Urinary Citrate, an Index of Acid-Base Status, Predicts Bone Strength in Youths and Fracture Risk in Adult Females
Author(s) -
Jonas Esche,
Simone A. Johner,
Lijie Shi,
Eckhard Schönaü,
Thomas Remer
Publication year - 2016
Publication title -
the journal of clinical endocrinology and metabolism
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.206
H-Index - 353
eISSN - 1945-7197
pISSN - 0021-972X
DOI - 10.1210/jc.2016-2677
Subject(s) - medicine , urinary system , biomarker , urine , excretion , quantitative computed tomography , bone density , endocrinology , physiology , urology , osteoporosis , chemistry , biochemistry
Diet can impact on bone strength via metabolic shifts in acid-base status. In contrast to the strongly diet-dependent biomarker urinary potential renal acid load (uPRAL), the amount of renally excreted citrate integrates nutritional and systemic influences on acid-base homeostasis with high citrate indicating prevailing alkalization.
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