Vitamin D status, dietary intake, and bone turnover in female Soldiers during military training: a longitudinal study

<p>Abstract</p> <p>Background</p> <p>Vitamin D is an essential nutrient for maintaining bone health, to include protecting against stress fracture during periods of rapid bone turnover. The objective of this longitudinal, observational study was to assess vitamin D stat...

Full description

Bibliographic Details
Main Authors: Lutz Laura J, Karl J, Rood Jennifer C, Cable Sonya J, Williams Kelly W, Young Andrew J, McClung James P
Format: Article
Language:English
Published: Taylor & Francis Group 2012-08-01
Series:Journal of the International Society of Sports Nutrition
Subjects:
Online Access:http://www.jissn.com/content/9/1/38
_version_ 1828196555884068864
author Lutz Laura J
Karl J
Rood Jennifer C
Cable Sonya J
Williams Kelly W
Young Andrew J
McClung James P
author_facet Lutz Laura J
Karl J
Rood Jennifer C
Cable Sonya J
Williams Kelly W
Young Andrew J
McClung James P
author_sort Lutz Laura J
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Vitamin D is an essential nutrient for maintaining bone health, to include protecting against stress fracture during periods of rapid bone turnover. The objective of this longitudinal, observational study was to assess vitamin D status, biomarkers of bone turnover, and vitamin D and calcium intake in female Soldiers (n = 91) during US Army basic combat training (BCT).</p> <p>Methods</p> <p>Anthropometric, biological and dietary intake data were collected at wk 0, 3, 6, and 9 of the 10 wk BCT course. Mixed models repeated measures ANOVAs were used to assess main effects of time, race, and time-by-race interactions.</p> <p>Results</p> <p>White volunteers experienced a decrease in serum 25(OH)D levels, whereas non-white volunteers experienced an increase during BCT. However, serum 25(OH)D levels were lower in non-whites than whites at all timepoints (P-interaction < 0.05). Group mean PTH levels increased (P < 0.05) during the first 3 wk of training, remained elevated for the duration of BCT, and were higher in non-whites compared to whites (P-race < 0.05). Biomarkers of both bone formation (bone alkaline phosphatase and procollagen I N-terminal peptide) and resorption (tartrate-resistant acid phosphatase and C-terminal telopeptide) increased (P < 0.05) during BCT, indicating increased bone turnover. Estimated daily intakes of vitamin D and calcium were below recommended levels (15 μg and 1000 mg/day, respectively), both before (group mean ± SEM; 3.9 μg/d ± 0.4 and 887 mg/d ± 67) and during BCT (4.1 μg/d ± 0.3 and 882 mg/d ± 51).</p> <p>Conclusions</p> <p>These findings demonstrate that female Soldiers experience dynamic changes in vitamin D status coupled with increased bone turnover and potentially inadequate vitamin D and calcium intake during military training.</p>
first_indexed 2024-04-12T10:04:09Z
format Article
id doaj.art-5b1568eb8a1540ce96b14a5c1d350a9a
institution Directory Open Access Journal
issn 1550-2783
language English
last_indexed 2024-04-12T10:04:09Z
publishDate 2012-08-01
publisher Taylor & Francis Group
record_format Article
series Journal of the International Society of Sports Nutrition
spelling doaj.art-5b1568eb8a1540ce96b14a5c1d350a9a2022-12-22T03:37:29ZengTaylor & Francis GroupJournal of the International Society of Sports Nutrition1550-27832012-08-01913810.1186/1550-2783-9-38Vitamin D status, dietary intake, and bone turnover in female Soldiers during military training: a longitudinal studyLutz Laura JKarl JRood Jennifer CCable Sonya JWilliams Kelly WYoung Andrew JMcClung James P<p>Abstract</p> <p>Background</p> <p>Vitamin D is an essential nutrient for maintaining bone health, to include protecting against stress fracture during periods of rapid bone turnover. The objective of this longitudinal, observational study was to assess vitamin D status, biomarkers of bone turnover, and vitamin D and calcium intake in female Soldiers (n = 91) during US Army basic combat training (BCT).