Zinc Intake and Biochemical Markers of Bone Turnover in Type 1 Diabetes

  1. Raelene E. Maser, PhD (rmaser{at}udel.edu)1,2,
  2. John N. Stabley, MS3,
  3. M. James Lenhard, MD2,
  4. Phyllis Owusu-Griffin, MD2,
  5. Michelle A. Provost-Craig, PhD3 and
  6. William B. Farquhar, PhD3
  1. 1Department of Medical Technology, University of Delaware, Newark, DE
  2. 2Diabetes and Metabolic Research Center, Christiana Care Health Services, Newark, DE
  3. 3Department of Health, Nutrition, and Exercise Sciences, University of Delaware, Newark, DE

    Abstract

    Objective To examine the relationship between zinc nutritive status and biochemical markers of bone turnover in type 1 diabetes.

    Research design and methods Serum osteocalcin, urine N-telopeptides, and dietary intake data, obtained by 3-day food records, were assessed for 66 individuals with type 1 diabetes.

    Results Zinc intake correlated with osteocalcin in the group overall (r=0.48, p<0.001) but not with N-telopeptides. Examined by gender, zinc and osteocalcin correlated for men (r=0.57, p<0.001), but did not reach statistical significance for women (r=0.34, p=0.09). A direct-entry linear regression model with osteocalcin as the dependent variable was performed. Duration, gender, HbA1c, insulin use/kg, total calorie intake and zinc intake were entered as potential independent variables. The model was statistically significant (R2=0.32, p<0.01). Zinc intake (p<0.001), however, was the only independent correlate of osteocalcin.

    Conclusions This study provides evidence of a positive relationship between zinc intake and osteocalcin in type 1 diabetes.

    Footnotes

      • Received June 12, 2008.
      • Accepted September 2, 2008.