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The effect of high salt and high protein intake on calcium metabolism, bone composition and bone resorption in the rat

Published online by Cambridge University Press:  09 March 2007

Annette Creedon
Affiliation:
Department of Nutrition University College, Cork, Ireland
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Abstract

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The effects of salt (NaCl) supplementation of rat diets (50 g/kg diet), with normal (200 g/kg) or high (500 g/kg) dietary casein content, were studied in 3-week-old male rats over a 3-week period. Weight gain was reduced by dietary salt but was unaffected by dietary casein. Salt-supplemented rats exhibited a two-and three-fold increase in urinary Mg and Ca excretion respectively, irrespective of dietary casein content. Dietary casein had no effect on urinary Ca or Mg. Salt reduced femoral mass but not femoral mass expressed relative to body weight, but neither variable was affected by dietary casein. Femoral Mg and P contents and concentrations were unaffected by dietary salt or casein. While femoral Ca concentration was unaffected by dietary salt, the Ca content was reduced by salt supplementation, irrespective of dietary casein content. Neither the content nor concentration of Ca in femora was affected by dietary casein. Urinary pyridinoline and deoxypyridinoline levels were increased by salt supplementation, irrespective of dietary casein content, but were unaffected by casein. Net Ca absorption was unaffected by dietary salt or casein. In conclusion, these results show that salt supplementation over the short-term increased the rate of bone resorption in rats. This was as a consequence of Na-induced calciuria. On the other hand, a high dietary protein intake had no effect on Ca metabolism, bone composition or bone resorption, nor did it augment the Na-induced calciuria or increased rate of bone resorption.

Type
Research Article
Copyright
Copyright © The Nutrition Society 2000

References

Adams, ND, Gray, RW and Lemann, J (1979) The calciuria of increased fixed acid production in humans: evidence against a role for parathyroid hormone and 1,25 (OH)2-vitamin D. Calcified Tissue International 28, 233238.Google Scholar
Allen, LH, Barlett, RS and Block, GD (1979) Reduction of renal calcium reabsorption in man by consumption of dietary protein. Journal of Nutrition 109, 13451350.Google Scholar
Allen, LH and Hall, TE (1978) Calcium metabolism, intestinal calcium-binding protein, and bone growth of rats fed high protein diets. Journal of Nutrition 108, 967972.Google Scholar
Allen, LH, Oddoye, EA and Margen, S (1979) Protein-induced hypercalciuria: a longer term study. American Journal of Clinical Nutrition 32, 741749.Google Scholar
American Institute of Nutrition (1977) Report of the American Institute ad hoc Committee on Standards for Nutritional Studies. Journal of Nutrition 107, 13401348.Google Scholar
Anderson, GH and Draper, HH (1972) Effect of dietary phosphorus on calcium metabolism in intact and parathyroidectomized adult rats. Journal of Nutrition 102, 11231132.CrossRefGoogle ScholarPubMed
Bell, RR, Engelmann, DT, Sie, TL and Draper, HH (1975) Effect of a high protein intake on calcium metabolism in the rat. Journal of Nutrition 105, 475483.CrossRefGoogle Scholar
Black, D, Farqharson, C and Robins, SP (1989) Excretion of pyridinium crosslinks of collagen in ovariectomized rats as urinary markers for increased bone resorption. Calcified Tissue International 44, 343347.Google Scholar
Breslau, NA, Sakhaee, K and Pak, CYC (1985) Impaired adaptation to salt-induced urinary calcium losses in postmenopausal osteoporosis. Transactions of the Association of American Physicians 98, 107115.Google ScholarPubMed
Brommage, R, Juillerat, MA and Jost, R (1991) Influence of casein phosphopeptides and lactulose on intestinal calcium absorption in adult female rats. Lait 71, 173180.Google Scholar
Calabresi, E, Lasagni, L, Franceschelli, F, Bartolini, L and Serio, M (1994) Use of an internal standard to measure pyridinoline and deoxypyridinoline in urine (letter). Clinical Chemistry 40, 336337.CrossRefGoogle Scholar