</p> <p>Methods</p> <p>Anthropometric, biological and dietary intake data were collected at wk 0, 3, 6, and 9 of the 10 wk BCT course. Mixed models repeated measures ANOVAs were used to assess main effects of time, race, and time-by-race interactions.</p> <p>Results</p> <p>White volunteers experienced a decrease in serum 25(OH)D levels, whereas non-white volunteers experienced an increase during BCT. However, serum 25(OH)D levels were lower in non-whites than whites at all timepoints (P-interaction < 0.05). Group mean PTH levels increased (P < 0.05) during the first 3 wk of training, remained elevated for the duration of BCT, and were higher in non-whites compared to whites (P-race < 0.05). Biomarkers of both bone formation (bone alkaline phosphatase and procollagen I N-terminal peptide) and resorption (tartrate-resistant acid phosphatase and C-terminal telopeptide) increased (P < 0.05) during BCT, indicating increased bone turnover. Estimated daily intakes of vitamin D and calcium were below recommended levels (15 μg and 1000 mg/day, respectively), both before (group mean ± SEM; 3.9 μg/d ± 0.4 and 887 mg/d ± 67) and during BCT (4.1 μg/d ± 0.3 and 882 mg/d ± 51).</p> <p>Conclusions</p> <p>These findings demonstrate that female Soldiers experience dynamic changes in vitamin D status coupled with increased bone turnover and potentially inadequate vitamin D and calcium intake during military training.</p>http://www.jissn.com/content/9/1/38Vitamin DCalciumParathyroid hormoneBone turnoverSoldiers
spellingShingle Lutz Laura J
Karl J
Rood Jennifer C
Cable Sonya J
Williams Kelly W
Young Andrew J
McClung James P
Vitamin D status, dietary intake, and bone turnover in female Soldiers during military training: a longitudinal study
Journal of the International Society of Sports Nutrition
Vitamin D
Calcium
Parathyroid hormone
Bone turnover
Soldiers
title Vitamin D status, dietary intake, and bone turnover in female Soldiers during military training: a longitudinal study
title_full Vitamin D status, dietary intake, and bone turnover in female Soldiers during military training: a longitudinal study
title_fullStr Vitamin D status, dietary intake, and bone turnover in female Soldiers during military training: a longitudinal study
title_full_unstemmed Vitamin D status, dietary intake, and bone turnover in female Soldiers during military training: a longitudinal study
title_short Vitamin D status, dietary intake, and bone turnover in female Soldiers during military training: a longitudinal study
title_sort vitamin d status dietary intake and bone turnover in female soldiers during military training a longitudinal study
topic Vitamin D
Calcium
Parathyroid hormone
Bone turnover
Soldiers
url http://www.jissn.com/content/9/1/38
work_keys_str_mv AT lutzlauraj vitamindstatusdietaryintakeandboneturnoverinfemalesoldiersduringmilitarytrainingalongitudinalstudy
AT karlj vitamindstatusdietaryintakeandboneturnoverinfemalesoldiersduringmilitarytrainingalongitudinalstudy
AT roodjenniferc vitamindstatusdietaryintakeandboneturnoverinfemalesoldiersduringmilitarytrainingalongitudinalstudy
AT cablesonyaj vitamindstatusdietaryintakeandboneturnoverinfemalesoldiersduringmilitarytrainingalongitudinalstudy
AT williamskellyw vitamindstatusdietaryintakeandboneturnoverinfemalesoldiersduringmilitarytrainingalongitudinalstudy
AT youngandrewj vitamindstatusdietaryintakeandboneturnoverinfemalesoldiersduringmilitarytrainingalongitudinalstudy
AT mcclungjamesp vitamindstatusdietaryintakeandboneturnoverinfemalesoldiersduringmilitarytrainingalongitudinalstudy