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The relationship between the zinc nutritive status and biochemical markers of bone turnover in older European adults: the ZENITH study

Abstract

Objective:

To investigate the relationship between indices of zinc nutritive status and biochemical markers of bone turnover in older adult European subjects.

Design:

Use of baseline data from a multicentre prospective zinc intervention (ZENITH) study.

Setting:

Centres in France, Italy and Northern Ireland.

Participants:

A total of 387 healthy adults, aged 55–87 y.

Methods:

Zinc intake was assessed by 4-day recall records. Circulating and urinary biochemical zinc status measures were assessed by atomic absorption spectrophometry. Serum bone-specific alkaline phosphatase and osteocalcin were assessed by ELISA and urinary pyridinoline (Pyr) and deoxypyridinoline (Dpyr) by HPLC.

Results:

Zinc intake was negatively correlated with urinary Pyr and Dpyr (r=−0.298 and −0.304, respectively; P<0.0001), but was not correlated with bone formation markers. There was a tendency for serum zinc to be negatively correlated with urinary Dpyr (r=−0.211; P=0.080). Erythrocyte zinc was negatively correlated with serum osteocalcin (r=−0.090; P<0.0001). None of the other correlations were significant. After adjustment for confounder (age, gender and research centre) the only significant association that remained was between serum osteocalcin and erythrocyte zinc (β=−0.124; P=0.011).

Conclusions:

There was some, albeit inconsistent, evidence of a relationship between zinc nutritive status and bone turnover in the older adult participants of the ZENITH study.

Sponsorship:

ZENITH is supported by the European Commission ‘Quality of Life and Management of Living Resources’ Fifth Framework Programme, Contract No: QLK1-CT-2001-00168.

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Correspondence to K D Cashman.

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Guarantor: KD Cashman.

Contributors: TH contributed to the analysis and writing of the study. NM, MA-S, DC, IH-F, AP, JMOC, CC and KDC contributed to design, execution, analysis and writing of the study. CC is the ZENITH project coordinator. All authors read and contributed to the finalisation of the manuscript.

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Hill, T., Meunier, N., Andriollo-Sanchez, M. et al. The relationship between the zinc nutritive status and biochemical markers of bone turnover in older European adults: the ZENITH study. Eur J Clin Nutr 59 (Suppl 2), S73–S78 (2005). https://doi.org/10.1038/sj.ejcn.1602303

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