Cashman, KD and Flynn, A (1999) Optimal nutrition: calcium, magnesium and phosphorus. Proceedings of the Nutrition Society 58, 477487.Google Scholar
Chan, AYS, Poon, P, Chan, ELP, Fung, SLM and Swaminathan, R (1993) The effect of high sodium intake on bone mineral content in rats fed a normal calcium or low calcium diet. Osteoporosis International 3, 341344.Google Scholar
Chan, ELP and Swaminathan, R (1994) The effect of high protein and high salt intake for 4 months on calcium and hydroxyproline excretion in normal and oophorectomized rats. Journal of Laboratory and Clinical Medicine 124, 3741.Google Scholar
Chan, EL and Swaminathan, R (1998) Calcium metabolism and bone calcium content in normal and oophorectomized rats consuming various levels of saline for 12 months. Journal of Nutrition 128, 633639.CrossRefGoogle ScholarPubMed
Chan, ELP, Ho, CS, MacDonald, D, Chan, TYK and Swaminathan, R (1992) Interrelationships between urinary sodium, calcium, hydroxyproline and serum PTH in healthy subjects. Acta Endocrinology 127, 242245.Google ScholarPubMed
Colwell, R, Russell, RGG and Eastell, R (1993) Factors affecting the assay of urinary 3-hydroxypyridinium cross-links of collagen as markers of bone resorption. European Journal of Clinical Investigation 23, 341349.CrossRefGoogle Scholar
Delmas, PD (1992) Clinical use of biochemical markers of bone remodelling in osteoporosis. Bone 13, S17S21.Google Scholar
Draper, HH, Piche, LA and Gibson, RS (1991) Effects of a high protein intake from common foods on calcium metabolism in a cohort of postmenopausal women. Nutrition Research 11, 273281.Google Scholar
Egger, CD, Mühlbauer RC, Felix, R, Delmas, PD, Marks, SC and Fleisch, H (1994) Evaluation of urinary pyridinium crosslink excretion as a marker of bone resorption in the rat. Journal of Bone and Mineral Research 9, 12111219.Google Scholar
Evans, CEL, Chughati, AY, Blumsohn, A, Giles, M and Eastell, R (1997) The effect of dietary sodium on calcium metabolism in premenopausal and postmenopausal women. European Journal of Clinical Nutrition 51, 394399.CrossRefGoogle ScholarPubMed
Feskanich, D, Willett, WC, Stampfe, MJ and Colditz, GA (1996) Protein consumption and bone fractures in women. American Journal of Epidemiology 143, 472479.CrossRefGoogle ScholarPubMed
Ginty, F, Flynn, A and Cashman, KD (1998) The effect of dietary sodium intake on biochemical markers of bone metabolism in young women. British Journal of Nutrition 79, 343350.Google Scholar
Goulding, A (1980) Effects of dietary NaCl supplements on parathyroid function, bone turnover and bone composition in rats taking restricted amounts of calcium. Mineral Electrolyte Metabolism 4, 203208.Google Scholar
Goulding, A (1981) Fasting urinary sodium/creatinine in relation to calcium/creatinine and hydroxyproline/creatinine in a general population of women. New Zealand Medical Journal 93, 294297.Google Scholar
Goulding, A and Campbell, DR (1982) Generalised skeletal loss of calcium induced by oral sodium chloride supplements in adult oophorectomized rats consuming a low-calcium diet. Proceedings of the University of Otago Medical School 60, 34.Google Scholar
Goulding, A and Campbell, DR (1983) Dietary NaCl loads promote calciuria and bone loss in adult oophorectomised rats consuming a low calcium diet. Journal of Nutrition 113, 14091414.Google Scholar
Goulding, A and Campbell, DR (1984) Effects of oral loads of sodium chloride on bone composition in growing rats consuming ample dietary calcium. Mineral Electrolyte Metabolism 10, 5862.Google Scholar
Goulding, AEveritt, HECooney, JM & Spears, GFS (1986) Sodium and osteoporosis. In Recent Advances in Clinical Nutrition, vol. 2, pp. 99108 [Wahlqvist, ML and Truswell, AS, editors]. London: John Libbey.Google Scholar
Goulding, A and Gold, E (1986) Effects of dietary sodium chloride on parathyroid function, 1,25-dihydroxyvitamin D, calcium balance, and bone metabolism in female rats during chronic prednisolone administration. Endocrinology 119, 21482154.Google Scholar
