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Bhat SA, Kumar V, Dhanjal DS, Gandhi Y, Mishra SK, Singh S, Webster TJ, Ramamurthy PC. Biogenic nanoparticles: pioneering a new era in breast cancer therapeutics-a comprehensive review. DISCOVER NANO 2024; 19:121. [PMID: 39096427 PMCID: PMC11297894 DOI: 10.1186/s11671-024-04072-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/03/2024] [Accepted: 07/25/2024] [Indexed: 08/05/2024]
Abstract
Breast cancer, a widespread malignancy affecting women globally, often arises from mutations in estrogen/progesterone receptors. Conventional treatments like surgery, radiotherapy, and chemotherapy face limitations such as low efficacy and adverse effects. However, nanotechnology offers promise with its unique attributes like targeted delivery and controlled drug release. Yet, challenges like poor size distribution and environmental concerns exist. Biogenic nanotechnology, using natural materials or living cells, is gaining traction for its safety and efficacy in cancer treatment. Biogenic nanoparticles synthesized from plant extracts offer a sustainable and eco-friendly approach, demonstrating significant toxicity against breast cancer cells while sparing healthy ones. They surpass traditional drugs, providing benefits like biocompatibility and targeted delivery. Thus, this current review summarizes the available knowledge on breast cancer (its types, stages, histopathology, symptoms, etiology and epidemiology) with the importance of using biogenic nanomaterials as a new and improved therapy. The novelty of this work lies in its comprehensive examination of the challenges and strategies for advancing the industrial utilization of biogenic metal and metal oxide NPs. Additionally; it underscores the potential of plant-mediated synthesis of biogenic NPs as effective therapies for breast cancer, detailing their mechanisms of action, advantages, and areas for further research.
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Affiliation(s)
- Shahnawaz Ahmad Bhat
- Jamia Milia Islamia, New Delhi, 110011, India
- Central Ayurveda Research Institute, Jhansi, U.P., 284003, India
| | - Vijay Kumar
- Central Ayurveda Research Institute, Jhansi, U.P., 284003, India.
| | | | - Yashika Gandhi
- Central Ayurveda Research Institute, Jhansi, U.P., 284003, India
| | - Sujeet K Mishra
- Central Ayurveda Research Institute, Jhansi, U.P., 284003, India
| | | | - Thomas J Webster
- School of Health Sciences and Biomedical Engineering, Hebei University of Technology, Tianjin, China
- Program in Materials Science, UFPI, Teresina, Brazil
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Giampiccolo C, Amadou A, Coudon T, Praud D, Grassot L, Faure E, Couvidat F, Severi G, Romana Mancini F, Fervers B, Roy P. Multi-pollutant exposure profiles associated with breast cancer risk: A Bayesian profile regression analysis in the French E3N cohort. ENVIRONMENT INTERNATIONAL 2024; 190:108943. [PMID: 39137687 DOI: 10.1016/j.envint.2024.108943] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/25/2024] [Revised: 08/02/2024] [Accepted: 08/06/2024] [Indexed: 08/15/2024]
Abstract
BACKGROUND Human exposure to air pollution involves complex mixtures of multiple correlated air pollutants. To date, very few studies have assessed the combined effects of exposure to multiple air pollutants on breast cancer (BC) risk. OBJECTIVES We aimed to assess the association between combined exposures to multiple air pollutants and breast cancer risk. METHODS The study was based on a case-control study nested within the French E3N cohort (5222 incident BC cases/5222 matched controls). For each woman, the average of the mean annual exposure to eight pollutants (benzo(a)oyrene, cadmium, dioxins, polychlorinated biphenyls (PCB153), nitrogen dioxide (NO2), ozone, particulate matter and fine particles (PMs)) was estimated from cohort inclusion in 1990 to the index date. We used the Bayesian Profile Regression (BPR) model, which groups individuals according to their exposure and risk levels, and assigns a risk to each cluster identified. The model was adjusted on a combination of matching variables and confounders to better consider the design of the nested case-control study. Odds ratios (OR) and their 95 % credible intervals (CrI) were estimated. RESULTS Among the 21 clusters identified, the cluster characterised by low exposures to all pollutants, except ozone, was taken as reference. A consistent increase in BC risk compared to the reference cluster was observed for 3 clusters: cluster 9 (OR=1.61; CrI=1.13,2.26), cluster 16 (OR=1.59; CrI=1.10,2.30) and cluster 15 (OR=1.38; CrI=1.00,1.88) characterised by high levels of NO2, PMs and PCB153. The other clusters showed no consistent association with BC. DISCUSSION This is the first study assessing the effect of exposure to a mixture of eight air pollutants on BC risk, using the BPR approach. Overall, results showed evidence of a positive joint effect of exposure to high levels to most pollutants, particularly high for NO2, PMs and PCB153, on the risk of BC.
