ArticleNutrients2016
Vitamin D and Calcium Intakes, Physical Activity, and Calcaneus BMC among School-Going 13-Year Old Malaysian Adolescents.
Article in Nutrients, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Multiple micronutrient supplements (MMS) for adolescent girls: are we getting carried away by the hype?BMC nutrition · 2026Article
- Association of bone turnover C-terminal telopeptide levels, 25-hydroxyvitamin D concentrations and calcium intake in Malaysian adolescents.Frontiers in nutrition · 2025Article
- The Knowledge and Health Belief Model of Osteoporosis Prevention Among Females in Saudi Arabia.Cureus · 2024Article
- Effectiveness of an e-Book on Bone Health as Educational Material for Adolescents: Single-Group Experimental Study.JMIR pediatrics and parenting · 2024Article
- Calcium deficiency worldwide: prevalence of inadequate intakes and associated health outcomes.Annals of the New York Academy of Sciences · 2022Article
- Prevalence of lactose intolerance and malabsorption among children of two ethnic groups from the urban areas of Malaysia and its relation to calcium intake and bone health status.Archives of osteoporosis · 2021Article
- Factors associated with bone health status of Malaysian pre-adolescent children in the PREBONE-Kids Study.BMC pediatrics · 2021Article
- Vitamin D Status Is Associated with Modifiable Lifestyle Factors in Pre-Adolescent Children Living in Urban Kuala Lumpur, Malaysia.Nutrients · 2021Article
- Longitudinal Vitamin D Deficiency Among Malaysian Pregnant Women and Its Correlation With Neonatal Serum 25-Hydroxyvitamin D Levels.Frontiers in public health · 2021Article
- Quantitative Ultrasound and Dual X-Ray Absorptiometry as Indicators of Bone Mineral Density in Young Women and Nutritional Factors Affecting It.Nutrients · 2019Article
- A Review of Knowledge, Belief and Practice Regarding Osteoporosis among Adolescents and Young Adults.International journal of environmental research and public health · 2018Review
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Authors and funding
5 authors.
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Abstract
backgroundDietary calcium and vitamin D are essential for bone development. Apart from diet, physical activity may potentially improve and sustain bone health.
objectiveTo investigate the relationship between the dietary intake of calcium and vitamin D, physical activity, and bone mineral content (BMC) in 13-year-old Malaysian adolescents.
designCross-sectional.
settingSelected public secondary schools from the central and northern regions of Peninsular Malaysia.
participantsThe subjects were from the Malaysian Health and Adolescents Longitudinal Research Team Cohort study (MyHeARTs).
methodsThe data included seven-day diet histories, anthropometric measurements, and the BMC of calcaneal bone using a portable broadband ultrasound bone densitometer. Nutritionist Pro software was used to calculate the dietary calcium and vitamin D intakes from the diet histories, based on the Nutrient Composition of Malaysian Food Database guidance for the dietary calcium intake and the Singapore Energy and Nutrient Composition of Food Database for vitamin D intake.
resultsA total of 289 adolescents (65.7% females) were recruited. The average dietary intakes of calcium and vitamin D were 377 ± 12 mg/day and 2.51 ± 0.12 µg/day, respectively, with the majority of subjects failing to meet the Recommended Nutrient Intake (RNI) of Malaysia for dietary calcium and vitamin D. All the subjects had a normal Z-score for the BMC (-2.00 or higher) with a mean of 0.55 ± 0.01. From the statistical analysis of the factors contributing to BMC, it was found that for those subjects with a higher intake of vitamin D, a higher combination of the intake of vitamin D and calcium resulted in significantly higher BMC quartiles. The regression analysis showed that the BMC might have been influenced by the vitamin D intake.
conclusionsA combination of the intake of vitamin D and calcium is positively associated with the BMC.
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