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© 2003 The American Society for Nutritional Sciences J. Nutr. 133:3598-3602, November 2003


Nutrition and Aging

Dietary Iron Is Associated with Bone Mineral Density in Healthy Postmenopausal Women1

Margaret M. Harris*,2, Linda B. Houtkooper{dagger}, Vanessa A. Stanford{dagger}, Carly Parkhill{dagger}, Judith L. Weber**, Hilary Flint-Wagner*, Lauren Weiss{ddagger}, Scott B. Going*,{dagger} and Timothy G. Lohman*,2

* Department of Physiology and {dagger} Department of Nutritional Sciences, The University of Arizona, Tucson, AZ 85721; ** Department of Pediatrics, Center for Applied Research and Evaluation, University of Arkansas for Medical Sciences, Little Rock, AR 72202; {ddagger} Department of Health and Behavior Studies, Teachers College, Columbia University, New York, NY

2To whom correspondence should be addressed. E-mail: mharris1309{at}yahoo.com or stanford{at}u.arizona.edu.

Healthy nonsmoking postmenopausal women (n = 242; ages 40–66 y) were included in the Bone, Estrogen, and Strength Training (BEST) Study. Bone mineral density (BMD) was measured at five sites (lumbar spine L2–L4, trochanter, femur neck, Ward’s triangle and total body) using dual energy X-ray absorptiometry (DXA). Mean nutrient intakes were assessed using a 3-d diet record. Regression models were calculated using each BMD site as the dependent variable and iron as the independent variable. Covariates included in the models were years past menopause, fat-free mass, fat mass, use of hormone replacement therapy, total energy intake and dietary intake of protein and calcium. Using linear models, iron was associated with greater BMD at all sites (P <= 0.01), even after adjusting for protein and/or calcium. Increasing levels of iron intake (>20 mg) were associated with greater BMD at several bone sites among women with a mean calcium intake of 800-1200 mg/d. Elevated iron intake was not associated with greater BMD among women with higher (>1200 mg/d) or lower calcium intakes (<800 mg/d). Dietary iron may be a more important factor in bone mineralization than originally thought and, its combined effect with calcium on BMD warrants exploration in future studies.


KEY WORDS: • bone mineral density • dietary calcium • dietary iron • postmenopausal women




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