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Affiliation(s)
- Camille Giampiccolo
- Department of Prevention Cancer Environnent, Centre Léon Bérard, Lyon, France; Inserm U1296 Radiations : Défense, Santé, Environnement, Lyon, France; Laboratoire de Biométrie Et Biologie Evolutive, CNRS UMR 5558, Villeurbanne, France
| | - Amina Amadou
- Department of Prevention Cancer Environnent, Centre Léon Bérard, Lyon, France; Inserm U1296 Radiations : Défense, Santé, Environnement, Lyon, France.
| | - Thomas Coudon
- Department of Prevention Cancer Environnent, Centre Léon Bérard, Lyon, France; Inserm U1296 Radiations : Défense, Santé, Environnement, Lyon, France
| | - Delphine Praud
- Department of Prevention Cancer Environnent, Centre Léon Bérard, Lyon, France; Inserm U1296 Radiations : Défense, Santé, Environnement, Lyon, France
| | - Lény Grassot
- Department of Prevention Cancer Environnent, Centre Léon Bérard, Lyon, France; Inserm U1296 Radiations : Défense, Santé, Environnement, Lyon, France
| | - Elodie Faure
- Université Paris-Saclay, UVSQ, Inserm, Gustave Roussy, Villejuif, France
| | - Florian Couvidat
- National Institute for Industrial Environment and Risks (INERIS), Verneuil-en-Halatte, France
| | - Gianluca Severi
- Université Paris-Saclay, UVSQ, Inserm, Gustave Roussy, Villejuif, France; Department of Statistics, Computer Science and Applications (DISIA), University of Florence, Florence, Italy
| | | | - Béatrice Fervers
- Department of Prevention Cancer Environnent, Centre Léon Bérard, Lyon, France; Inserm U1296 Radiations : Défense, Santé, Environnement, Lyon, France
| | - Pascal Roy
- Laboratoire de Biométrie Et Biologie Evolutive, CNRS UMR 5558, Villeurbanne, France; Université Claude Bernard Lyon 1, Lyon, France; Service de Biostatistique-Bioinformatique, Pole Sante Publique, Hospices Civils de Lyon, Lyon, France
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Khalid A, Abbasi NA, Jamil N, Syed JH, Ahmad SR, Qadir A. Level of polychlorinated biphenyls in tumor and blood serum of breast cancer patients and control subjects from Punjab, Pakistan. THE SCIENCE OF THE TOTAL ENVIRONMENT 2024; 926:171908. [PMID: 38527533 DOI: 10.1016/j.scitotenv.2024.171908] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/17/2023] [Revised: 03/19/2024] [Accepted: 03/21/2024] [Indexed: 03/27/2024]
Abstract
The current study examined the level of Polychlorinated biphenyls (PCBs) in tumor and blood serum of female breast cancer patients and control individuals recruited from Punjab, Pakistan. Breast tumor and blood serum from 40 patients and only blood serum from ten control subjects were obtained and concentration of 32 PCB congeners was analyzed through Gas chromatography coupled with Mass spectrophotometry. Sociodemographic variables of the patients along with essential clinical and haematological parameters were taken as covariates. Tumor reflects the highest median (min-max) concentration (ng g-1 lw) of ƩPCBs at 115.94 (0.05-17.75) followed by 16.53 (0.09-2.94) and 5.24 (0.01-0.59) in blood serum of cancer patients and control group respectively. Median concentrations (ng g-1 lw) of non-dioxine like ƩPCBs were considerably higher at 83.04, 32.89 and 4.27 compared to 13.03 and 3.50 and 0.97 for dioxin like ƩPCBs in tumor, serum of breast cancer patients and control subjects respectively. PCB-87 was most dominant congeners in tumor followed by PCB-170 and -82 whereas PCB-28 and -52 reflected greatest contribution in serum of breast cancer patients. Blood haemoglobin, potassium and chloride ions showed significant positive whereas body mass index reflect inverse relationship when regressed with ƩPCBs in tumor. This pioneer study depicts elevated concentrations of PCBs in patients compared to control, reflecting potential positive association of PCBs with breast cancer which need further confirmation. We concluded that chronic exposure to PCBs might be associated with an increasing number of breast cancer incidences in developing countries like Pakistan, which should be further elucidated through detail in vitro and in vivo studies.
