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1.
J Nutr Biochem ; 21(5): 424-31, 2010 May.
Article in English | MEDLINE | ID: mdl-19427185

ABSTRACT

Hesperidin found in citrus fruits has been reported to be a promising bioactive compound for maintaining an optimal bone status in ovariectomized rodent models. In this study, we examined the capacity of hesperetin (Hp) to affect the proliferation, differentiation and mineralization of rodent primary osteoblasts. Then, the impact of Hp on signalling pathways known to be implicated in bone formation was explored. We exposed osteoblasts to physiological concentrations of 1 microM Hp (Hp1) and 10 microM Hp (Hp10). Neither proliferation nor mineralization was affected by Hp at either dose during 19 days of exposure. Hp at both doses enhanced differentiation by significantly increasing alkaline phosphatase (ALP) activity from Day 14 of exposure (Day 19: Hp1: +9%, Hp10: +14.8% vs. control; P<.05). However, Hp did not induce an obvious formation of calcium nodules. The effect of Hp10 on ALP was inhibited by addition of noggin protein, suggesting a possible action of this flavanone through the bone morphogenetic protein (BMP) pathway. Indeed, Hp10 significantly induced (1.2- to 1.4-fold) mRNA expression of genes involved in this signalling pathway (i.e., BMP2, BMP4, Runx2 and Osterix) after 48 h of exposure. This was strengthened by enhanced phosphorylation of the complex Smad1/5/8. Osteocalcin mRNA level was up-regulated by Hp only at 10 microM (2.2 fold vs. control). The same dose of Hp significantly decreased osteopontin (OPN) protein level (50% vs. control) after 14 days of culture. Our findings suggest that Hp may regulate osteoblast differentiation through BMP signalling and may influence the mineralization process by modulating OPN expression.


Subject(s)
Bone Morphogenetic Proteins/metabolism , Cell Differentiation/drug effects , Hesperidin/pharmacology , Osteoblasts/drug effects , Signal Transduction/drug effects , Alkaline Phosphatase/metabolism , Animals , Bone Morphogenetic Proteins/genetics , Carrier Proteins/metabolism , Cell Proliferation/drug effects , Cells, Cultured , Core Binding Factor Alpha 1 Subunit/genetics , Core Binding Factor Alpha 1 Subunit/metabolism , Dose-Response Relationship, Drug , Gene Expression Regulation/drug effects , Hesperidin/antagonists & inhibitors , Hesperidin/pharmacokinetics , Minerals/metabolism , Osteoblasts/cytology , Osteocalcin/genetics , Osteocalcin/metabolism , Osteopontin/genetics , Osteopontin/metabolism , Phosphorylation/drug effects , RNA, Messenger/metabolism , Rats , Rats, Wistar , Smad Proteins/genetics , Smad Proteins/metabolism , Time Factors , Transcription Factors/genetics , Transcription Factors/metabolism
2.
Pediatr Res ; 66(5): 513-8, 2009 Nov.
Article in English | MEDLINE | ID: mdl-19668107

ABSTRACT

Peak bone mass is a major determinant of osteoporosis pathogenesis during aging. Respective influences of energy and protein supplies on skeletal growth remains unclear. We investigated the effect of a 5-mo dietary restriction on bone status in young rats randomized into six groups (n = 10 per group). Control animals were fed a diet containing a normal (13%) (C-NP) or a high-protein content (26%) (C-HP). The other groups received a 40% protein energy-restricted diet (PER-NP and PER-HP) or a 40% energy-restricted diet (ER-NP and ER-HP). High-protein intake did not modulate bone acquisition, although a metabolic acidosis was induced and calcium retention impaired. PER and ER diets were associated with a decrease in femoral bone mineral density. The compensation for protein intake in energy-restricted conditions induced a bone sparing effect. Plasma osteocalcin (OC) and urinary deoxypyridinoline (DPD) assays revealed a decreased OC/DPD ratio in restricted rats compared with C animals, which was far more reduced in PER than in ER groups. Circulating IGF-1 levels were lowered by dietary restrictions. In conclusion, both energy and protein deficiencies may contribute to impairment in peak bone mass acquisition, which may affect skeleton strength and potentially render individuals more susceptible to osteoporosis.


