Effects of antioxidant supplementation on bone mineral density, bone mineral content and bone structure in healthy men during 60 days of 6° head-down tilt bed rest: Results from a randomised controlled trial.


Journal

Nutrition bulletin
ISSN: 1467-3010
Titre abrégé: Nutr Bull
Pays: England
ID NLM: 9315625

Informations de publication

Date de publication:
06 2023
Historique:
revised: 03 04 2023
received: 01 02 2023
accepted: 12 04 2023
medline: 29 5 2023
pubmed: 28 4 2023
entrez: 28 4 2023
Statut: ppublish

Résumé

Dietary countermeasures to mitigate detrimental spaceflight-induced effects on bone health would alleviate the requirements and the consequences imposed by other types of countermeasures for this risk. We hypothesised that antioxidant supplementation during 60 days of 6° head-down tilt bed rest (HDBR), an analogue of spaceflight, would have a protective effect on bone mineral density (BMD), content (BMC) and bone structure parameters. An exploratory, randomised, controlled, single-blind intervention trial was conducted in a parallel design with 20 healthy male volunteers (age 34 ± 8 y, weight 74 ± 6 kg). The study included 14 days of baseline data collection (BDC) before bed rest, followed by 60 days of HDBR and a 14-day recovery period. Ten subjects in the antioxidant group received a supplement (741 mg/d polyphenols, 2.1 g/d omega-3 fatty acids, 168 mg/d vitamin E and 80 μg/d selenium) daily. Ten subjects in the control group received no supplement. The diet was consistent with dietary reference intakes, individually tailored based on the subject's bodyweight and strictly controlled. We measured whole-body, lumbar spine and femur BMD and BMC, as well as BMD of the cortical and trabecular compartments of the distal radius and tibia, and cortical and trabecular thickness during BDC, HDBR and recovery. Data were analysed using linear mixed models. The supplementation of an antioxidant cocktail did not mitigate the deteriorating effects of HDBR on BMD, BMC and bone structure parameters. Our findings do not support a recommendation for antioxidant supplementation for astronauts.

Identifiants

pubmed: 37106504
doi: 10.1111/nbu.12619
doi:

Substances chimiques

Antioxidants 0

Types de publication

Randomized Controlled Trial Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

256-266

Informations de copyright

© 2023 The Authors. Nutrition Bulletin published by John Wiley & Sons Ltd on behalf of British Nutrition Foundation.

