1 RESEARCH ARTICLE
The role of dietary protein and vitamin D in maintaining musculoskeletal health in postmenopausal women: A consensus statement from the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO) – 2014
– René Rizzoli, Jean-Yves Reginster
INTRODUCTION: From 50 years of age, postmenopausal women are at an increased risk of developing sarcopenia (muscle loss) and osteoporosis as a result of deterioration of musculoskeletal health. Both disorders increase the risk of falls and fractures.
REDUCING RISK: The risk of developing sarcopenia and osteoporosis may be attenuated through healthy lifestyle changes, which include:
(1) Adequate dietary protein, calcium and vitamin D intakes
(2) Regular physical activity/exercise
(3) Hormone replacement therapy when appropriate.
PROTEIN INTAKE & PHYSICAL ACTIVITY PLUS VITAMIN D
– Protein intake and physical activity are the main anabolic stimuli for muscle protein synthesis
– Exercise training leads to increased muscle mass and strength, and the combination of optimal protein intake and exercise produces a greater degree of muscle protein accretion than either intervention alone
– Similarly, adequate dietary protein intake and resistance exercise are important contributors to the maintenance of bone strength
– Vitamin D helps to maintain muscle mass and strength as well as bone health
(1) These findings suggest that healthy lifestyle measures in women aged >50 years are essential to allow healthy ageing
(2) The European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO) recommends optimal dietary protein intake of 1.0–1.2 g/kg body weight/d with at least 20–25 g of high-quality protein at each main meal
(3) Adequate vitamin D intake at 800 IU/d to maintain serum 25-hydroxyvitamin D levels >50 nmol/L as well as Calcium intake of 1000 mg/d