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Affiliation(s)
- A Khalid
- College of Earth and Environmental Sciences (CEES), University of the Punjab, Lahore, Pakistan
| | - N A Abbasi
- College of Earth and Environmental Sciences (CEES), University of the Punjab, Lahore, Pakistan.
| | - N Jamil
- College of Earth and Environmental Sciences (CEES), University of the Punjab, Lahore, Pakistan
| | - J H Syed
- Department of Meteorology, COMSATS University, Islamabad, Pakistan
| | - S R Ahmad
- College of Earth and Environmental Sciences (CEES), University of the Punjab, Lahore, Pakistan
| | - A Qadir
- College of Earth and Environmental Sciences (CEES), University of the Punjab, Lahore, Pakistan.
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Fiolet T, Nicolas G, Casagrande C, Horvath Z, Frenoy P, Weiderpass E, Gunter MJ, Manjer J, Sonestedt E, Palli D, Simeon V, Tumino R, Bueno-de-Mesquita B, Huerta JM, Rodriguez-Barranco M, Abilleira E, Sacerdote C, Schulze MB, Heath AK, Rylander C, Skeie G, Nøst TH, Tjønneland A, Olsen A, Pala V, Kvaskoff M, Huybrechts I, Mancini FR. Dietary intakes of dioxins and polychlorobiphenyls (PCBs) and mortality: EPIC cohort study in 9 European countries. Int J Hyg Environ Health 2024; 255:114287. [PMID: 37989047 DOI: 10.1016/j.ijheh.2023.114287] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2023] [Revised: 10/28/2023] [Accepted: 10/31/2023] [Indexed: 11/23/2023]
Abstract
Dioxins and polychlorinated biphenyls (PCBs) are toxic, endocrine disruptors and persistent chemicals for which the main exposure source is diet due to their bioaccumulation and biomagnification in food chains. Cohort studies in the general populations have reported inconsistent associations between these chemicals in serum/plasma and mortality. Our objective was to study the association between dietary intake of 17 dioxins and 35 PCBs and all-cause, cancer-specific and cardiovascular-specific mortalities were assessed in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort. Dietary intake of dioxins and PCBs was assessed combining EPIC food consumption data with European food contamination data provided by the European Food Safety Authority. We applied multivariable Cox regressions. The analysis included 451,390 adults (mean ± SD age:51.1 ± 9.7 years) with 46,627 deaths and a median follow-up of 17.4 years (IQR = 15.2-19.1). A U-shaped non-linear association with all-cause mortality for dietary intake of dioxins (Pnon-linearity<0.0001), DL-PCB (Pnon-linearity = 0.0001), and NDL-PCBs (Pnon-linearity<0.01) was observed. For example, the hazard ratios (95%Confidance interval) for all-cause mortality obtained with the spline model was equal to 1.03 (1.02-1.05) for low levels of intake to dioxins (7 pg TEQ/day), 0.93 (0.90-0.96) for moderate levels of intake (25 pg TEQ/day), while for high levels of intake (55 pg TEQ/day) it was 1.03 (0.97-1.09). Intake of dioxins, DL-PCBs and NDL-PCBs was not associated with cardiovascular mortality. There was no association between intakes of dioxins and cancer mortality, but a U-shaped association was observed for intake of DL-PCBs and intakes of NDL-PCBs and cancer mortality. The PCBs and dioxins are known to have endocrine disrupting properties which can lead to non-monotonic dose responses. These results need to be interpreted with caution and further studies are needed to better clarify the association between dietary intake of dioxins and PCB and mortality in the general population.
