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Hirota T.,Kyoto Koka Womens University
Clinical calcium | Year: 2011

The greatest increase in bone density was observed around ages 10-14 years in girls and thereafter peak bone mass was attained. Maximizing peak bone mass during adolescence is one of the most important strategies to decrease osteoporotic fractures later in life. Initial bone mass adjusted by height and weight in 10-year-old girl was associated positively with intakes of dairy products and small fish. Annual increase in bone mass from age 10 years to 11 years was associated positively with increased intake of fish, fruit, vegetables, and soybeans. Thus, not only calcium but also adequate dietary patterns such as increased intake of fish, fruit, vegetables, and soy products lead to higher peak bone mass in adolescent and will decrease the risk of bone fracture in postmenopausal age.

Matsumoto T.,Tokushima University | Ito M.,Nagasaki University | Hayashi Y.,Tokyo Metropolitan Rehabilitation Hospital | Hirota T.,Kyoto Koka Womens University | And 5 more authors.
Bone | Year: 2011

Background: Eldecalcitol is an analog of 1,25-dihydroxyvitamin D 3 that improves bone mineral density; however, the effect of eldecalcitol on the risk of fractures is unclear. The objective of this study is to examine whether eldecalcitol is superior to alfacalcidol in preventing osteoporotic fractures. This trial is registered with ClinicalTrials.gov, number NCT00144456. Methods and results: This 3year randomized, double-blind, active comparator, superiority trial tested the efficacy of daily oral 0.75μg eldecalcitol versus 1.0μg alfacalcidol for prevention of osteoporotic fractures. 1054 osteoporotic patients 46 to 92years old were randomly assigned 1:1 to receive eldecalcitol (n=528) or alfacalcidol (n=526). Patients were stratified by study site and serum 25-hydroxyvitamin D level. Patients with low serum 25-hydroxyvitamin D levels (<50nmol/L) were Supplemented with 400IU/day vitamin D 3. Primary end point was incident vertebral fractures. Secondary end points included any non-vertebral fractures and change in bone mineral density and bone turnover markers. Compared with the alfacalcidol group, the incidence of vertebral fractures was lower in eldecalcitol group after 36months of treatment (13.4 vs. 17.5%; hazard ratio, 0.74; predefined 90% confidence interval [CI], 0.56-0.97). Eldecalcitol reduced turnover markers and increased bone mineral density more strongly than alfacalcidol. Eldecalcitol reduced the incidence of three major non-vertebral fractures, which was due to a marked reduction in wrist fractures by a post-hoc analysis (1.1 vs. 3.6%; hazard ratio, 0.29; 95% CI, 0.11-0.77). Among the adverse events, the incidence of increase in serum and urinary calcium was higher in the eldecalcitol group, without any difference in glomerular filtration rate between the two groups. Conclusions: Eldecalcitol is more efficacious than alfacalcidol in preventing vertebral and wrist fractures in osteoporotic patients with vitamin D sufficiency, with a safety profile similar to alfacalcidol. © 2011 Elsevier Inc.

Imanaka M.,Kyoto Koka Womens University | Ando M.,Nagoya University | Kitamura T.,Osaka University | Kawamura T.,Kyoto University
PLoS ONE | Year: 2016

Background & Objectives Expertise of registered dietitians (RDs) is important for health guidance but has been poorly evaluated.We evaluated the kind of RD expertise that would improve their skills. Design, Setting, Participants, Measurements This study was a post-hoc analysis of our randomized controlled trial, which compared the weight change between participants using the web-based self-disclosure health support and those using the email health support. Healthy men and women aged 35-64 years with a body mass index (BMI) of > = 24.5 kg/m2 were recruited for this study. We evaluated the relationship of RD expertise indicators including the duration of working as an RD, the experience of health counseling, and membership in the Japan Dietetic Association (JDA) with the weight loss of study participants. The primary endpoint was the change in body weight. Comparison of changes in body weight by the RD expertise indicators was evaluated using analysis of covariance. Results A total of 175 participants were eligible for analyses. Changes in body weight were significantly greater when they were supported by the RDs in the routine counseling group than when supported by the RDs in the non-routine counseling group (-1.8 kg versus -0.4 kg, fully adjusted P = 0.0089). Duration of working as an RD and JDA membership did not significantly affect changes in body weight. Conclusions Among some indices of RD experience, the experience of providing routine experience of health counseling was associated with weight loss. © 2016 Imanaka et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Mizutori S.,Kansai University of Welfare Sciences | Aiba H.,Kyoto Koka Womens University
EPJ Web of Conferences | Year: 2016

The level and width statistics of the two kinds of the random matrix models coupled to the continuum are analyzed. In the first model, the gaussian orthogonal ensemble with random couplings to the continuum, not only the width statistics deviate from the Porter-Thomas distribution due to the super-radiant mechanism, but also the distribution of the nearest neighbor level spacings shows deviation from the Wigner one simultaneously. In the second model, the two body random ensemble with correlated couplings to the continuum, the correlation between the target and the compound states leads to the global energy dependence of the widths. Within the narrow energy interval where states with widths deviating from the global energy dependence lie, the distributions behave similar way with the case of the random couplings. Namely, the deviation of statistics of the nearest neighbor level spacings from the Wigner distribution and the deviation of the width statistics from the Porter-Thomas distribution take place simultaneously within the models we investigated. © The Authors, published by EDP Sciences, 2016.

Hirota T.,Kyoto Koka Womens University
Clinical calcium | Year: 2011

Dieting methods for preventing age-related diseases such as cardiovascular disease, hypertension and diabetes, as well as osteoporosis are proposed here. Losing weight to prevent and ameliorate metabolic syndrome can lead to loss of bone and muscle mass. However, when subjects had milk before dinner while dieting, their fat mass was efficiently decreased and their muscle mass increased without any change of bone mass. Increased intake of vitamin D enhanced these effects. Therefore we suggest that people with high risk of metabolic disorders should take more low fat dairy products and fish, together with fruits, vegetables, and soy in order to increase their intake of calcium, vitamin D, n-3 polyunsaturated fatty acids, protein, antioxidants, various vitamins and minerals, and fiber to protect them from the deterioration of arteries and bones.

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