POSTPRANDIAL RESPONSE OF CALCIUM-METABOLISM IN POSTMENOPAUSAL WOMEN TO MEALS VARYING IN PROTEIN LEVEL SOURCE

The postprandial response of calcium metabolism to single meals varying in protein source and level was determined in eight postmenopausal women, age 51 to 65 years. Following an overnight fast, subjects consumed a liquid meal containing either 15 g or 45 g of protein from beef (B), cottage cheese (C), or soy isolate (S; 45 g only); one meal provided 0 g protein (basal). Blood was collected before the meal and at 30, 60, 120, and 180 minutes post-meal. Urine was collected every 30 minutes post-meal. Urinary Ca excretion significantly increased following 45-g protein meals when compared with basal meals, but not when compared with 15 g protein meals. Although glomerular filtration rate (GFR) was unaffected by diet, percent renal tubular Ca reabsorption was significantly reduced following C45 or S45 meals. No consistent changes in serum levels of parathyroid hormone (PTH) and calcitonin (Ct) were observed in response to diet. Serum phosphorus levels were significantly reduced following high-protein meals when compared with no-protein meals. Insulin response varied with protein level and source (C45 > S45 > C15 > B45 > B15 > basal). Significant associations found between insulin and calcium metabolism indicate a possible role of insulin in the mechanism of protein-induced calciuria. © 1990.