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Affiliation(s)
- Thibault Fiolet
- Paris-Saclay University, UVSQ, Univ. Paris-Sud, Inserm, Gustave Roussy, "Exposome and Heredity" Team, CESP, F-94805, Villejuif, France; European Food Safety Authority, Via Carlo Magno 1A, 43126, Parma, Italy
| | - Geneviève Nicolas
- Nutrition and Metabolism Branch, International Agency for Research on Cancer, 150 cours Albert Thomas, CEDEX 08, 69372, Lyon, France
| | - Corinne Casagrande
- Nutrition and Metabolism Branch, International Agency for Research on Cancer, 150 cours Albert Thomas, CEDEX 08, 69372, Lyon, France
| | - Zsuzsanna Horvath
- European Food Safety Authority, Via Carlo Magno 1A, 43126, Parma, Italy
| | - Pauline Frenoy
- Paris-Saclay University, UVSQ, Univ. Paris-Sud, Inserm, Gustave Roussy, "Exposome and Heredity" Team, CESP, F-94805, Villejuif, France
| | - Elisabete Weiderpass
- International Agency for Research on Cancer, 150 cours Albert Thomas, CEDEX 08, 69372, Lyon, France
| | - Marc J Gunter
- Nutrition and Metabolism Branch, International Agency for Research on Cancer, 150 cours Albert Thomas, CEDEX 08, 69372, Lyon, France
| | - Jonas Manjer
- Dept. Surgery, Skåne University Hospital Malmö. Lund University, Malmö, Sweden
| | - Emily Sonestedt
- Nutritional Epidemiology, Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden
| | - Domenico Palli
- Cancer Risk Factors and Life-Style Epidemiology Unit, Institute for Cancer Research, Prevention and Clinical Network (ISPRO), Florence, Italy
| | - Vittorio Simeon
- Dipartimento di salute mentale e fisica e medicina preventive, Vanvitelli University, Naples, Italy
| | - Rosario Tumino
- Hyblean Association for Cancer Epidemiology, AIRE ONLUS, Ragusa, Italy
| | - Bas Bueno-de-Mesquita
- Centre for Nutrition, Prevention and Health Services, National Institute for Public Health and the Environment (RIVM), PO Box 1, 3720, BA, Bilthoven, the Netherlands
| | - José María Huerta
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Madrid, Spain; Department of Epidemiology, Murcia Regional Health Council, IMIB-Arrixaca, Murcia, Spain
| | - Miguel Rodriguez-Barranco
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Madrid, Spain; Escuela Andaluza de Salud Pública (EASP), 18011, Granada, Spain; Instituto de Investigación Biosanitaria ibs.GRANADA, 18012, Granada, Spain
| | - Eunate Abilleira
- Ministry of Health of the Basque Government, Directorate for Public Health and Addictions, Public Health Laboratory in Gipuzkoa, San Sebastián, Spain; Biodonostia Health Research Institute, Epidemiology of Chronic and Communicable Diseases Group, San Sebastián, Spain
| | - Carlotta Sacerdote
- Unit of Cancer Epidemiology, Città della Salute e della Scienza University-Hospital, Via Santena 7, 10126, Turin, Italy
| | - Matthias B Schulze
- Department of Molecular Epidemiology, German Institute of Human Nutrition, Potsdam-Rehruecke, Nuthetal, Germany; Institute of Nutritional Science, University of Potsdam, Nuthetal, Germany
| | - Alicia K Heath
- Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK
| | - Charlotta Rylander
- Department of Community Medicine, UIT The Arctic University of Norway, N-9037, Tromsø, Norway
| | - Guri Skeie
- Department of Community Medicine, UIT The Arctic University of Norway, N-9037, Tromsø, Norway
| | - Therese Haugdahl Nøst
- Department of Community Medicine, UIT The Arctic University of Norway, N-9037, Tromsø, Norway
| | - Anne Tjønneland
- Danish Cancer Society Research Center Diet, Cancer and Health, Strandboulevarden 49, DK-2100, Copenhagen, Denmark; Department of Public Health, University of Copenhagen, Denmark
| | - Anja Olsen
- Danish Cancer Society Research Center Diet, Cancer and Health, Strandboulevarden 49, DK-2100, Copenhagen, Denmark; Department of Public Health, University of Aarhus, Denmark
| | - Valeria Pala
- Epidemiology and Prevention Unit. Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Italy
| | - Marina Kvaskoff
- Paris-Saclay University, UVSQ, Univ. Paris-Sud, Inserm, Gustave Roussy, "Exposome and Heredity" Team, CESP, F-94805, Villejuif, France
| | - Inge Huybrechts
- Nutrition and Metabolism Branch, International Agency for Research on Cancer, 150 cours Albert Thomas, CEDEX 08, 69372, Lyon, France
| | - Francesca Romana Mancini
- Paris-Saclay University, UVSQ, Univ. Paris-Sud, Inserm, Gustave Roussy, "Exposome and Heredity" Team, CESP, F-94805, Villejuif, France.
