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Effects of dairy products on bone mineral density in healthy postmenopausal women: a systematic review and meta-analysis of randomized controlled trials

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Abstract

Purpose

To investigate the effects of dairy products on bone mineral density (BMD) in healthy postmenopausal women.

Methods

The EMBASE, Cochrane Library, Medline, and Web of Science databases were systematically searched for relevant studies. The pooled standardized mean difference (SMD) with its 95% confidence interval (CI) was used as the effect size. Subgroup analysis and Begg’s test were conducted.

Results

Six studies with a total of 618 participants were included in the meta-analysis. Milk was the main dairy product used in the trials. There was a significant association between dairy product consumption and BMD of the lumbar spine (SMD 0.21, 95% CI 0.05–0.37, P = 0.009), femoral neck (SMD 0.36, 95% CI 0.19–0.53, P < 0.001), total hip (SMD 0.37, 95% CI 0.20–0.55, P < 0.001), and total body (SMD 0.58, 95% CI 0.39–0.77, P < 0.001). Subgroup analysis suggested that there was a positive effect of dairy product consumption on the BMD of the total hip starting from 12 months and the femoral neck starting from 18 months. There was also a positive association with the BMD in the four sites in people living in low-calcium intake countries.

Conclusion

This meta-analysis provides evidence that dairy products can increase BMD in healthy postmenopausal women. Dairy product consumption should be considered an effective public health measure to prevent osteoporosis in postmenopausal women.

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References

  1. Rachner TD, Khosla S, Hofbauer LC (2011) Osteoporosis: now and the future. Lancet (London) 377(9773):1276–1287

    Article  CAS  Google Scholar 

  2. Lupsa BC, Insogna K (2015) Bone health and osteoporosis. Endocrinol Metab Clin N Am 44(3):517–530

    Article  Google Scholar 

  3. Alibasic E, Ramic E, Batic Mujanovic O, Avdibasic E, Husic D, Alic A (2013) Assessment of osteoporosis in family medicine obtained by ultrasound densitometry. Acta Inform Med 21(4):274–276

    Article  Google Scholar 

  4. Black DM, Rosen CJ (2016) Clinical practice. Postmenopausal osteoporosis. N Engl J Med 374(3):254–262

    Article  CAS  Google Scholar 

  5. Orimo H, Nakamura T, Hosoi T, Iki M, Uenishi K, Endo N, Ohta H, Shiraki M, Sugimoto T, Suzuki T, Soen S, Nishizawa Y, Hagino H, Fukunaga M, Fujiwara S (2012) Japanese 2011 guidelines for prevention and treatment of osteoporosis--executive summary. Arch Osteoporos 7:3–20

    Article  Google Scholar 

  6. Greendale GA, Sowers M, Han W et al (2012) Bone mineral density loss in relation to the final menstrual period in a multiethnic cohort: results from the Study of Women’s Health Across the Nation (SWAN). J Bone Miner Res 27(1):111–118

    Article  Google Scholar 

  7. Cosman F, de Beur SJ, LeBoff MS et al (2014) Clinician’s guide to prevention and treatment of osteoporosis. Osteoporos Int 25(10):2359–2381

    Article  CAS  Google Scholar 

  8. Sunyecz JA (2008) The use of calcium and vitamin D in the management of osteoporosis. Ther Clin Risk Manag 4(4):827–836

    Article  CAS  Google Scholar 

  9. Tai V, Leung W, Grey A, Reid IR, Bolland MJ (2015) Calcium intake and bone mineral density: systematic review and meta-analysis. BMJ 351:h4183

    Article  Google Scholar 

  10. Radavelli-Bagatini S, Zhu K, Lewis JR, Prince RL (2014) Dairy food intake, peripheral bone structure, and muscle mass in elderly ambulatory women. J Bone Miner Res 29(7):1691–1700

    Article  CAS  Google Scholar 

  11. Laird E, Molloy AM, McNulty H et al (2017) Greater yogurt consumption is associated with increased bone mineral density and physical function in older adults. Osteoporos Int 28(8):2409–2419

    Article  CAS  Google Scholar 

  12. Sahni S, Tucker KL, Kiel DP, Quach L, Casey VA, Hannan MT (2013) Milk and yogurt consumption are linked with higher bone mineral density but not with hip fracture: the Framingham Offspring Study. Arch Osteoporos 8:119

    Article  Google Scholar 

  13. Chen Y, Xiao Y, Xie B et al (2016) Effect of milk powder supplementation with different calcium contents on bone mineral density of postmenopausal women in northern China: a randomized controlled double-blind trial. Calcif Tissue Int 98(1):60–66