Goulding, A and Gold, E (1988) Effects of dietary NaCl supplementation on bone synthesis of hydroxyproline, urinary hydroxyproline excretion and bone 45Ca uptake in the rat. Hormone and Metabolic Research 20, 743745.Google Scholar
Goulding, A and Lim, PE (1983) Effects of varying dietary salt intake on the fasting urinary excretion of sodium, calcium and hydroxyproline in young women. New Zealand Medical Journal 96, 853854.Google Scholar
Goulding, A & McDonald B (1986) Intra-individual variability in fasting urinary calcium/creatinine and hydroxyproline/creatinine measurements. In Recent Advances in Clinical Nutrition, vol. 2, pp. 312313 [Wahlqvist, ML and Truswell, AS, editors]. London: John Libbey.Google Scholar
Goulding, A and McIntosh, J (1986) Effects of NaCl on calcium balance, parathyroid function, and hydroxyproline excretion in prednisolone-treated rats consuming a low calcium diet. Journal of Nutrition 116, 10371044.CrossRefGoogle ScholarPubMed
Greger, JL, Krashoc, CL and Krzykowski, CE (1987) Calcium, sodium and chloride interactions in rats. Nutrition Research 7, 401412.Google Scholar
Heaney, RP (1993) Protein intake and the calcium economy. Journal of the American Dietetic Association 93, 12591260.CrossRefGoogle ScholarPubMed
Heaney, RP and Recker, RR (1982) Effects of nitrogen, phosphorus, and caffeine on calcium balance in women. Journal of Laboratory and Clinical Medicine 99, 4655.Google Scholar
Hegsted, M, Schuette, SA, Zemel, MB and Linkswiler, HM (1981) Urinary calcium and calcium balance in young men as affected by level of protein and phosphorus intake. Journal of Nutrition 111, 553562.Google Scholar
Howe, JC and Beecher, GR (1981) Effect of dietary protein and phosphorus levels on calcium and phosphorus metabolism of the young growing rat. Journal of Nutrition 111, 708712.Google Scholar
Itoh, R and Suyama, Y (1996) Sodium excretion in relation to calcium and hydroxyproline excretion in a healthy Japanese population. American Journal of Clinical Nutrition 63, 735740.Google Scholar
Itoh, R, Nishiyama, N and Suyama, Y (1998) Dietary protein intake and urinary excretion of calcium: a cross-sectional study in a healthy Japanese population. American Journal of Clinical Nutrition 67, 438444.Google Scholar
Kerstetter, JE and Allen, LH (1994) Protein intake and calcium homeostasis. Advances in Nutrition Research 9, 167181.Google ScholarPubMed
Kerstetter, JE, Caseria, DM, Mitnick, ME, Ellison, AF, Gay, LF, Liskov, TAP, Carpenter, TO and Insogna, KL (1997) Increased circulating levels of parathyroid hormone in healthy young women consuming a protein-restricted diet. American Journal of Clinical Nutrition 66, 11881196.Google Scholar
Kerstetter, JE, Mitnick, ME, Gundberg, CE, Caseria, DM, Ellison, AF, Gay, LF, Carpenter, TO and Insogna, KL (1999) Changes in bone turnover in young women consuming different levels of dietary protein. Journal of Clinical Endocrinology 84, 10521055.Google Scholar
Kim, Y and Linkswiler, HM (1979) Effect of level of protein intake on calcium metabolism and on parathyroid and renal function in the adult human male. Journal of Nutrition 109, 13991404.Google Scholar
Kivirikko, K (1970) Urinary excretion of hydroxyproline in health and disease. International Review of Connective Tissue Research 5, 93163.Google Scholar
Leitz, G, Avenell, A and Robins, SP (1997) Short-term effects of dietary sodium intake on bone metabolism in postmenopausal women measured using urinary deoxypyridinoline excretion. British Journal of Nutrition 78, 7382.CrossRefGoogle Scholar
McParland, BE, Goulding, A and Campbell, AJ (1989) Dietary salt affects biochemical markers of resorption and formation of bone in elderly women. British Medical Journal 299, 834835.Google Scholar
Mahalko, JR, Sandstead, HH, Johnson, LK and Milne, DB (1983) Effect of a moderate increase in dietary protein on the retention and excretion of Ca, Cu, Fe, Mg, P, and Zn by adult males. American Journal of Clinical Nutrition 37, 814.Google Scholar
Massey, LK and Whiting, SJ (1996) Dietary salt, urinary calcium and bone loss. Journal of Bone and Mineral Research 11, 731736.Google Scholar