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Determinants of exposure to polychlorinated biphenyls in the Italian population in the last decades. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2023; 30:47012-47024. [PMID: 36735124 DOI: 10.1007/s11356-023-25590-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/19/2022] [Accepted: 01/23/2023] [Indexed: 02/04/2023]
Abstract
Polychlorinated biphenyls (PCBs) are industrial products extensively used in the past. Because of their widespread presence and toxic effects, the international community adopted control measures to reduce their release into the environment. Currently, PCB concentrations are decreasing, but humans are still exposed. In this paper, we reported the results of a study concerning PCB concentrations in human serum samples collected in Italy over two decades. The aim of the study was to investigate the trend of major determinants of PCB human exposure, several decades after the end of their production. PCB concentrations ranged over three orders of magnitude (from 0.4 to 958 ng/g lipid), with a median value of 85 ng/g lipid. We identified age, sampling year, body mass index, sex, and living near hot spots or being occupationally exposed as relevant factors in determining body burden. Our results can give indications to refine regulatory policies on PCBs in Italy, with particular attention to the disposal of residue PCB-containing products. To improve control measures can further decrease the exposure of citizens to PCBs, limit health implications, and improve citizens' perception about chemical risk management.
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Jia Z, Yuan L, Jiang Y, He R, Ding W. Status, distribution, source, and risk of polychlorinated biphenyl levels in soils of five cities from the Hexi Corridor, Northwest China. ENVIRONMENTAL MONITORING AND ASSESSMENT 2023; 195:282. [PMID: 36622457 DOI: 10.1007/s10661-022-10891-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/09/2022] [Accepted: 12/27/2022] [Indexed: 06/17/2023]
Abstract
Few studies have been performed on the persistent organic pollutant contamination in soil from the plateau and remote areas, particularly the mid-latitude arid and semi-arid regions of Northwest China. The occurrence, spatial distribution, source, and potential risk of 12 polychlorinated biphenyls (PCBs) were investigated in soil collected from five Hexi Corridor cities in Northwest China. All of the PCBs were detected individually in the soil samples. The concentration of Σ12PCBs in the Hexi Corridor ranged from 2.0 to 148.5 ng/g, with an average of 21.3 ng/g. The tetra-CBs and hexa-CBs were the dominant PCB components in the soil. Higher PCB levels were found in the industrial city of Jiuquan, and the fewest PCBs were detected at Jinchang. Source analysis by principal component analysis showed that the dominant sources of PCBs were automobile exhaust, paint additives, insulation materials, and other industrial products. The carcinogenic health risk of PCBs in the Hexi Corridor soil was within acceptable levels, but the exposure risk of PCBs in soil for children was higher than that for adults.
