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Blog author, Solai Buchanan is an experienced Registered Dietitian and Certified Diabetes Educator with an MS from Columbia Teachers College. She specializes in treating heart disease, diabetes, hypertension, high cholesterol, polycystic ovarian syndrome,and other chronic diseases. She is a provider at a full-service cardiology practice accepting most insurance and staffed with a primary care MD, pediatrician, and cardiologist. Call: 718.894.7907. NYCC is lead by Interventional Cardiologist Sanjeev Palta, MD, FSCAI, FACC. He trained at Cornell-Columbia Presbyterian Hospital and the State University Hospital of Brooklyn. He currently is an Attending Cardiologist at New York Methodist Hospital and Maimonides Medical Center. He is also an Assistant Clinical Professor in the Department of Medicine at Mount Sinai Medical Center. Having performed over 2000 invasive cardiac procedures Dr. Palta’s patients know they are in trusted hands.

Friday, February 22, 2013

POTASSIUM CITRATE IN FRUITS AND VEGETABLES PROMOTES BONE HEALTH


Two recent studies indicate that intake of potassium citrate, found primarily in fruits and vegetables, helps preserve bone density.  Poor bone health is a major problem in the US where over 10 million people have osteoporosis (very low bone mass) and another 18 million have osteopenia (low bone mass).

In the most recent findings, Swiss researchers gave 169 people who were over 65 either a placebo or enough potassium citrate to supplement their diets with 2,400 mg of potassium a day. Both groups also got calcium (500 mg) and vitamin D (400 IU) every day. None of the participants had bone density low enough to require treatment for osteoporosis.   After two years, the potassium citrate takers had higher spine, hip, arm, and leg bone density than those taking a placebo.

A recent U.S. study also found that potassium citrate helped to preserve bone density.  In this study researchers gave 52 men and women over age 55 either a placebo, 2400 mg of potassium citrate, or 3600 mg of potassium citrate each day.  Each participant also took a 630 mg calcium supplement and 400 IU of vitamin D.  Researchers did not assess bone density directly but did evaluate pre- and post-study biomarkers of calcium turnover in the body.  After six months, those on supplementation had significantly less bone turnover rates and lower levels of calcium losses compared to those taking the placebo.   The higher level of supplementation, 3600 mg, appeared to offer greater bone health benefits than the 2400 mg supplements.

Why does potassium citrate promote better bone health?  The digestion of grains and animal proteins, both large parts of the typical American diet, increases acidity in the blood.  In order to neutralize this acidity, the body releases calcium from the bones, leading to a potential loss of bone mineral density.  When one consumes plenty of foods rich in potassium citrate, the potassium citrate can neutralize acidity created by grains and meats, allowing the body to preserve more of its bone calcium.  

What to do: Eat more fruits and vegetables.  Because potassium is lost through cooking, the raw ones are the best sources.  Fruits and vegetables richest in potassium citrate include  bananas, citrus, apricots, melons, kiwis, tomatoes, Swiss chard, Romaine, turnip greens, spinach, collard greens, kale, broccoli, and Brussels sprouts.  Protein sources beans and fish are also a good source of potassium citrate.  Compared to meat and poultry, these proteins are believed to be less acidifying because they are rich in potassium citrate.  You can also consider taking a potassium citrate supplement but, in order to get an amount comparable to the doses used in these studies, you would have to take 6-9 tablets daily, so might as well just load up on fruits and veggies.  They can replace less healthy choices and also are packed with other important minerals, vitamins, phytonutrients, and fiber.

Sources:  J. Clin. Endocrin. Metab. DOI: 10.1210/jc.2012-3099 & J. Bone Miner. Res. DOI: 10.1002/jbmr.1764.

Adapted from articles available at: http://www.nutraingredients.com/Research/Study-backs-acidity-regulator-for-bone-health-benefits & The Nutrition Action Healthletter,  Jan/Feb 2013, pg. 8.  

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