ArticleBMC nutrition2023
The association of dietary acid load (DAL) with estimated skeletal muscle mass and bone mineral content: a cross-sectional study.
Article in BMC nutrition, 2023. 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.
- Assessment of the acidifying potential of diet and sarcopenia in individuals 50 years of age or older: a cross-sectional study.BMC nutrition · 2026Article
- Dietary acid load and its association with all-cause mortality, cardiovascular mortality, and events.Scientific reports · 2025Article
- Can malnutrition, dietary habits, and diet quality be determinant factors in frailty, sarcopenia, low physical function, and depression in older adults?BMC geriatrics · 2025Article
- Investigation of the association between total dietary calcium intake and its various sources with type 2 diabetes: Tehran lipid and glucose study.Nutrition & metabolism · 2025Article
- Association of dietary acid load with abdominal adiposity based on traditional and novel anthropometric indices.Journal of health, population, and nutrition · 2025Article
- Article
- The association between dietary acid load and indices of insulin resistance.Scientific reports · 2025Article
- Pathophysiology of Diet-Induced Acid Stress.International journal of molecular sciences · 2024Review
- Dietary acid load and cirrhosis-related mortality: a prospective cohort study.Scientific reports · 2024Article
- Dietary acid load, depression, and anxiety: results of a population-based study.BMC psychiatry · 2023Article
- Article
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7 authors.
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Abstract
BACKGROUND &
aimsDietary patterns that promote mild metabolic acidosis may have a negative effect on bone and muscle, and a high dietary acid load (DAL) may be detrimental to skeletal muscle mass and bone mineral content. However, the association between skeletal muscle mass and bone mineral content with dietary acid load has not been consistently reported in previous studies. The objective of the study was to evaluate the association of potential renal net acid load (PRAL) and net endogenous acid production (NEAP) with bone mineral content and skeletal muscle mass in pre-menopause women with overweight or obesity in Iran.
methodThree hundred and ninety women with a body mass index (BMI) of 25 were included in this cross-sectional study. We used a validated 147-item semi-quantitative food frequency questionnaire (FFQ) for evaluating the dietary intake. Based on the dietary data, potential renal net acid load (PRAL) and net endogenous acid production (NEAP) were calculated. Muscle mass and bone mineral content were estimated by a bioelectrical impedance analyzer (BIA).
resultsAfter controlling for potential confounders, we discovered a significant linear relationship between PRAL (β = -0.027, 95%CI = -0.049 to -0.004, P = 0.02) and NEAP (β = -0.05, 95%CI = -0.097 to -0.003, P = 0.03) and skeletal muscle mass index. However, there was no significant difference between SMM and BMC across PRAL and NEAP tertiles.
conclusionPRAL and NEAP were found to be inversely related to skeletal muscle mass index among overweight/obese women. Further research is required to establish whether this relationship is important for musculoskeletal health in these populations.
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