Meyer, HE, Pederson, JI, Loker, EB and Tverdal, A (1997) Dietary factors and the incidence of hip fracture in middle-aged Norwegians. American Journal of Epidemiology 145, 117123.Google Scholar
Meyer, WJ, Transbol, I, Bartter, FC and Delea, C (1976) Control of calcium absorption: effect of sodium chloride loading and depletion. Metabolism 25, 989993.Google Scholar
Need, AG, Morris, HA, Cleghorn, DB, De Nichilo, D, Horowitz, M and Nordin, BEC (1991) Effect of salt restriction on urine hydroxyproline excretion in postmenopausal women. Archives of International Medicine 151, 757759.CrossRefGoogle ScholarPubMed
Nordin, BEC and Polley, KJ (1987) Metabolic consequences of the menopause: a cross-sectional, longitudinal and intervention study on 557 normal postmenopausal women. Calcified Tissue International 41, S1S59.Google Scholar
Pannemans, DLE, Schaafsma, G and Westererp, KR (1997) Calcium excretion, apparent calcium absorption and calcium balance in young and elderly subjects: influence of protein intake. British Journal of Nutrition 77, 721729.Google Scholar
Robins, SP, Stead, DA and Duncan, A (1994) Precautions in using an internal standard to measure pyridinoline and deoxypyridinoline in urine (letter). Clinical Chemistry 40, 23222323.CrossRefGoogle Scholar
Schuette, SA, Hegsted, M, Zemel, MB and Linkswiler, HM (1981) Renal acid, urinary cyclic AMP, and hydroxyproline excretion as affected by level of protein, sulfur amino acid, and phosphorus intake. Journal of Nutrition 111, 21062116.Google Scholar
Schuette, SA and Linkswiler, HM (1982) Effects on Ca and P metabolism in humans by adding meat, meat plus milk, or purified proteins plus Ca and P to a low protein diet. Journal of Nutrition 112, 338349.Google Scholar
Schuette, SA, Zemel, MB and Linkswiler, HM (1980) Studies on the mechanism of protein-induced hypercalcuria in older men and women. Journal of Nutrition 110, 305315.Google Scholar
Shapses, SA, Robins, SP, Schwartz, EI and Chowdhury, H (1995) Short-term changes in calcium but not protein intake alter the rate of bone resorption in healthy subjects as assessed by urinary pyridinium cross-link excretion. Journal of Nutrition 125, 28142821.Google Scholar
Shortt, C and Flynn, A (1990) Sodium–calcium inter-relationships with specific to osteoporosis. Nutrition Research Reviews 3, 101115.Google Scholar
Shortt, C and Flynn, A (1991) Effect of dietary lactose on salt-mediated changes in mineral metabolism and bone composition in the rat. British Journal of Nutrition 66, 7381.Google Scholar
Shortt, C, Flynn, A and Morrissey, PA (1988) Influence of dietary sodium intake on urinary calcium excretion in selected Irish individuals. European Journal of Clinical Nutrition 42, 595603.Google Scholar
Snedecor, GW & Cochran, WG (1967) Statistical Methods. Ames, IA: Iowa State University Press.Google Scholar
Spencer, H, Kramer, L, DeBartolo, M, Norris, C and Osis, D (1983) Further studies of the effect of a high protein diet as meat on calcium metabolism in man. American Journal of Clinical Nutrition 37, 924929.CrossRefGoogle Scholar
Spencer, H, Kramer, L, Osis, D and Norris, C (1978) Effect of a high protein (meat) intake on calcium metabolism in man. American Journal of Clinical Nutrition 31, 21672180.Google Scholar
Walker, RM and Linkswiler, HM (1972) Calcium retention in the adult human male as affected by protein intake. Journal of Nutrition 102, 12971302.Google Scholar
Weissman, N & Pileggi, VJ (1974) Inorganic ions. In Clinical Chemistry: Principles and Techniques, pp. 639755 [Henry, RJ, Cannon, DC and Winkelman, JW, editors]. Hagerstown, MD: Harper & Row.Google Scholar
Whiting, SJ and Cole, DE (1986) Effect of dietary anion composition on acid-induced hypercalciuria in the adult rat. Journal of Nutrition 116, 388394.Google Scholar
Whiting, SJ and Draper, HH (1980) The role of sulfate in the calciuria of high protein diets in adult rats. Journal of Nutrition 110, 212222.Google Scholar
Yuan, YV and Kitts, DD (1994) Calcium absorption and bone utilisation in spontaneously hypertensive rats fed on native and heat-damaged casein and soyabean protein. British Journal of Nutrition 71, 583603.Google Scholar