Subject(s)
Bone and Bones/pathology , Dietary Supplements , Amino Acids/urine , Animal Feed , Animals , Biomechanical Phenomena , Bone Density , Femur/anatomy & histology , Insulin-Like Growth Factor I/metabolism , Ions , Male , Osteocalcin/blood , Osteoporosis/pathology , Rats , Rats, Wistar
3.
Eur J Nutr ; 47(7): 366-74, 2008 Oct.
Article in English | MEDLINE | ID: mdl-18779917

ABSTRACT

Chicory inulin has been identified as an effective prebiotic to promote active fermentation and lactobacilli proliferation in the large intestine, and to enhance calcium (Ca) digestive absorption and deposition in bones. The aim of this study was to compare, in a growing rat model, the effects on digestive fermentations and mineral metabolism of diets containing 7.5% inulin, using either a purified native inulin ((NAT)Inulin) or a reformulated inulin ((REF)Inulin, based on a combination of short- and long chain fructans) or dehydrated chicory. All the inulin diets elicited a marked enlargement of the cecum and acidification of the cecal contents (P < 0.01) and these diets promoted succinic acid rich fermentation together with substantial amounts of short-chain fatty acids (SCFA), especially butyrate. After 1 month of adaptation, all the inulin diets strongly enhanced Ca absorption compared to controls (P < 0.01), but this effect was no more observed after 3 months of adaptation. Magnesium (Mg) absorption was stimulated by the inulin diets after 1 and 3 months experiment. Bone parameters were significantly affected by the chicory diet (enhanced distal bone mineral density and breaking load) whereas the purified inulin diets were less effective. In conclusion, with the present model, both (NAT)Inulin and (REF)Inulin exerted similar effects as to (1) cecal fermentation and profile of end-products of bacterial metabolism, (2) stimulation of Ca and Mg digestive absorption and (3) overall effects on bone parameters. The particular effects of the chicory crude fractions on digestive fermentation and bone parameters suggest possible synergisms between inulin-type fructans and other nutrients.


Subject(s)
Calcium/pharmacokinetics , Cecum/metabolism , Cichorium intybus , Inulin/pharmacology , Magnesium/pharmacokinetics , Minerals/pharmacokinetics , Adaptation, Physiological , Aging/metabolism , Aging/physiology , Animals , Calcium/metabolism , Cecum/microbiology , Cichorium intybus/chemistry , Disease Models, Animal , Fermentation , Fructans/pharmacology , Intestinal Absorption/drug effects , Intestinal Absorption/physiology , Magnesium/metabolism , Male , Probiotics , Random Allocation , Rats , Rats, Wistar
4.
J Am Coll Nutr ; 27(2): 222-8, 2008 Apr.
Article in English | MEDLINE | ID: mdl-18689553

ABSTRACT

BACKGROUND: Oxidative stress is implicated in the etiology of many diseases, but most of clinical trials failed to demonstrate beneficial effects of antioxidant supplementation. METHODS: In the present experiment, we assessed the mean-term effect of wheat germ supplementation, as a dietary source of vitamin E, on antioxidant protection in rat. RESULTS: Feeding rats a 20% wheat germ diet significantly increased plasma and liver vitamin E levels, compared to the low vitamin E basal diet. Concurrently, wheat germ diet consumption strongly decreased the susceptibility of heart and liver lipids to oxidation, as well as the plasma. Wheat germ feeding did not change triglycerides (TG) nor total cholesterol concentrations in plasma or liver, resulting in higher vitamin E/TG ratio compared to controls. Similar results were found with a diet in which wheat germ oil provided the same amount of vitamin E. CONCLUSIONS: Wheat germ appears thus very effective to improve antioxidant defense status, especially in tissues, irrespective of modifications of lipids status.


Subject(s)
Antioxidants/pharmacology , Plant Oils/pharmacology , Vitamin E/blood , Animals , Cholesterol/blood , Liver/metabolism , Male , Malondialdehyde/urine , Myocardium/metabolism , Oxidative Stress/drug effects , Oxidative Stress/physiology , Random Allocation , Rats , Rats, Wistar , Thiobarbituric Acid Reactive Substances/metabolism , Triglycerides/blood , Vitamin E Deficiency/blood , Vitamin E Deficiency/drug therapy , Vitamin E Deficiency/urine
5.
Calcif Tissue Int ; 82(5): 373-82, 2008 May.
Article in English | MEDLINE | ID: mdl-18437274

ABSTRACT

Low energy and protein intake has been suggested to contribute to the increased incidence of osteoporosis in the elderly. The impact of dietary protein on bone health is still a matter of debate. Therefore, we examined the effect of the modulation of protein intake under adequate or deficient energy conditions on bone status in 16-month-old male rats. The animals were randomly allocated to six groups (n = 10/group). Control animals were fed a diet providing either a normal-protein content (13%, C-NP) or a high-protein content (26%) (C-HP). The other groups received a 40% protein/energy-restricted diet (PER-NP and PER-HP) or a normal protein/energy-restricted diet (ER-NP and ER-HP). After 5 months of the experiment, protein intake (13% or 26%) did not modulate calcium retention or bone status in those rats, although a low-grade metabolic acidosis was induced with the HP diet. Both restrictions (PER and ER) decreased femoral bone mineral density and fracture load. Plasma osteocalcin and urinary deoxypyridinoline levels were lowered, suggesting a decrease in bone turnover in the PER and ER groups. Circulating insulin-like growth factor-I levels were also lowered by dietary restrictions, together with calcium retention. Adequate protein intake in the ER condition did not elicit any bone-sparing effect compared to PER rats. In conclusion, both energy and protein deficiencies may contribute to age-related bone loss. This study highlights the importance of sustaining adequate energy and protein provision to preserve skeletal integrity in the elderly.