Références

Aires, V., Labbé, J., Deckert, V., Pais de Barros, J.-P., Boidot, R., Haumont, M. et al. (2019) Healthy adiposity and extended lifespan in obese mice fed a diet supplemented with a polyphenol-rich plant extract. Scientific Reports, 9(1), 9134.
Arc-Chagnaud, C., Py, G., Fovet, T., Roumanille, R., Demangel, R., Pagano, A.F. et al. (2020) Evaluation of an antioxidant and anti-inflammatory cocktail against human Hypoactivity-induced skeletal muscle deconditioning. Frontiers in Physiology, 11, 71.
Armbrecht, G., Belavý, D.L., Backström, M., Beller, G., Alexandre, C., Rizzoli, R. et al. (2011) Trabecular and cortical bone density and architecture in women after 60 days of bed rest using high-resolution pQCT: WISE 2005. Journal of Bone and Mineral Research: the Official Journal of the American Society for Bone and Mineral Research, 26(10), 2399-2410.
Austermann, K., Baecker, N., Stehle, P. & Heer, M. (2019) Putative effects of nutritive polyphenols on bone metabolism In vivo-evidence from human studies. Nutrients, 11(4), 1-14.
Austermann, K., Baecker, N., Zwart, S.R., Fimmers, R., Stehle, P., Smith, M. et al. (2021) Antioxidant supplementation does not affect bone turnover markers during 60 days of 6° head-down tilt bed rest: results from an exploratory randomized controlled trial. The Journal of Nutrition, 151(6), 1527-1538.
Belavy, D.L., Beller, G., Ritter, Z. & Felsenberg, D. (2011) Bone structure and density via HR-pQCT in 60d bed-rest, 2-years recovery with and without countermeasures. Journal of Musculoskeletal & Neuronal Interactions, 11(3), 215-226.
Beller, G., Belavý, D.L., Sun, L., Armbrecht, G., Alexandre, C. & Felsenberg, D. (2011) WISE-2005: bed-rest induced changes in bone mineral density in women during 60 days simulated microgravity. Bone, 49(4), 858-866.
Blake, G.M. & Fogelman, I. (2007) The role of DXA bone density scans in the diagnosis and treatment of osteoporosis. Postgraduate Medical Journal, 83(982), 509-517.
Brauns, K., Friedl-Werner, A., Gunga, H.-C. & Stahn, A.C. (2021) Effects of two months of bed rest and antioxidant supplementation on attentional processing. Cortex; a Journal Devoted to the Study of the Nervous System and Behavior, 141, 81-93.
Brauns, K., Friedl-Werner, A., Maggioni, M.A., Gunga, H.-C. & Stahn, A.C. (2021) Head-down tilt position, but not the duration of bed rest affects resting state Electrocortical activity. Frontiers in Physiology, 12, 638669.
Cervinka, T., Sievänen, H., Hyttinen, J. & Rittweger, J. (2014) Bone loss patterns in cortical, subcortical, and trabecular compartments during simulated microgravity. Journal of Applied Physiology (Bethesda, MD: 1985), 117(1), 80-88.
Damiot, A., Demangel, R., Noone, J., Chery, I., Zahariev, A., Normand, S. et al. (2019) A nutrient cocktail prevents lipid metabolism alterations induced by 20 days of daily steps reduction and fructose overfeeding: result from a randomized study. Journal of Applied Physiology (Bethesda, MD: 1985), 126(1), 88-101.
Đudarić, L., Fužinac-Smojver, A., Muhvić, D. & Giacometti, J. (2015) The role of polyphenols on bone metabolism in osteoporosis. Food Research International, 77, 290-298.
Fletcher, A.E., Breeze, E. & Shetty, P.S. (2003) Antioxidant vitamins and mortality in older persons: findings from the nutrition add-on study to the Medical Research Council trial of assessment and Management of Older People in the community. The American Journal of Clinical Nutrition, 78(5), 999-1010.
Food and Nutrition Board of the Institute of Medicine, National Academies. (2011) Dietary Reference Intakes (DRIs): Elements and Vitamins.
Frings-Meuthen, P., Buehlmeier, J., Baecker, N., Stehle, P., Fimmers, R., May, F. et al. (2011) High sodium chloride intake exacerbates immobilization-induced bone resorption and protein losses. Journal of Applied Physiology (Bethesda, MD: 1985), 111(2), 537-542.
German Nutrition Society, Austrian Nutrition Society, Swiss Society for Nutrition Research, Swiss Nutrition Association. (2013) Reference Values for Nutrient Intake.
Hargens, A.R. & Vico, L. (2016) Long-duration bed rest as an analog to microgravity. Journal of Applied Physiology, 120(8), 891-903.
