Submitted to: American Dietetic Association Annual Meeting
Publication Type: Abstract Only
Publication Acceptance Date: October 27, 1997
Publication Date: N/A
Technical Abstract: Dietary protein, especially meat protein, is frequently cited as a risk factor for osteoporosis. Although protein from purified sources is calciuretic, protein from meat is not (Spencer, et al., Am J Clin Nutr 31: 2167, 1978; Hunt, et al., Am J Clin Nutr 62: 621, 1995). A recent balance study comparing mineral balance on a lacto-ovo-vegetarian and nonvegetarian diet emphasized the influence of phytic acid, rather than meat protein, in reducing urinary calcium. Twenty-one women, age 33 +/- 7 (20 to 42) y, consumed both weighed diets for 8 wk each in a cross-over design. Calcium balance was determined during the last 2 wk. The lacto ovo-vegetarian and nonvegetarian diets provided, respectively, (by analysis) 973 and 995 mg calcium, 1457 and 1667 mg phosphorus, and (by calculation) 12 and 16% protein energy, 40 and 16 g dietary fiber, and 2.5 and 0.8 mmol phytic acid. The lacto-ovo-vegetarian, compared to the nonvegetarian diet, reduced apparent calcium absorption (211 vs. 292 mg/d, pooled SD=130, p<0.06) and urinary calcium excretion (119 vs. 155 mg/d, SD=14, p<0.0001). Because urinary calcium excretion partially compensated for the difference in calcium absorption, calcium balance was unaffected. These results are consistent with reduced calcium absorption by persons consuming sodium phytate, or brown rather than white bread, as described McCance and Widdowson (J Physiol 101: 44, 1942). The lower urinary calcium on the lacto-ovo-vegetarian diet in the present study probably resulted from lower calcium absorption associated with phytic acid, rather than from reduced meat consumption. Phytic acid, rather than meat protein, may be the primary dietary variable that reduces urinary calcium on a lacto-ovo-vegetarian diet with adequate calcium content.