Subject(s)
Bone Resorption/etiology , Caloric Restriction , Diet, Protein-Restricted , Dietary Proteins/administration & dosage , Osteoporosis/etiology , Acidosis/chemically induced , Acidosis/metabolism , Amino Acids/urine , Animals , Biomarkers/metabolism , Bone Resorption/metabolism , Bone Resorption/physiopathology , Calcium/metabolism , Disease Models, Animal , Dose-Response Relationship, Drug , Femur/diagnostic imaging , Femur/drug effects , Femur/metabolism , Insulin-Like Growth Factor I/analysis , Male , Osteocalcin/blood , Osteoporosis/metabolism , Osteoporosis/physiopathology , Radiography , Rats , Rats, Wistar
6.
J Nutr ; 138(4): 718-24, 2008 Apr.
Article in English | MEDLINE | ID: mdl-18356326

ABSTRACT

High dietary protein intake generates endogenous acid production, which may adversely affect bone health. Alkaline potassium citrate (Kcit)(2) may contribute to the neutralization of the protein-induced metabolic acidosis. We investigated the impact of 2 levels of protein intake and Kcit supplementation on acid-base metabolism and bone status in rats. Two-month-old Wistar male rats were randomly assigned to 4 groups (n = 30 per group). Two groups received a normal-protein content (13%) (NP) or a high-protein (HP) content diet (26%) for 19 mo. The 2 other groups received identical diets supplemented with Kcit (3.60%) (NPKcit and HPKcit). Rats were pair-fed based on the ad libitum intake of the HP group. At 9, 16, and 21 mo of age, 10 rats of each group were killed. The HP diet induced a metabolic acidosis characterized by hypercalciuria, hypermagnesuria, and hypocitraturia at all ages. Kcit supplementation neutralized this effect, as evidenced by decreased urinary calcium and magnesium excretion by the HPKcit rats. Femoral bone mineral density, biomechanical properties, bone metabolism biomarkers (osteocalcin and deoxypyridinoline), and plasma insulin-like growth factor 1 levels were not affected by the different diets. Nevertheless, at 21 mo of age, calcium retention was reduced in the HP group. This study suggests that lifelong excess of dietary protein results in low-grade metabolic acidosis without affecting the skeleton, which may be protected by an adequate calcium supply.


Subject(s)
Acid-Base Equilibrium/drug effects , Bone Density/drug effects , Dietary Proteins/administration & dosage , Dietary Proteins/pharmacology , Potassium Citrate/administration & dosage , Potassium Citrate/pharmacology , Animals , Anions/urine , Biomarkers , Biomechanical Phenomena , Body Weight , Calcium/metabolism , Cations/urine , Dietary Supplements , Drug Administration Schedule , Drug Therapy, Combination , Male , Rats , Rats, Wistar
7.
Br J Nutr ; 98(1): 72-7, 2007 Jul.
Article in English | MEDLINE | ID: mdl-17381878

ABSTRACT

Potassium (K) organic anion salts, such as potassium citrate or potassium malate in plant foods, may counteract low-grade metabolic acidosis induced by western diets, but little is known about the effect of other minor plant anions. Effects of K salts (chloride, citrate, galacturonate or tartrate) were thus studied on the mineral balance and digestive fermentations in groups of 6-week-old rats adapted to an acidogenic/5 % inulin diet. In all diet groups, substantial amounts of lactate and succinate were present in the caecum, besides SCFA. SCFA were poorly affected by K salts conditions. The KCl-supplemented diet elicited an accumulation of lactate in the caecum; whereas the lactate caecal pool was low in rats fed the potassium tartrate-supplemented (K TAR) diet. A fraction of tartrate (around 50 %) was recovered in urine of rats fed the K TAR diet. Potassium citrate and potassium galacturonate diets exerted a marked alkalinizing effect on urine pH and promoted a notable citraturia (around 0.5 micro mol/24 h). All the K organic anion salts counteracted Ca and Mg hyperexcretion in urine, especially potassium tartrate as to magnesuria. The present findings indicate that K salts of unabsorbed organic anions exert alkalinizing effects when metabolizable in the large intestine, even if K and finally available anions (likely SCFA) are not simultaneously bioavailable. Whether this observation is also relevant for a fraction of SCFA arising from dietary fibre breakdown (which represents the major organic anions absorbed in the digestive tract in man) deserves further investigation.


