Details
| Translated title of the contribution | Effects of mineral and curative waters on bone health: Physiology and epidemiological evidence |
|---|---|
| Original language | German |
| Pages (from-to) | 278-294 |
| Number of pages | 17 |
| Journal | Osteologie |
| Volume | 32 |
| Issue number | 4 |
| Early online date | 6 Oct 2023 |
| Publication status | Published - 2023 |
Abstract
Mineral waters and medicinal waters are characterised by their specific composition, which makes them different from a nutritional point of view. Many mineral and medicinal waters are a quantitatively significant source of readily bioavailable calcium and magnesium. Calcium-rich waters are therefore a favourable alternative to readily soluble calcium citrate, which is recommended by the guideline of the Bone Health & Osteoporosis Foundation as a source of calcium in cases of achlorhydria or restricted gastric acid production (e. g. therapy with proton pump inhibitors). Calcium waters lower serum parathyroid hormone similarly to calcium from milk or supplements with equivalent mineral content. Moreover, alkaline calcium waters inhibit bone resorption. Bicarbonate-rich waters also reduce renal acid load and, as a result, urinary calcium losses. However, the waters effect on calcium balance and fracture risk is unclear. Besides, the sodium and potassium content of most waters is too low to have a significant effect on bone metabolism. Even waters with a moderate fluoride content (0.70-1.0 mg/l) have no effect on bone microstructure, independent of other dietary factors (calcium, protein).
ASJC Scopus subject areas
- Medicine(all)
- General Medicine
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In: Osteologie, Vol. 32, No. 4, 2023, p. 278-294.
Research output: Contribution to journal › Review article › Research › peer review
}
TY - JOUR
T1 - Ossäre Bedeutung von Mineral- und Heilwässern
T2 - Physiologie und epidemiologische Evidenz
AU - Ströhle, Alexander
AU - Hahn, Andreas
PY - 2023
Y1 - 2023
N2 - Mineral waters and medicinal waters are characterised by their specific composition, which makes them different from a nutritional point of view. Many mineral and medicinal waters are a quantitatively significant source of readily bioavailable calcium and magnesium. Calcium-rich waters are therefore a favourable alternative to readily soluble calcium citrate, which is recommended by the guideline of the Bone Health & Osteoporosis Foundation as a source of calcium in cases of achlorhydria or restricted gastric acid production (e. g. therapy with proton pump inhibitors). Calcium waters lower serum parathyroid hormone similarly to calcium from milk or supplements with equivalent mineral content. Moreover, alkaline calcium waters inhibit bone resorption. Bicarbonate-rich waters also reduce renal acid load and, as a result, urinary calcium losses. However, the waters effect on calcium balance and fracture risk is unclear. Besides, the sodium and potassium content of most waters is too low to have a significant effect on bone metabolism. Even waters with a moderate fluoride content (0.70-1.0 mg/l) have no effect on bone microstructure, independent of other dietary factors (calcium, protein).
AB - Mineral waters and medicinal waters are characterised by their specific composition, which makes them different from a nutritional point of view. Many mineral and medicinal waters are a quantitatively significant source of readily bioavailable calcium and magnesium. Calcium-rich waters are therefore a favourable alternative to readily soluble calcium citrate, which is recommended by the guideline of the Bone Health & Osteoporosis Foundation as a source of calcium in cases of achlorhydria or restricted gastric acid production (e. g. therapy with proton pump inhibitors). Calcium waters lower serum parathyroid hormone similarly to calcium from milk or supplements with equivalent mineral content. Moreover, alkaline calcium waters inhibit bone resorption. Bicarbonate-rich waters also reduce renal acid load and, as a result, urinary calcium losses. However, the waters effect on calcium balance and fracture risk is unclear. Besides, the sodium and potassium content of most waters is too low to have a significant effect on bone metabolism. Even waters with a moderate fluoride content (0.70-1.0 mg/l) have no effect on bone microstructure, independent of other dietary factors (calcium, protein).
KW - bicarbonate
KW - bone metabolism
KW - calcium
KW - mineral water
KW - net acid load
UR - http://www.scopus.com/inward/record.url?scp=85174425827&partnerID=8YFLogxK
U2 - 10.1055/a-2171-7360
DO - 10.1055/a-2171-7360
M3 - Übersichtsarbeit
AN - SCOPUS:85174425827
VL - 32
SP - 278
EP - 294
JO - Osteologie
JF - Osteologie
SN - 1019-1291
IS - 4
ER -