Effects of milk consumption on serum levels of calcium and vitamin B12 among volunteers with metabolic syndrome
Keywords:
cow milk, soy milk with milk powder, high calcium soy milk no sugar added, calcium, vitamin B12Abstract
The calcium serum level was associated with the incidence of metabolic syndrome. People with metabolic syndrome may have lower vitamin B12 serum levels than normal people. There are limited clinical studies on milk intake with calcium and vitamin B12 serum levels among people with metabolic syndrome. This clinical research aimed to study the effects of consuming various types of milk concerning calcium and vitamin B12 serum levels among volunteers with metabolic syndrome. Seventy participants with metabolic syndrome were randomized in 4 groups: group 1 received cow milk, group 2 soy milk with milk powder, group 3 high calcium plain soy milk and group 4 high calcium multigrain soy milk. Groups 1 and 2 consumed 500 ml of milk daily; while groups 3 and 4 consumed 460 ml of milk daily. Milk was consumed twice daily 15-30 minutes before breakfast and dinner for 8 weeks. Calcium and vitamin B12 serum levels were determined at weeks 0, 4 and 8. One way repeated measures ANOVA and Friedman two-way analysis of variance were used to analyze the differences within each group. One way ANOVA and Kruskal-Wallis test were used to analyze the differences between groups. The results of within-group comparisons revealed that cow milk, high calcium plain soy milk and high calcium multigrain soy milk significantly increased serum calcium. All 4 types of milk significantly raised serum vitamin B12. The results of between-group comparisons found that high calcium multigrain soy milk and cow milk raised vitamin B12 serum levels higher than soy milk with milk powder and high calcium plain soy milk. Therefore, various types of milk have different effects on the absorption of calcium and vitamin B12, with cow milk and calcium-fortified soy milk, resulting in high serum levels of calcium and vitamin B12.
References
International Diabetes Federation. The IDF worldwide definition of the metabolic syndrome Belgium: IDF Communications; 2006.
Aekplakorn W, Pakjaroen H, Thaikla K, Satheannoppakao W. Thai National Health Examination Survey V. Nonthaburi: Health Systems Research Institute; 2016.
Baek JH, Jin S-M, Bae JC, Jee JH, Yu TY, Kim SK, et al. Serum calcium and the risk of incident metabolic syndrome: a 4.3-year retrospective longitudinal study. Diabetes Metab J. 2017;41(1): 60-8.
Baltaci D, Kutlucan A, Turker Y, Yilmaz A, Karacam S, Deler H, et al. Association of vitamin B12 with obesity, overweight, insulin resistance and metabolic syndrome, and body fat composition; primary care-based study. Med Glas. 2013;10(2):203-10.
Guven A, Inanc F, Kilinc M, Ekerbicer H. Plasma homocysteine and lipoprotein (a) levels in Turkish patients with metabolic syndrome. Heart Ves. 2005;20(6):290-5.
Grundy SM, Hansen B, Smith Jr SC, Cleeman JI, Kahn RA. Clinical management of metabolic syndrome: report of the American Heart Association/National Heart, Lung, and Blood Institute/American Diabetes Association conference on scientific issues related to management. Circulation. 2004;109(4):551-6.
Sakpal T. Sample size estimation in clinical trial. Perspect Clin Res. 2010;1(2):67.
Önning G, Åkesson B, Öste R, Lundquist I. Effects of consumption of oat milk, soya milk, or cow’s milk on plasma lipids and antioxidative capacity in healthy subjects. Ann Nutr Metab. 1998;42(4):211-20.
Wongdee K, Rodrat M, Teerapornpuntakit J, Krishnamra N, Charoenphandhu N. Factors inhibiting intestinal calcium absorption: hormones and luminal factors that prevent excessive calcium uptake. J Physiol Sci. 2019;69(5):683-96.
Uush T. Calcium intake and serum calcium status in Mongolian children. J Steroid Biochem Mol Biol. 2014;144:167-71.
Heaney RP, Gallagher J, Johnston C, Neer R, Parfitt AM, Whedon GD. Calcium nutrition and bone health in the elderly. Am J Clin Nutr. 1982;36(5):986-1013.
Holick MF. Vitamin D deficiency. New Engl J Med. 2007;357(3):266-81.
Bihuniak JD, Insogna KL. The effects of dietary protein and amino acids on skeletal metabolism. Mol Cell Endocrinol. 2015;410:78-86.
Taechakraichana N. Postmenopausal osteoporosis. Siriraj Med J. 2017;57(9):409-10.
Institute of Medicine. Dietary reference intakes for calcium and vitamin D: National Academies Press; 2011.
Sellmeyer DE, Schloetter M, Sebastian A. Potassium citrate prevents increased urine calcium excretion and bone resorption induced by a high sodium chloride diet. J Clin Endocrinol Metab. 2002;87(5):2008-12.
de Barboza GD, Guizzardi S, de Talamoni NT. Molecular aspects of intestinal calcium absorption. World J Gastroenterol. 2015;21(23):7142-54.
Hajirostamloo B, Mahastie P. Comparison of nutritional and chemical parameters of soymilk and cow milk. World Acad Sci Eng Technol. 2009;57(9):436-8.
Heller HJ, Greer LG, Haynes SD, Poindexter JR, Pak CY. Pharmacokinetic and pharmacodynamic comparison of two calcium supplements in postmenopausal women. J Clin Pharmacol. 2000;40(11):1237-44.
Hunt J, Johnson C. Relation between gastric secretion of acid and urinary excretion of calcium after oral supplements of calcium. Dig Dis Sci. 1983;28(5):417-21.
Heaney R, Smith K, Recker RR, Hinders S. Meal effects on calcium absorption. Am J Clin Nutr. 1989;49(2):372-6.
Recker RR. Calcium absorption and achlorhydria. New Engl J Med. 1985;313(2):70-3.
Hughes CF, Ward M, Hoey L, McNulty H. Vitamin B12 and ageing: current issues and interaction with folate. Ann Clin Biochem. 2013;50(4):315-29.
Scott JM, Molloy AM. The discovery of vitamin B12. Ann Nutr Metab. 2012;61(3):239-45.
Vogiatzoglou A, Smith AD, Nurk E, Berstad P, Drevon CA, Ueland PM, et al. Dietary sources of vitamin B-12 and their association with plasma vitamin B-12 concentrations in the general population: the Hordaland Homocysteine Study. Am J Clin Nutr. 2009;89(4):1078-87.
Stabler SP. Vitamin B12 deficiency. New Engl J Med. 2013;368(2):149-60.
Langan RC, Zawistoski K. Update on vitamin B12 deficiency. Am Fam Physician. 2011;83(12):1425-30.
De Jager J, Kooy A, Lehert P, Wulffelé MG, Van der Kolk J, Bets D, et al. Long term treatment with metformin in patients with type 2 diabetes and risk of vitamin B-12 deficiency: randomised placebo controlled trial. BMJ. 2010;340:c2181.
Kibirige D, Mwebaze R. Vitamin B12 deficiency among patients with diabetes mellitus: is routine screening and supplementation justified? J Diabetes Metab Disord. 2013;12(1):1-6.
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