Subject(s)
Digestion/physiology , Fermentation/physiology , Potassium, Dietary/administration & dosage , Animals , Anions/urine , Calcium/urine , Cecum/physiology , Dietary Supplements , Hexuronic Acids/administration & dosage , Hydrogen-Ion Concentration , Magnesium/urine , Male , Organ Size/physiology , Potassium Chloride/administration & dosage , Potassium Citrate/administration & dosage , Random Allocation , Rats , Rats, Wistar , Tartrates/administration & dosage
8.
Br J Nutr ; 96(5): 840-4, 2006 Nov.
Article in English | MEDLINE | ID: mdl-17092371

ABSTRACT

Effects of different inulin-type fructan fractions were studied on atherosclerotic plaque formation in male apo E-deficient mice. Thirty-two mice were randomly divided into four groups and received either a semi-purified sucrose-based diet (control group), or diets in which sucrose was replaced in part by various inulin-type fructans (10 g/100 g): long-chain inulin, oligofructose, or an oligofructose-enriched inulin for 16 weeks. The presence of atherosclerotic plaques was assessed by histomorphometry in the aortic sinus. The apo E-deficient mice fed long-chain inulin or an oligofructose-enriched inulin had about 35 % and 25 % less atherosclerotic lesion area compared with the control group, respectively. Feeding long-chain inulin significantly reduced plasma cholesterol concentrations (P<0.001), and the three inulin-type fructans reduced triacylglycerol (TAG) concentrations compared with the control group (P<0.001). Both the long-chain inulin and an oligofructose-enriched inulin significantly lowered hepatic cholesterol concentrations compared with the control diet (P<0.05). Hepatic TAG concentrations were significantly lower in all three groups fed the fructan-supplemented diets v. the control group (P<0.0001). The results of the present study suggest that inhibition of atherosclerotic plaque formation is more potent in the presence of long-chain inulin, either alone or in combination with oligofructose (an oligofructose-enriched inulin), and that this probably is related to changes in lipid metabolism.


Subject(s)
Apolipoproteins E/deficiency , Atherosclerosis/drug therapy , Dietary Carbohydrates/administration & dosage , Inulin/administration & dosage , Animals , Atherosclerosis/pathology , Blood Pressure/drug effects , Body Weight/physiology , Cholesterol/blood , Dietary Sucrose/administration & dosage , Disease Models, Animal , Liver/chemistry , Male , Mice , Oligosaccharides/administration & dosage , Sinus of Valsalva/pathology , Triglycerides/blood
9.
Eur J Nutr ; 45(6): 342-8, 2006 Sep.
Article in English | MEDLINE | ID: mdl-16763746

ABSTRACT

BACKGROUND: Fibers and potassium (K) organic salts in plant foods are liable to affect Ca and Mg balance at digestive and renal levels, respectively. K organic salts could counteract the acidifying effects of western diets and consequences of excess NaCl. AIM OF THE STUDY: To study this question, male rats were adapted to a basal acidifying low-K (LK) diet, or to diets supplemented with a fiber mix (LK/F), or K citrate (HK) or both (HK/F). RESULTS: HK and HK/F diets displayed a marked alkalinizing effect in urine and promoted citraturia, but this effect was not modulated by fibers. The effect of fibers on Ca digestive absorption was more potent than K citrate effect on Ca renal excretion. In contrast, K citrate effect on kidney Mg excretion was more effective than that of fibers on Mg digestive absorption, a maximal effect on Mg balance was observed in rats fed the HK/F diet. Digestive fermentations in rats fed the LK/F diet were characterized by high-propionic acid fermentations and succinate accumulation. In rats adapted to the HK/F diet, K citrate supplementation depressed succinate and increased butyrate concentrations. CONCLUSION: Organic anions arising from digestive fermentations seem to be not directly involved in the alkalinizing effects of plant foods. Fibers and organic K salts exert distinct effects on Ca and Mg metabolism, but with interesting interactions as to Mg balance, digestive fermentations and urine pH.


Subject(s)
Acid-Base Equilibrium , Dietary Fiber/administration & dosage , Digestion , Fermentation , Minerals/metabolism , Potassium Compounds/administration & dosage , Acid-Base Equilibrium/drug effects , Acid-Base Equilibrium/physiology , Animals , Calcium/metabolism , Calcium/urine , Dietary Fiber/metabolism , Hydrogen-Ion Concentration , Intestinal Absorption , Magnesium/metabolism , Magnesium/urine , Male , Potassium Citrate/administration & dosage , Potassium Compounds/metabolism , Random Allocation , Rats , Rats, Wistar , Sodium Chloride, Dietary/adverse effects , Sodium Chloride, Dietary/metabolism , Urinalysis , Urine/chemistry
10.
Eur J Nutr ; 45(5): 298-306, 2006 Aug.
Article in English | MEDLINE | ID: mdl-16649091

ABSTRACT

BACKGROUND: Most studies in animals use diets with several features (for example low-fat, rich in micronutriments), likely to be strongly protective against chronic diseases. AIM OF THE STUDY: The present study, performed in wild type outbred mice, was designed to evaluate the validity of a model of 'westernized' (W) diet reproducing, as closely as possible, the overall composition of an average human regime in western countries RESULTS: In contrast to the standard (S) diet, the W diet triggered a marked increase in adiposity with some characteristics of metabolic syndrome (hypercholesterolemia, hyperinsulinemia...). There was an heterogeneity in the propensity to become obese upon exposure to the W diet in female mice. Overweight mice also presented some disturbances of renal function, such as hyperalbuminuria and hypocitraturia. Mice adapted to the W diet showed a reduction of bone mineral density, especially the non-obese ones. CONCLUSION: These data suggest that a model of westernized diet could be appropriate for exploring the effects of mutations, drugs, or specific nutritional factors in animals and could be more relevant for human situations.