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Affiliation(s)
- Zhanrong Jia
- School of Environmental & Municipal Engineering, Lanzhou Jiaotong University, Lanzhou, 730070, China
- Key Laboratory of Yellow River Water Environment in Gansu Province, Lanzhou Jiaotong University, Lanzhou, 730070, China
| | - Longmiao Yuan
- School of Environmental & Municipal Engineering, Lanzhou Jiaotong University, Lanzhou, 730070, China
- Oil and Gas Research Center, Northwest Institute of Eco-Environment and Resources, Chinese Academy of Science, Lanzhou, 730000, China
| | - Yufeng Jiang
- School of Environmental & Municipal Engineering, Lanzhou Jiaotong University, Lanzhou, 730070, China.
- Key Laboratory of Yellow River Water Environment in Gansu Province, Lanzhou Jiaotong University, Lanzhou, 730070, China.
| | - Rui He
- School of Environmental & Municipal Engineering, Lanzhou Jiaotong University, Lanzhou, 730070, China
| | - Wenxuan Ding
- School of Environmental & Municipal Engineering, Lanzhou Jiaotong University, Lanzhou, 730070, China
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Wakolbinger-Habel R, Reinweber M, König J, Pokan R, König D, Pietschmann P, Muschitz C. Self-reported Resistance Training Is Associated With Better HR-pQCT-derived Bone Microarchitecture in Vegan People. J Clin Endocrinol Metab 2022; 107:2900-2911. [PMID: 35924941 DOI: 10.1210/clinem/dgac445] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/17/2022] [Indexed: 11/19/2022]
Abstract
CONTEXT A plant-based lifestyle is a global trend; lower bone mineral density and increased fracture risk in vegan people are reported. OBJECTIVE The primary objective was to assess trabecular and cortical bone microarchitecture in vegans and omnivores. Secondary objectives were to evaluate relationships between bone microarchitecture, nutrition parameters, and physical activity. METHODS This was an observational study at the Medical Department II, St. Vincent Hospital (tertiary referral center for gastrointestinal, metabolic, and bone diseases, and teaching hospital of the Medical University of Vienna), including 43 healthy nonobese female and male subjects on a plant-based diet for at least 5 years, and 45 healthy nonobese female and male subjects on an omnivore diet for at least 5 years. The main outcome measures were the parameters of trabecular and cortical bone microarchitecture (high-resolution peripheral quantitative computed tomography), serum markers of bone turnover, nutrient intake (nutrition protocol), and self-reported resistance training (physical activity questionnaires). RESULTS In the vegan group, trabecular and cortical structure were altered compared with omnivores. Vegans not reporting resistance training had diminished bone microarchitecture compared with omnivores not reporting resistance training. In vegans and omnivores reporting resistance training, bone structure was similar. In both vegan subgroups (resistance training and not resistance training), a small number of correlations between nutrient intake and bone microarchitecture were observed without a conclusive pattern. CONCLUSION Bone microarchitecture in vegans differed from matched omnivores but could not be explained solely by nutrient uptake. These differences were attenuated between the subgroups reporting resistance training. In addition to a well-planned diet, progressive resistance training on a regular basis should be part of the vegan lifestyle.
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Affiliation(s)
- Robert Wakolbinger-Habel
- Department of Physical and Rehabilitation Medicine (PRM), Vienna Healthcare Group - Clinic Donaustadt, Academic Teaching Hospital of the Medical University of Vienna, A-1220 Vienna, Austria
- Medical Department II-VINFORCE, St. Vincent Hospital, Academic Teaching Hospital of the Medical University of Vienna, A-1060 Vienna, Austria
| | | | - Jürgen König
- Department of Nutritional Sciences, University of Vienna, A-1090 Vienna, Austria
| | - Rochus Pokan
- Division of Sports Medicine, Exercise Physiology and Prevention, Center for Sport Science and University Sports, University of Vienna, A-1150 Vienna, Austria
| | - Daniel König
- Division of Sports Medicine, Exercise Physiology and Prevention, Center for Sport Science and University Sports, University of Vienna, A-1150 Vienna, Austria
| | - Peter Pietschmann
- Department of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, A-1090 Vienna, Austria
| | - Christian Muschitz
- Medical Department II-VINFORCE, St. Vincent Hospital, Academic Teaching Hospital of the Medical University of Vienna, A-1060 Vienna, Austria
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