Hooshmand, S., Kern, M., Metti, D., Shamloufard, P., Chai, S.C., Johnson, S.A. et al. (2016) The effect of two doses of dried plum on bone density and bone biomarkers in osteopenic postmenopausal women: a randomized, controlled trial. Osteoporosis International a Journal Established as Result of Cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 27(7), 2271-2279.
Kranioti, E.F., Bonicelli, A. & García-Donas, J.G. (2019) Bone-mineral density: clinical significance, methods of quantification and forensic applications. Research and Reports in Forensic Medical Science, 9, 9-21.
Leblanc, A.D., Schneider, V.S., Evans, H.J., Engelbretson, D.A. & Krebs, J.M. (1990) Bone mineral loss and recovery after 17 weeks of bed rest. Journal of Bone and Mineral Research: the Official Journal of the American Society for Bone and Mineral Research, 5(8), 843-850.
Liu, T., Melkus, G., Ramsay, T., Sheikh, A., Laneuville, O. & Trudel, G. (2021) Bone marrow reconversion with Reambulation: a prospective clinical trial. Investigative Radiology, 56(4), 215-223.
Loehr, J.A., Guilliams, M.E., Petersen, N., Hirsch, N., Kawashima, S. & Ohshima, H. (2015) Physical training for long-duration spaceflight. Aerospace Medicine and Human Performance, 86(12 Suppl), A14-A23.
Mendt, S., Brauns, K., Friedl-Werner, A., Belavy, D.L., Steinach, M., Schlabs, T. et al. (2021) Long-term bed rest delays the circadian phase of Core body temperature. Frontiers in Physiology, 12, 658707.
Orlov, O. & Sundblad, P. (2014) Guidelines for standardization of bed rest studies in the spaceflight context. Paris: International Academy of Astronautics.
Ornstrup, M.J., Harslof, T., Kjaer, T.N., Langdahl, B.L. & Pedersen, S.B. (2014) Resveratrol increases bone mineral density and bone alkaline phosphatase in obese men: a randomized placebo-controlled trial. The Journal of Clinical Endocrinology and Metabolism, 99(12), 4720-4729.
Pereira, M.A., FitzerGerald, S.J., Gregg, E.W., Joswiak, M.L., Ryan, W.J., Suminski, R.R. et al. (1997) A collection of physical activity questionnaires for health-related research. Medicine and Science in Sports and Exercise, 29(6 Suppl), S1-S205.
Porrini, M. & Riso, P. (2008) Factors influencing the bioavailability of antioxidants in foods: a critical appraisal. Nutrition, Metabolism, and Cardiovascular Diseases: NMCD, 18(10), 647-650.
Rittweger, J., Beller, G., Armbrecht, G., Mulder, E., Buehring, B., Gast, U. et al. (2010) Prevention of bone loss during 56 days of strict bed rest by side-alternating resistive vibration exercise. Bone, 46(1), 137-147.
Rittweger, J., Frost, H.M., Schiessl, H., Ohshima, H., Alkner, B., Tesch, P. et al. (2005) Muscle atrophy and bone loss after 90 days' bed rest and the effects of flywheel resistive exercise and pamidronate: results from the LTBR study. Bone, 36(6), 1019-1029.
Rittweger, J., Simunic, B., Bilancio, G., de Santo, N.G., Cirillo, M., Biolo, G. et al. (2009) Bone loss in the lower leg during 35 days of bed rest is predominantly from the cortical compartment. Bone, 44(4), 612-618.
Shedd-Wise, K.M., Alekel, D.L., Hofmann, H., Hanson, K.B., Schiferl, D.J., Hanson, L.N. et al. (2011) The soy isoflavones for reducing bone loss study: 3-yr effects on pQCT bone mineral density and strength measures in postmenopausal women. Journal of Clinical Densitometry: The Official Journal of the International Society for Clinical Densitometry, 14(1), 47-57.
Shepherd, J.A. & Lu, Y. (2007) A generalized least significant change for individuals measured on different DXA systems. Journal of Clinical Densitometry: The Official Journal of the International Society for Clinical Densitometry, 10(3), 249-258.
Shetty, S., Kapoor, N., Bondu, J.D., Thomas, N. & Paul, T.V. (2016) Bone turnover markers: emerging tool in the management of osteoporosis. Indian Journal of Endocrinology and Metabolism, 20(6), 846-852.
Shur, N.F., Simpson, E.J., Crossland, H., Chivaka, P.K., Constantin, D., Cordon, S.M. et al. (2022) Human adaptation to immobilization: novel insights of impacts on glucose disposal and fuel utilization. Journal of Cachexia, Sarcopenia and Muscle, 13(6), 2999-3013.
Sibonga, J., Matsumoto, T., Jones, J., Shapiro, J., Lang, T., Shackelford, L. et al. (2019) Resistive exercise in astronauts on prolonged spaceflights provides partial protection against spaceflight-induced bone loss. Bone, 128, 112037.
Smith, S.M., Heer, M., Shackelford, L.C., Sibonga, J.D., Spatz, J., Pietrzyk, R.A. et al. (2015) Bone metabolism and renal stone risk during international Space Station missions. Bone, 81, 712-720.