Subject(s)
Diet , Disease Models, Animal , Metabolic Syndrome/epidemiology , Obesity/epidemiology , Osteoporosis/epidemiology , Animals , Diet/adverse effects , Female , Humans , Metabolic Syndrome/etiology , Metabolic Syndrome/metabolism , Mice , Obesity/etiology , Obesity/metabolism , Osteoporosis/etiology , Osteoporosis/metabolism , Random Allocation , Urinalysis , Weight Gain
11.
Br J Nutr ; 95(5): 925-32, 2006 May.
Article in English | MEDLINE | ID: mdl-16611382

ABSTRACT

Excessive dietary NaCl in association with a paucity of plant foods, major sources of K alkaline salts, is a common feature in Western eating habits which may lead to acid-base disorders and to Ca and Mg wasting. In this context, to evaluate the effects of potato, rich in potassium citrate, on acid-base homeostasis and mineral retention, Wistar rats were fed wheat starch (WS) or cooked potato (CP) diets with a low (0.5 %) or a high (2 %) NaCl content during 3 weeks. The replacement of WS by CP in the diets resulted in a significant urinary alkalinisation (pH from 5.5 to 7.3) parallel to a rise in citrate and K excretion. Urinary Ca and Mg elimination represented respectively 17 and 62 % of the daily absorbed mineral in rats fed the high-salt WS diet compared with 5 and 28 % in rats fed the high-salt CP diet. The total SCFA concentration in the caecum was 3-fold higher in rats fed the CP diets compared with rats fed the WS diets, and it led to a significant rise in Ca and Mg intestinal absorption (Ca from 39 to 56 %; Mg from 37 to 60 %). The present model of low-grade metabolic acidosis indicates that CP may be effective in alkalinising urine, enhancing citrate excretion and ameliorating Ca and Mg balance.


Subject(s)
Acid-Base Equilibrium/drug effects , Homeostasis/drug effects , Minerals/urine , Sodium Chloride, Dietary/pharmacology , Solanum tuberosum , Animals , Calcium/urine , Cecum/metabolism , Diet , Eating , Hydrogen-Ion Concentration/drug effects , Intestinal Absorption/drug effects , Magnesium/urine , Male , Potassium/urine , Rats , Rats, Wistar , Sodium Chloride, Dietary/administration & dosage , Weight Gain
12.
Eur J Nutr ; 45(5): 267-74, 2006 Aug.
Article in English | MEDLINE | ID: mdl-16586150

ABSTRACT

BACKGROUND: Vegetables and fruits are rich sources of a variety of nutrients, including vitamins (E and C), trace minerals, and dietary fibers, and many other classes of biologically active compounds such as carotenoids and polyphenols, which are often assumed to protect against degenerative pathologies such as cardiovascular diseases. Although potato is considered as a starchy food, it is also included in the category of vegetables by its micronutrient content. AIM OF THE STUDY: In the present study, we investigated in the rat the effect of a potato-enriched diet on lipid metabolism and antioxidant protection. RESULTS: Feeding rats a potato-enriched diet for 3 weeks led to a significant decrease in cholesterol and triglyceride levels in plasma (respectively, -30%, P<0.0001 and -36%, P<0.05) and cholesterol level in liver (-42%, P<0.0001). Antioxidant status was also improved by potato consumption. TBARS levels in heart were decreased and vitamin E/triglycerides ratio in plasma was improved. CONCLUSIONS: Our present results suggest that consumption of cooked potatoes (consumed with skin) may enhance antioxidant defense and improve the lipid metabolism. These effects could be interesting for prevention of cardiovascular disease.


Subject(s)
Antioxidants/metabolism , Cholesterol, Dietary/administration & dosage , Diet , Lipid Metabolism/drug effects , Solanum tuberosum/chemistry , Animals , Cardiovascular Diseases/prevention & control , Cholesterol/blood , Dietary Fiber/administration & dosage , Fermentation , Humans , Liver/chemistry , Liver/metabolism , Male , Organ Size , Postprandial Period , Random Allocation , Rats , Rats, Wistar , Thiobarbituric Acid Reactive Substances/analysis , Triglycerides/blood , Vitamin E/blood , Vitamin E/metabolism
13.
Ann Nutr Metab ; 50(3): 229-36, 2006.
Article in English | MEDLINE | ID: mdl-16407650

