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Human Nutrition and Metabolism
Research Communication
Short-Term Vitamin A Supplementation Does Not Affect Bone Turnover in Men
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Tisha N. Kawahara2, Diane C. Krueger, Jean A. Engelke, Judy M. Harke and Neil C. Binkley
Institute on Aging, University of Wisconsin-Madison, Madison, WI
Limited data in humans and animals indicate that excess vitamin A stimulates bone resorption and inhibits bone formation, effects that over time might lead to bone loss and fracture.
Thus, it is possible that vitamin A supplementation is a currently unrecognized risk factor for the development of osteoporosis.
To further evaluate this possibility, a prospective, randomized, single-blind study of vitamin A supplementation was conducted in 80 healthy men age 18–58 y. One half received 7576 µg (25,000 IU) of retinol palmitate daily with their evening meal; the others took a placebo. Blood was collected from fasting subjects and serum prepared at baseline and after 2, 4 and 6 wk of supplementation.
Serum bone specific alkaline phosphatase (BSAP) and N-Telopeptide of type 1 collagen (NTx) were measured at all time points. Serum osteocalcin (Oc) was measured at baseline and after 6 wk of supplementation. BSAP, NTx and Oc did not differ between the supplemented and placebo-treated groups over the course of the study.
In conclusion, short-term vitamin A supplementation at this dosage in healthy men does not alter serum markers of skeletal turnover.
Thus, it is unlikely that short-term administration of vitamin A would contribute to the development of osteoporosis. Whether long-term vitamin A supplementation might have adverse skeletal effects remains to be determined.
J. Nutr. 132:1169-1172, 2002
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