Smith, S.M., Zwart, S.R., Heer, M., Hudson, E.K., Shackelford, L. & Morgan, J.L.L. (2014) Men and women in space: bone loss and kidney stone risk after long-duration spaceflight. Journal of Bone and Mineral Research: the Official Journal of the American Society for Bone and Mineral Research, 29(7), 1639-1645.
Torre, E. (2017) Molecular signaling mechanisms behind polyphenol-induced bone anabolism. Phytochemistry Reviews Proceedings of the Phytochemical Society of Europe, 16(6), 1183-1226.
Vico, L. & Hargens, A. (2018) Skeletal changes during and after spaceflight. Nature Reviews Rheumatology, 14(4), 229-245.
Volkert, D., Kreuel, K., Heseker, H. & Stehle, P. (2004) Energy and nutrient intake of young-old, old-old and very-old elderly in Germany. European Journal of Clinical Nutrition, 58(8), 1190-1200.
Wauquier, F., Léotoing, L., Philippe, C., Spilmont, M., Coxam, V. & Wittrant, Y. (2015) Pros and cons of fatty acids in bone biology. Progress in Lipid Research, 58, 121-145.
Williamson, G. & Holst, B. (2008) Dietary reference intake (DRI) value for dietary polyphenols: are we heading in the right direction? The British Journal of Nutrition, 99(Suppl 3), 8.
Wong, S.K., Mohamad, N.-V., N'I, I., Chin, K.-Y., Shuid, A.N. & Ima-Nirwana, S. (2019) The molecular mechanism of vitamin E as a bone-protecting agent: a review on current evidence. International Journal of Molecular Sciences, 20(6), 1-26.
Wong, W.W., Lewis, R.D., Steinberg, F.M., Murray, M.J., Cramer, M.A., Amato, P. et al. (2009) Soy isoflavone supplementation and bone mineral density in menopausal women: a 2-y multicenter clinical trial. The American Journal of Clinical Nutrition, 90(5), 1433-1439.
Zwart, S.R., Davis-Street, J.E., Paddon-Jones, D., Ferrando, A.A., Wolfe, R.R. & Smith, S.M. (2005) Amino acid supplementation alters bone metabolism during simulated weightlessness. Journal of Applied Physiology (Bethesda, MD: 1985), 99(1), 134-140.
Zwart, S.R., Hargens, A.R. & Smith, S.M. (2004) The ratio of animal protein intake to potassium intake is a predictor of bone resorption in space flight analogues and in ambulatory subjects. The American Journal of Clinical Nutrition, 80(4), 1058-1065.
Zwart, S.R., Morgan, J.L.L. & Smith, S.M. (2013) Iron status and its relations with oxidative damage and bone loss during long-duration space flight on the international Space Station. The American Journal of Clinical Nutrition, 98(1), 217-223.
Zwart, S.R., Oliver, S.A., Fesperman, J.V., Kala, G., Krauhs, J., Ericson, K. et al. (2009) Nutritional status assessment before, during, and after long-duration head-down bed rest. Aviation, Space, and Environmental Medicine, 80(5 Suppl), A15-A22.
Zwart, S.R., Pierson, D., Mehta, S., Gonda, S. & Smith, S.M. (2010) Capacity of omega-3 fatty acids or eicosapentaenoic acid to counteract weightlessness-induced bone loss by inhibiting NF-kappaB activation: from cells to bed rest to astronauts. Journal of Bone and Mineral Research: the Official Journal of the American Society for Bone and Mineral Research, 25(5), 1049-1057.
Zwart, S.R., Rice, B.L., Dlouhy, H., Shackelford, L.C., Heer, M., Koslovsky, M.D. et al. (2018) Dietary acid load and bone turnover during long-duration spaceflight and bed rest. The American Journal of Clinical Nutrition, 107(5), 834-844.

Auteurs

Katharina Austermann (K)

Institute of Nutrition and Food Sciences, Nutritional Physiology, University of Bonn, Bonn, Germany.

Natalie Baecker (N)

IU International University of Applied Sciences, Bad Reichenhall, Erfurt, Germany.

Sara R Zwart (SR)

Department of Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston, Texas, USA.

Rolf Fimmers (R)

Department of Medical Biometry, Informatics and Epidemiology, University of Bonn, Bonn, Germany.

Peter Stehle (P)

Institute of Nutrition and Food Sciences, Nutritional Physiology, University of Bonn, Bonn, Germany.

Scott M Smith (SM)

Human Health and Performance Directorate, NASA Lyndon B. Johnson Space Center, Houston, Texas, USA.

Martina Heer (M)

Institute of Nutrition and Food Sciences, Nutritional Physiology, University of Bonn, Bonn, Germany.
IU International University of Applied Sciences, Bad Reichenhall, Erfurt, Germany.

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