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Effects of Excessive Dietary Phosphorus Intake on Bone Health

  • Nutrition, Exercise and Lifestyle in Osteoporosis (S Shapses and J Lappe, Section Editors)
  • Published:
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Abstract

Purpose of Review

The purpose of this review is to provide an overview of dietary phosphorus, its sources, recommended intakes, and its absorption and metabolism in health and in chronic kidney disease and to discuss recent findings in this area with a focus on the effects of inorganic phosphate additives in bone health.

Recent Findings

Recent findings show that increasing dietary phosphorus through inorganic phosphate additives has detrimental effects on bone and mineral metabolism in humans and animals. There is new data supporting an educational intervention to limit phosphate additives in patients with chronic kidney disease to control serum phosphate.

Summary

The average intake of phosphorus in the USA is well above the recommended dietary allowance. Inorganic phosphate additives, which are absorbed at a high rate, account for a substantial and likely underestimated portion of this excessive intake. These additives have negative effects on bone metabolism and present a prime opportunity to lower total phosphorus intake in the USA. Further evidence is needed to confirm whether lowering dietary phosphorus intake would have beneficial effects to improve fracture risk.

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Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Authors and Affiliations

  1. Department of Nutrition Science, Purdue University, 700 West State Street, West Lafayette, IN, 47907, USA

    Colby J. Vorland, Elizabeth R. Stremke & Kathleen M. Hill Gallant

  2. Department of Medicine-Division of Nephrology, Indiana University School of Medicine, Indianapolis, IN, USA

    Ranjani N. Moorthi & Kathleen M. Hill Gallant

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  1. Colby J. Vorland
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  2. Elizabeth R. Stremke
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  3. Ranjani N. Moorthi
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  4. Kathleen M. Hill Gallant
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Correspondence to Kathleen M. Hill Gallant.

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Kathleen Hill Gallant and Ranjani Moorthi report grants from the NIH (NIDDK K01 DK102864), during the conduct of the study.

Elizabeth Stremke and Colby Vorland declare no conflict of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Nutrition, Exercise and Lifestyle in Osteoporosis

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Vorland, C.J., Stremke, E.R., Moorthi, R.N. et al. Effects of Excessive Dietary Phosphorus Intake on Bone Health. Curr Osteoporos Rep 15, 473–482 (2017). https://doi.org/10.1007/s11914-017-0398-4

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