Abstract
Introduction: Osteogenic effects of therapeutic fluoride have been reported; however, the impact of exposure to low level water fluoridation on bone density is not clear. We investigated the effect of long-term exposure to fluoridated water from growth to young adulthood on bone mineral density (BMD).
Methods: BMD was measured in 24 healthy women from Regina (fluoride 0.1 mg/L) and 33 from Saskatoon (fluoride 1.0 mg/L), with no differences between groups for height, weight, lifestyle or dietary factors.
Results: Saskatoon women had significantly higher mean BMD at total anterior-posterior lumbar spine (APS) and estimated volumetric L3 (VLS), with no difference at total body (TB) or proximal femur (PF).
Conclusion: Exposure to water fluoridation during the growing years may have a positive impact on axial spine bone density in young women.
Résumé
Introduction: Des effets ostéogénétiques du fluorure thérapeutique ont été signalés; cependant, l’influence d’une exposition à un faible niveau de fluoruration de l’eau sur la densité osseuse n’est pas claire. Nous avons étudié les effets d’une exposition de longue durée à l’eau fluorée sur la teneur minérale de l’os, pendant les années de croissance.
Méthodes: Chez 24 femmes en santé venant de Regina, on a mesuré la teneur minérale de l’os (fluorure 0,1 mg/l) ainsi que chez 33 femmes venant de Saskatoon (fluorure 1,0 mg/l), sans noter aucune différence entre les groupes par rapport aux facteurs taille, poids, mode de vie ou régime.
Résultats: Les femmes de Saskatoon avaient une teneur minérale de l’os moyenne significativement plus élevée aux tomographies de la colonne lombaire antéropostérieures et de l’analyse volumétrique estimée à L3, sans aucune différence pour l’ensemble du corps ou le fémur proximal.
Conclusion: Une exposition à la fluoruration de l’eau pendant les années de croissance peut avoir un effet positif sur la densité osseuse rachidienne chez les jeunes femmes
Footnotes
This study was funded by the Health Services Utilization and Research Commission.
References
- 1.Melton L., III Fluoride in the prevention of osteoporosis and fractures. J Bone Miner Res. 1990;5(1):S163–S167. doi: 10.1002/jbmr.5650051352. [DOI] [PubMed] [Google Scholar]
- 2.Am J Med. 1991.
- 3.Pak C, Khashayer S, Adams-Huet B, et al. Treatment of postmenopausal osteoporosis with slow-release sodium fluoride. Ann Intern Med. 1995;23(6):401–8. doi: 10.7326/0003-4819-123-6-199509150-00001. [DOI] [PubMed] [Google Scholar]
- 4.Canadian Public Health Association. Criteria Document in Support of a Drinking Water Standard for Fluoride. (Final Report) Ottawa, ON: CPHA; 1979. [Google Scholar]
- 5.Simonen O, Laitinen O. Does fluoridation of drinking water prevent bone fragility and osteoporosis? Lancet. 1985;24:432–33. doi: 10.1016/S0140-6736(85)92748-5. [DOI] [PubMed] [Google Scholar]
- 6.Danielson C, Lyon J, Egger M, Goodenough G. Hip fracture and fluoridation in Utah’s elderly population. JAMA. 1992;268(6):746–74. doi: 10.1001/jama.1992.03490060078027. [DOI] [PubMed] [Google Scholar]
- 7.Suarez-Almazor M, Flowerdew G, Saunders D, et al. The fluoridation of drinking water and hip fracture hospitalization rates in two Canadian communities. Am J Public Health. 1993;83(5):689–93. doi: 10.2105/AJPH.83.5.689. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 8.Gedalia I, Zipkin I. The Role of Fluoride in Bone Structure. St. Louis, Missouri: Warren H. Green Inc.; 1973. pp. 6–7. [Google Scholar]
- 9.Kroger H, Alhava E, Honkanen R, et al. The effect of fluoridated drinking water on axial bone mineral density — a population based study. Bone Miner Res. 1994;27:33–41. doi: 10.1016/S0169-6009(08)80184-5. [DOI] [PubMed] [Google Scholar]
- 10.Arnala I, Alhava E, Kauranen P. Effects of fluoride on bone in Finland. Acta Orthop Scand. 1985;56:161–66. doi: 10.3109/17453678508994346. [DOI] [PubMed] [Google Scholar]
- 11.Weidmann S, Weatherell J. Fluorides and Human Health. World Health Organization Monographs (Serial, No. 59) Geneva: Switzerland: World Health Organization; 1970. Distribution in hard tissues; pp. 105–14. [Google Scholar]
- 12.Armamento-Villareal R, Villareal D, Avioli L, Civitelli R. Estrogen status and heredity are major determinants of pre-menopausal bone mass. J Clin Invest. 1992;90:2464–71. doi: 10.1172/JCI116138. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 13.Hologic QDR Operater’s Manual and User’s Guide. Waltham, MA: Hologic Inc., 1991.
- 14.Peel N, Eastell R. Diagnostic value of estimated volumetric bone mineral density of the lumbar spine in osteoporosis. J Bone Miner Res. 1994;9(3):317–20. doi: 10.1002/jbmr.5650090305. [DOI] [PubMed] [Google Scholar]
- 15.Dequeker J, Ranstam J, Valsson J, et al. The mediterranean osteoporosis (MEDOS) study questionnaire. Clin Rheumatol. 1991;10(1):54–72. doi: 10.1007/BF02208034. [DOI] [PubMed] [Google Scholar]
- 16.Sallis J, Buono M, Roby J, et al. Seven day recall and other physical activity self reports in children and adolescents. Med Sci Sports Exerc. 1993;25:99–108. doi: 10.1249/00005768-199301000-00014. [DOI] [PubMed] [Google Scholar]
- 17.McCulloch R, Bailey D, Houston S, Dodd B. The effects of physical activity, calcium intake and selected lifestyle factors on bone mineral density in young women. CMAJ. 1990;42(3):221–27. [PMC free article] [PubMed] [Google Scholar]
- 18.McKay H, Whiting S, Faulkner R, Bailey D. The relationship of dietary calcium intake to lumbar spine bone mineral density maintenance in premenopausal women. Bone. 1993;16:191. [Google Scholar]
- 19.Priest N, Van De Vyver F. Trace Metals and Fluoride in Bones and Teeth. 1990. p. Boca Raton, Florida: CRC Press. [Google Scholar]
- 20.Carter D, Bouxsein M, Marcus R. New approaches for interpreting projected bone densitometry data. J Bone Miner Res. 1992;7:137–45. doi: 10.1002/jbmr.5650070204. [DOI] [PubMed] [Google Scholar]
- 21.Stevenson J. Obstet Gynecol. 1990. Pathogenesis, prevention and treatment of osteoporosis; pp. 36S–41S. [DOI] [PubMed] [Google Scholar]