ABSTRACT

This study examined the effects of a dietary model of protein excess and K anion salt deficit on the occurrence of metabolic acidosis in rat. Rats were adapted to diets containing either 13 or 26% casein, together with mineral imbalance, through lowering K/increasing sodium/omitting alkalinizing anions. For each protein level, a group of rats was supplemented with K citrate. Dietary K citrate resulted in neutral urinary pH, whatever the protein level. Urea excretion was higher in rats adapted to 26% casein than 13% casein diets, but K citrate enhanced this excretion and suppressed ammonium elimination. No citraturia could be observed in acidotic rats, whereas K citrate greatly stimulated citraturia and 2-ketoglutarate excretion. In conclusion, low-grade metabolic acidosis can occur with a moderate protein level in the diet. K citrate was apparently less effective in rats adapted to the 26% casein level than in those adapted to the 13% casein level with regard to magnesium, citrate and 2-ketoglutarate concentrations in urine.


Subject(s)
Acidosis/etiology , Acidosis/metabolism , Caseins/administration & dosage , Nitrogen/metabolism , Potassium Citrate/administration & dosage , Acidosis/urine , Animals , Caseins/metabolism , Dose-Response Relationship, Drug , Eating/drug effects , Energy Intake/drug effects , Hydrogen-Ion Concentration , Male , Potassium Citrate/metabolism , Potassium Citrate/pharmacology , Random Allocation , Rats , Rats, Wistar , Urea/analysis , Urea/pharmacokinetics , Urinalysis , Weight Gain/drug effects
14.
J Ren Nutr ; 16(1): 67-74, 2006 Jan.
Article in English | MEDLINE | ID: mdl-16414445

ABSTRACT

BACKGROUND: Considerable attention has been given to the impact of nutrition on kidney disease. Most dietary attempts to treat chronic renal failure (CRF) and to decrease uremia use a protein restriction. An alternative dietetic approach based on fermentable carbohydrate (FC) supplementation of the diet could lead to the same urea-lowering effect by increasing urea nitrogen (N) excretion in stool, with a concomitant decrease of the total N quantity excreted in urine. METHODS: In the present prospective study, the impact of FC (40 g/d) on uremia and on N excretion routes was investigated during 5 weeks in nine CRF patients in the presence of a moderated restrictive protein diet (0.8 g/kg/d). Patients were their own controls and were treated by the cross-over method after randomization (5 weeks with FC versus 5 weeks without FC). RESULTS: Feeding FC significantly increased the quantity of N excreted in stool from 2.1 +/- 0.8 to 3.2 +/- 1.1 g/d (+51%) (P < .01) and decreased, in parallel, the urinary N excretion from 9.4 +/- 1.7 to 8.3 +/- 1.4 g/d (-12%) (P < .01). The total N quantities excreted by the two routes were unchanged by the FC, which shows that the FC was efficient to shift N excretion from the urinary route toward the digestive route. As a result of the increase of urea transfer into the colon, the plasma urea concentration was significantly decreased from 26.1 +/- 8.7 to 20.2 +/- 8.2 mmol/L (-23%) (P < .05). CONCLUSIONS: These results show the same beneficial effects in CRF as those obtained with a restrictive protein diet without its nutritional drawbacks. This should be confirmed by other prospective works over a longer duration and a larger number of patients to study the effects of FC on CRF progression and on CRF terminal stage tolerance.


Subject(s)
Dietary Carbohydrates/administration & dosage , Fermentation , Kidney Failure, Chronic/therapy , Nitrogen/analysis , Adult , Aged , Aged, 80 and over , Anthropometry , Cross-Over Studies , Dietary Fiber/analysis , Dietary Proteins/administration & dosage , Dietary Supplements , Energy Intake , Feces/chemistry , Female , Humans , Kidney Failure, Chronic/metabolism , Kidney Failure, Chronic/urine , Male , Middle Aged , Nitrogen/urine , Nutritional Status , Patient Compliance , Prospective Studies
15.
Nutr J ; 4: 29, 2005 Oct 27.
Article in English | MEDLINE | ID: mdl-16253138

ABSTRACT

BACKGROUND: previous studies have shown that non-digestible inulin-type fructan intake can increase intestinal mineral absorption in both humans and animals. However, this stimulatory effect on intestinal absorption may depend on experimental conditions such as duration of fermentable fiber intake, mineral diet levels and animals' physiological status, in particular their age. OBJECTIVES: the aim of this study was to determine the effect of inulin intake on Ca and Mg absorption in rats at different age stages. METHODS: eighty male Wistar rats of four different ages (2, 5, 10 and 20 months) were randomized into either a control group or a group receiving 3.75% inulin in their diet for 4 days and then 7.5% inulin for three weeks. The animals were fed fresh food and water ad libitum for the duration of the experiment. Intestinal absorption of Ca and Mg was determined by fecal monitoring using stable isotopic tracers. Ca and Mg status was also assessed. RESULTS: absorption of Ca and Mg was significantly lower in the aged rats (10 and 20 mo) than in the young and adult rat groups. As expected, inulin intake increased Ca and Mg absorption in all four rat groups. However, inulin had a numerically greater effect on Ca absorption in aged rats than in younger rats whereas its effect on Mg absorption remained similar across all four rat age groups. CONCLUSION: the extent of the stimulatory effect of inulin on absorption of Ca may differ according to animal ages. Further studies are required to explore this effect over longer inulin intake periods, and to confirm these results in humans.