    Article  CAS  Google Scholar 

  14. Chee WSS, Suriah AR, Chan SP, Zaitun Y, Chan YM (2003) The effect of milk supplementation on bone mineral density in postmenopausal Chinese women in Malaysia. Osteoporos Int 14(10):828–834

    Article  CAS  Google Scholar 

  15. Manios Y, Moschonis G, Trovas G, Lyritis GP (2007) Changes in biochemical indexes of bone metabolism and bone mineral density after a 12-mo dietary intervention program: the postmenopausal health study. Am J Clin Nutr 86(3):781–789

    Article  CAS  Google Scholar 

  16. Higgins JP, Thompson SG, Deeks JJ, Altman DG (2003) Measuring inconsistency in meta-analyses. BMJ 327(7414):557–560

    Article  Google Scholar 

  17. Egger M, Davey Smith G, Schneider M, Minder C (1997) Bias in meta-analysis detected by a simple, graphical test. BMJ 315(7109):629–634

    Article  CAS  Google Scholar 

  18. Gui JC, Brašié JR, Liu XD et al (2012) Bone mineral density in postmenopausal Chinese women treated with calcium fortification in soymilk and cow’s milk. Osteoporos Int 23(5):1563–1570

    Article  CAS  Google Scholar 

  19. Storm D, Eslin R, Porter ES et al (1998) Calcium supplementation prevents seasonal bone loss and changes in biochemical markers of bone turnover in elderly New England women: a randomized placebo controlled trial. J Clin Endocrinol Metab 83(11):3817–3825

    CAS  PubMed  Google Scholar 

  20. Lau EMC, Woo J, Lam V, Hong A (2001) Milk supplementation of the diet of postmenopausal Chinese women on a low calcium intake retards bone loss. J Bone Miner Res 16(9):1704–1709

    Article  CAS  Google Scholar 

  21. Prince R, Devine A, Dick I et al (1995) The effects of calcium supplementation(milk powder or tablets) and exercise on bone-density in postmenopausal women. J Bone Miner Res 10(7):1068–1075

    Article  CAS  Google Scholar 

  22. Fabiani R, Naldini G, Chiavarini M (2019) Dietary patterns in relation to low bone mineral density and fracture risk: a systematic review and meta-analysis. Adv Nutr 10(2):219–236

    Article  Google Scholar 

  23. Balk EM, Adam GP, Langberg VN et al (2017) Global dietary calcium intake among adults: a systematic review. Osteoporos Int 28(12):3315–3324

    Article  CAS  Google Scholar 

  24. Shuxia Z (1999) Calcium absorption and its influencing factors. Chin J Pract Pediatr 10:580–581

    Google Scholar 

  25. LiNan WY, Shian Y (2007) A meta-analysis of the effects of milk drinking and calcium supplementation on bone mineral density and growth in children. Chin J Prev Med 41(3):172–175

    CAS  Google Scholar 

  26. Caroli A, Poli A, Ricotta D, Banfi G, Cocchi D (2011) Invited review: dairy intake and bone health: a viewpoint from the state of the art. J Dairy Sci 94(11):5249–5262

    Article  CAS  Google Scholar 

  27. Esterle L, Sabatier JP, Guillon-Metz F et al (2009) Milk, rather than other foods, is associated with vertebral bone mass and circulating IGF-1 in female adolescents. Osteoporos Int 20(4):567–575

    Article  CAS  Google Scholar 

  28. Darling AL, Manders RJF, Sahni S et al (2019) Dietary protein and bone health across the life-course: an updated systematic review and meta-analysis over 40 years. Osteoporos Int 30(4):741–761

    Article  CAS  Google Scholar 

  29. Ting GP, Tan SY, Chan SP et al (2007) A follow-up study on the effects of a milk supplement on bone mineral density of postmenopausal Chinese women in Malaysia. J Nutr Health Aging 11(1):69–73

    CAS  PubMed  Google Scholar 

  30. Radavelli-Bagatini S, Zhu K, Lewis JR, Dhaliwal SS, Prince RL (2013) Association of dairy intake with body composition and physical function in older community-dwelling women. J Acad Nutr Diet 113(12):1669–1167

    Article  Google Scholar 

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Correspondence to Yu Jiang.

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Shi, Y., Zhan, Y., Chen, Y. et al. Effects of dairy products on bone mineral density in healthy postmenopausal women: a systematic review and meta-analysis of randomized controlled trials. Arch Osteoporos 15, 48 (2020). https://doi.org/10.1007/s11657-020-0694-y

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