aged and elderly men with low intakes of phosphorus and zinc}},
  url          = {{http://dx.doi.org/10.1007/s001980050072}},
  doi          = {{10.1007/s001980050072}},
  volume       = {{8}},
  year         = {{1998}},
}