Subject(s)
Aging/physiology , Calcium, Dietary/pharmacokinetics , Diet , Intestinal Absorption/physiology , Inulin/administration & dosage , Magnesium/pharmacokinetics , Animals , Calcium/blood , Calcium Isotopes , Cecum/metabolism , Eating , Feces/chemistry , Fermentation , Intestinal Absorption/drug effects , Isotopes , Magnesium/blood , Male , Nutritional Status , Rats , Rats, Wistar , Weight Gain
16.
Br J Nutr ; 94(2): 192-7, 2005 Aug.
Article in English | MEDLINE | ID: mdl-16115352

ABSTRACT

Low-grade metabolic acidosis, consecutive to excessive catabolism of sulfur amino acids and a high dietary Na:K ratio, is a common feature of Western food habits. This metabolic alteration may exert various adverse physiological effects, especially on bone, muscle and kidneys. To assess the actual effects of various K salts, a model of the Westernised diet has been developed in rats: slight protein excess (20 % casein); cations provided as non-alkalinising salts; high Na:K ratio. This diet resulted in acidic urine (pH 5.5) together with a high rate of divalent cation excretion in urine, especially Mg. Compared with controls, K supplementation as KCl accentuated Ca excretion, whereas potassium bicarbonate or malate reduced Mg and Ca excretion and alkalinised urine pH (up to 8). In parallel, citraturia was strongly increased, together with 2-ketoglutarate excretion, by potassium bicarbonate or malate in the diet. Basal sulfate excretion, in the range of 1 mmol/d, was slightly enhanced in rats fed the potassium malate diet. The present model of low-grade metabolic acidosis indicates that potassium malate may be as effective as KHCO3 to counteract urine acidification, to limit divalent cation excretion and to ensure high citrate concentration in urine.


Subject(s)
Amino Acids, Sulfur/administration & dosage , Diet/adverse effects , Dietary Supplements/adverse effects , Potassium/pharmacology , Acidosis/metabolism , Amino Acids, Sulfur/metabolism , Ammonia/urine , Animals , Bicarbonates/administration & dosage , Bicarbonates/urine , Calcium/blood , Calcium/urine , Diet/methods , Eating/physiology , Magnesium/blood , Magnesium/urine , Malates/metabolism , Male , Potassium/administration & dosage , Potassium/urine , Potassium Chloride/administration & dosage , Potassium Chloride/urine , Potassium Compounds/administration & dosage , Potassium Compounds/urine , Rats , Rats, Wistar , Sodium/blood , Sodium/urine , Sulfates/urine , Urination/physiology , Weight Gain/drug effects
17.
J Nutr ; 134(11): 2903-6, 2004 Nov.
Article in English | MEDLINE | ID: mdl-15514249

ABSTRACT

Potassium (K+) requirements have been largely overlooked because severe deficiencies are uncommon due to the ubiquity of this element in foods. However, a transition toward modern ("Westernized") diets has led to a substantial decline of K+ intake compared with traditional food habits, and a large fraction of the population might now have suboptimal K+ intake. A high K+ intake was demonstrated to have protective effects against several pathologic states affecting the cardiovascular system, kidneys, and bones. Additionally, fruits and vegetables contain K/organic anion salts (malate, citrate), which exert alkalinizing effects, through KHCO(3)(-) generation, which serves to neutralize fixed acidity in urine. Low-grade metabolic acidosis, when not properly controlled, may exacerbate various catabolic processes (bone Ca++ mobilization, proteolysis), especially in the elderly. Fruits and vegetables are therefore receiving great attention in a strategy to increase the nutritional value of meals while reducing energy density and intake. The need to ensure a 2.5- to 3.5-g daily K+ supply from fruits and vegetables represents a strong rationale for the "5-10 servings per day" recommendations.


