"Age-related bone mass loss and decreased bone strength affects women and men alike are an important determinant of osteoporosis and fracture risk. Studies have shown that the incidence of osteoporosis in Europe is lower in the Mediterranean basin. The traditional Mediterranean diet, rich in fruits and vegetables, with a high intake of olives and olive oil could be one of the environmental factors underlying this difference."
Previous studies have suggested the diet has additional benefits in people with liver disease, in 2011 research presented at the AASLD meeting found that the Mediterranean Diet compared to the National Heart Foundation Diet, not only significantly improved insulin sensitivity, but reduced both liver fat and inflammation.
Other diseases associated with significant bone loss are chronic gastrointestinal diseases including: inflammatory bowel disease (IBD), celiac disease, and liver diseases such as primary biliary cirrhosis, and primary sclerosing cholangitis.
Women after menopause produce less estrogen which may result in osteoporosis, or brittle bones. Some women with chronic hepatitis C have reported early menopause, as have women undergoing hepatitis C therapy. Ribavirn has also been associated with bone loss in hepatitis C patients. Overall research has suggested the Mediterranean diet is beneficial in individuals with nonalcoholic fatty liver disease by reducing liver steatosis and improving insulin sensitivity, even in the absence of weight loss. If anything, ongoing research has warranted a second look at the diet in reference to liver health.
2012 - Early Menopause Tied to Osteoporosis in 29-Year Study
2011 - The Mediterranean Diet Improves Liver Health – Regardless of Weight Loss
2010 - The Impact of Gastrointestinal and Liver Diseases on Bone: It Ain't Like Menopause!
2008 - Decreased bone mineral density after therapy with alpha interferon in combination with ribavirin for chronic hepatitis C
Mediterranean diet enriched with olive oil may protect bone
New study shows intake of olive oil associated with increase in bone formation markers
Chevy Chase, MD—A study to be published in the Endocrine Society's Journal of Clinical Endocrinology and Metabolism (JCEM) shows consumption of a Mediterranean diet enriched with olive oil for two years is associated with increased serum osteocalcin concentrations, suggesting a protective effect on bone.
Age-related bone mass loss and decreased bone strength affects women and men alike are an important determinant of osteoporosis and fracture risk. Studies have shown that the incidence of osteoporosis in Europe is lower in the Mediterranean basin. The traditional Mediterranean diet, rich in fruits and vegetables, with a high intake of olives and olive oil could be one of the environmental factors underlying this difference.
"The intake of olive oil has been related to the prevention of osteoporosis in experimental and in vitro models," said José Manuel Fernández-Real, MD, PhD, of Hospital Dr. Josep Trueta in Girona, Spain and lead author of the study. "This is the first randomized study which demonstrates that olive oil preserves bone, at least as inferred by circulating bone markers, in humans."
The participants in this study were 127 community-dwelling men aged 55 to 80 years randomly selected from one of the Prevencion con Dieta Mediterranea (PREDIMED) study centers who had at least two years of follow-up. The PREDIMED study is a large, parallel group, randomized, controlled trial aimed to assess the effect of the Mediterranean diet on the prevention of cardiovascular diseases.
For this study, subjects were elderly without prior cardiovascular disease but having a diagnosis of type 2 diabetes or harboring at least three cardiovascular risk factors, namely hypertension, dyslipidemia, or a family history of premature cardiovascular disease. Participants were randomly assigned to three intervention groups: Mediterranean diet with mixed nuts, Mediterranean diet with virgin olive oil, and a low-fat diet.
Biochemical measurements of osteocalcin, glucose, total cholesterol, HDL-cholesterol and triglycerides were performed at baseline and after two year follow-up on fasting blood samples. Researchers found that only consumption of the Mediterranean diet with olive oil was associated with a significant increase in the concentrations of total osteocalcin and other bone formation markers. There were also no significant changes in serum calcium in subjects taking olive oil whereas serum calcium decreased significantly in the other two groups.
"It's important to note that circulating osteocalcin was associated with preserved insulin secretion in subjects taking olive oil," added Fernández-Real. "Osteocalcin has also been described to increase insulin secretion in experimental models."
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Other researchers who helped with the study included Mónica Bulló, José Maria Moreno-Navarrete, Wifredo Ricart, Emilio Ros, Ramon Estruch, and Jordi Salas-Salvadó of Instituto de Salud Carlos III in Madrid, Spain.
The article, "A Mediterranean Diet Enriched with Olive Oil is Associated with Higher Serum Total Osteocalcin Levels in Elderly Men at High Cardiovascular Risk," will appear in the October 2012 issue of JCEM.
Founded in 1916, The Endocrine Society is the world's oldest, largest and most active organization devoted to research on hormones and the clinical practice of endocrinology. Today, The Endocrine Society's membership consists of over 15,000 scientists, physicians, educators, nurses and students in more than 100 countries. Society members represent all basic, applied and clinical interests in endocrinology. The Endocrine Society is based in Chevy Chase, Maryland. To learn more about the Society and the field of endocrinology, visit our site at www.endo-society.org. Follow us on Twitter at https://twitter.com/#!/EndoMedia.
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