Total urinary polyphenols and longitudinal changes of bone properties. The InCHIANTI study.

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Tytuł:: Total urinary polyphenols and longitudinal changes of bone properties. The InCHIANTI study.
Autorzy:: Di Iorio A; Department of Medicine and Science of Aging, University Centre of Sports Medicine, University 'G. d'Annunzio', Chieti, Italy. .
Abate M; Department of Medicine and Science of Aging, University Centre of Sports Medicine, University 'G. d'Annunzio', Chieti, Italy.
Bandinelli S; Geriatric Unit, Azienda Toscana Centro, Florence, Italy.
Barassi G; Department of Medicine and Science of Aging, University Centre of Sports Medicine, University 'G. d'Annunzio', Chieti, Italy.; Thermal Medicine Center of Castelnuovo della Daunia, Foggia, Italy.
Cherubini A; Geriatrics and Geriatric Emergency Care, Italian National Research Center on Aging (IRCCS-INRCA), Ancona, Italy.
Andres-Lacueva C; Biomarkers and Nutrimetabolomics Laboratory, Nutrition, Food Science and Gastronomy Department, Faculty of Pharmacy and Food Science, University of Barcelona, Barcelona, Spain.
Zamora-Ros R; Unit of Nutrition and Cancer, Cancer Epidemiology Research Program, Catalan Institute of Oncology, Bellvitge Biomedical Research Institute (IDIBELL), Barcelona, Spain.
Paganelli R; Department of Medicine and Science of Aging, University Centre of Sports Medicine, University 'G. d'Annunzio', Chieti, Italy.
Volpato S; Department of Medical Science, Section of Internal and Cardiorespiratory Medicine, University of Ferrara, Ferrara, Italy.
Ferrucci L; Longitudinal Studies Section, Translational Gerontology Branch, National Institute on Aging, National Institutes of Health USA, Baltimore, MD, 21224, USA.
Źródło:: Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA [Osteoporos Int] 2021 Feb; Vol. 32 (2), pp. 353-362. Date of Electronic Publication: 2020 Aug 13.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Original Publication: London, UK : Springer International, c1990-
MeSH Terms:: Antioxidants*
Polyphenols*/pharmacology
Bone Density ; Cohort Studies ; Diet ; Humans ; Italy/epidemiology
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Grant Information:: ICS 110.1/RS97.71 Ministero della Salute (IT); N01-AG-916413, N01-AG-5-0002, and N01-AG-821336 United States AG NIA NIH HHS; N01-AG-916413, N01-AG-5-0002, and N01-AG-821336 United States AG NIA NIH HHS
Contributed Indexing:: Keywords: Bone; Bone-pQCT; Dietary polyphenols; Longitudinal study; Urinary polyphenols
Substance Nomenclature:: 0 (Antioxidants)
0 (Polyphenols)
Entry Date(s):: Date Created: 20200815 Date Completed: 20210318 Latest Revision: 20220531
Update Code:: 20240105
PubMed Central ID:: PMC7838067
DOI:: 10.1007/s00198-020-05585-9
PMID:: 32793995
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The aim of this study was to evaluate the association of levels of urinary total polyphenols considered as a proxy measure of polyphenol intake, with longitudinal changes of bone properties, in the InCHIANTI study. Dietary intake of polyphenols appears to be associated with future accelerated deterioration of bone health.
Introduction: Polyphenols, micronutrients ingested through plant-based foods, have antioxidant and anti-inflammatory properties and may contribute to osteoporosis prevention. We evaluated associations of high levels of urinary total polyphenols (UTP), a proxy measure of polyphenol intake, with longitudinal changes of bone properties in a representative cohort of free-living participants of the InCHIANTI study.
Methods: The InCHIANTI study enrolled representative samples from the registry list of two towns in Tuscany, Italy. Baseline data were collected in 1998 and follow-up visits in 2001 and 2004. Of the 1453 participants enrolled, 956 consented to donate a 24-h urine sample used to assess UTP, had dietary assessment, a physical examination, and underwent a quantitative computerized tomography (pQCT) of the tibia. From pQCT images, we estimated markers of bone mass (BM), diaphyseal design (DD), and material quality (MQ). Mixed models were used to study the relationship between baseline tertiles of UTP with changes of the bone characteristics over the follow-up.
Results: At baseline, higher levels of UTP were positively correlated with markers of BM, DD, and MQ. Compared with lower tertile of UTP, participants in the intermediate and highest tertiles had higher cortical bone area, cortical mineral content, and cortical thickness. However, participants in the intermediate and highest UTP tertiles experienced accelerated deterioration of these same parameters over the follow-up compared with those in the lowest UTP tertile.
Conclusions: Dietary intake of polyphenols estimated by UTP and dietary questionnaire was associated with long-term accelerated deterioration of bone health. Our study does not support the recommendation of increasing polyphenol intake for osteoporosis prevention.

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