Subject(s)
Nutritional Physiological Phenomena , Potassium, Dietary/administration & dosage , Potassium, Dietary/metabolism , Acid-Base Equilibrium , Blood Glucose/metabolism , Bone Diseases/prevention & control , Cardiovascular Diseases/prevention & control , Cations, Divalent , Fruit , Humans , Hydrogen-Ion Concentration , Kidney Diseases/prevention & control , Potassium, Dietary/pharmacokinetics , Urine , Vegetables
18.
Nutr Res Rev ; 17(1): 55-68, 2004 Jun.
Article in English | MEDLINE | ID: mdl-19079915

ABSTRACT

The number of elderly individuals is growing rapidly worldwide and degenerative diseases constitute an increasing problem in terms of both public health and cost. Nutrition plays a role in the ageing process and there has been intensive research during the last decade on B vitamin-related risk factors in vascular and neurological diseases and cancers. Data from epidemiological studies indicate that subclinical deficiency in most water-soluble B vitamins may occur gradually during ageing, possibly due to environmental, metabolic, genetic, nutritional and pathological determinants, as well as to lifestyle, gender and drug consumption. Older adults have distinct absorption, cell transport and metabolism characteristics that may alter B vitamin bioavailability. Case-control and longitudinal studies have shown that, concurrent with an insufficient status of certain B vitamins, hyperhomocysteinaemia and impaired methylation reactions may be some of the mechanisms involved before a degenerative pathology becomes evident. The question that arises is whether B vitamin inadequacies contribute to the development of degenerative diseases or result from ageing and disease. The present paper aims to give an overview of these issues at the epidemiological, clinical and molecular levels and to discuss possible strategies to prevent B vitamin deficiency during ageing.

19.
Nutr Res Rev ; 17(2): 249-58, 2004 Dec.
Article in English | MEDLINE | ID: mdl-19079929

ABSTRACT

The present review examines the importance of dietary organic anions in preventive nutrition. Organic anions are chiefly supplied by plant foods, as partially neutralised K salts such as potassium citrate, potassium malate and, to a lesser extent, oxalate or tartrate salts. Animal products may also supply K anions, essentially as phosphate, but also as lactate as a result of fermentative or maturation processes, but these K salts have little alkalinising significance. Citrate and malate anions are absorbed in the upper digestive tract, while a substantial proportion is probably metabolised in the splanchnic area. Whatever their site of metabolism, these anions finally yield KHCO3 which is used by the kidneys to neutralise fixed acidity. This acidity essentially reflects the oxidation of excess S amino acids to sulfate ions, which is mainly related to the dietary protein level. Failure to neutralise acidity leads to low-grade metabolic acidosis, with possible long-term deleterious effects on bone Ca status and on protein status. Furthermore, low-grade acidosis is liable to affect other metabolic processes, such as peroxidation of biological structures. These metabolic disturbances could be connected with the relatively high incidence of osteoporosis and muscle-protein wasting problems observed in ageing individuals in Europe and Northern America. Providing a sufficient supply of K organic anions through fruit and vegetable intake should be recommended, fostering the actual motivational campaigns ('five (or ten) per d') already launched to promote the intake of plant foods rich in complex carbohydrates and various micronutrients.

20.
Eur J Nutr ; 42(5): 254-61, 2003 Oct.
Article in English | MEDLINE | ID: mdl-14569406

ABSTRACT

BACKGROUND: Vegetables are major dietary sources of fibers and antioxidants such as carotenoids, polyphenols and vitamin C which contribute to explain their protective effects against cardiovascular diseases. AIM OF THE STUDY: We investigated in the rat the effects of a 3-week supplementation of the diet with carrot (15% dry matter) on lipid metabolism and antioxidant status. RESULTS: A significant decrease of cholesterol level in liver (-44%; P= 0.0007) was observed together with a reduction of the level of liver triglycerides (-40%; P= 0.0005). Fecal total steroids excretion increased by 30% upon feeding the carrot diet as compared to the control. The secretion of bile acids was maintained, whereas the cholesterol apparent absorption was reduced in rats fed carrot diet. Carrot consumption also improved the antioxidant status. It significantly decreased the urinary excretion of thiobarbituric acid reactive substances (TBARS), reduced the TBARS levels in heart, increased the vitamin E plasmatic level and tended to increase the ferric reducing ability of plasma (FRAP) as compared to the controls. The carrot diet provided carotenoid antioxidants: 5.1 mg beta-carotene, 1.6 mg alpha-carotene and 0.25mg lutein per 100 g diet. No carotenoids were found in plasma whereas the three carotenoids were detected in the plasma of the rats fed the carrot diet at 125, 41, 43 nmol/L respective concentrations. beta-Carotene was also detected in liver and heart. CONCLUSION: Carrot consumption modifies cholesterol absorption and bile acids excretion and increases antioxidant status and these effects could be interesting for cardiovascular protection.


Subject(s)
Antioxidants/metabolism , Cholesterol/administration & dosage , Cholesterol/metabolism , Daucus carota , Diet , Animals , Bile Acids and Salts/metabolism , Carotenoids/administration & dosage , Carotenoids/metabolism , Cecum/metabolism , Eating , Fatty Acids, Volatile/metabolism , Feces , Ferrous Compounds/metabolism , Liver/metabolism , Male , Myocardium/metabolism , Oxidation-Reduction , Rats , Rats, Wistar , Steroids/metabolism , Thiobarbituric Acid Reactive Substances/metabolism , Triglycerides/metabolism , Vitamin E/blood
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