Calcium Status in Moroccan Children and Adolescents Assessed by 24-Hour Urinary Excretion

Amina  Bouziani; Naima  Saeid; Mohamed  Idrissi; Mohammed  El Mzibri; Kaoutar  Bendjeddou; Hicham  El Berri; Asmaa  Elhamdouchi; Adil  El Yahyaoui; Khalid  El Kari; Hasnae  Benkirane; Hassan  Aguenaou

doi:10.51745/najfnr.3.5.172-179

Calcium Status in Moroccan Children and Adolescents Assessed by 24-Hour Urinary Excretion

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Infant, Child, and Adolescent Nutrition

DOI https://doi.org/10.51745/najfnr.3.5.172-179

Issue Vol. 3 No. 5 (2019): January - June: 2019

Submitted 2019-05-03

Published 2019-07-28

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Background: Worldwide, calcium (Ca) deficiency represents one of the most important deficiencies of all micronutrients. When associated with vitamin D deficiency, it constitutes a major health issue, responsible for many functional diseases especially osteoporosis and fracture risk at the later life. In the Moroccan population, data on Ca deficiency risks are really limited. The urinary losses present a significant determinant of Ca urinary excretion being a crucial determinant of its retention in the human body.

Aims: This study was conducted to determine the level of urinary Ca excretion in a sample of Moroccan children and adolescents, and to assess the prevalence of Ca deficiency.

Methods and Material: 131 children and adolescents, aged between 6 and 18 years, were recruited from public schools at Rabat-Salé-Kénitra region in the framework of a descriptive cross-sectional study. Socio-economic status, morbidity, and anthropometric parameters were assessed for each participant. Ca assessment was estimated through 24-hour urine measurements by ICP-mass spectrometry.

Results: The total mean of urinary Ca was 72.48 mg/day and about 73% of participants presented a urinary Ca deficiency. No significant differences were observed according to sex and nutritional status.

Conclusions: Moroccan children and adolescents might be at risk of Ca deficiency complications. Based on this finding, an appropriate intervention strategy should be adopted to control this deficiency through an overall assessment of Ca deficiency in general population.

Keywords

Moroccan children and adolescents urinary Ca Ca deficiency

Amina Bouziani

Joint Research Unit in Nutrition and Food. Ibn Tofaïl University (CNESTEN). Regional Designated Center of Nutrition (AFRA.IAEA).Rabat. Kenitra. 14000
Naima Saeid

Joint Research Unit in Nutrition and Food. Ibn Tofaïl University (CNESTEN). Regional Designated Center of Nutrition (AFRA.IAEA).Rabat. Kenitra. 14000
Mohamed Idrissi

Joint Research Unit in Nutrition and Food. Ibn Tofaïl University (CNESTEN). Regional Designated Center of Nutrition (AFRA.IAEA).Rabat. Kenitra. 14000
Mohammed El Mzibri

Joint Research Unit in Nutrition and Food. Ibn Tofaïl University (CNESTEN). Regional Designated Center of Nutrition (AFRA.IAEA).Rabat. Kenitra. 14000
Kaoutar Bendjeddou

Joint Research Unit in Nutrition and Food. Ibn Tofaïl University (CNESTEN). Regional Designated Center of Nutrition (AFRA.IAEA).Rabat. Kenitra. 14000
Hicham El Berri

Ministry of health, Rabat
Asmaa Elhamdouchi

Joint Research Unit in Nutrition and Food. Ibn Tofaïl University (CNESTEN). Regional Designated Center of Nutrition (AFRA.IAEA).Rabat. Kenitra. 14000
Adil El Yahyaoui

Centre Nationale de l’Energie des Sciences et des Techniques Nucleaires (CNESTEN), Laboratory Division
Khalid El Kari

Joint Research Unit in Nutrition and Food. Ibn Tofaïl University (CNESTEN). Regional Designated Center of Nutrition (AFRA.IAEA).Rabat. Kenitra. 14000
Hasnae Benkirane

Joint Research Unit in Nutrition and Food. Ibn Tofaïl University (CNESTEN). Regional Designated Center of Nutrition (AFRA.IAEA).Rabat. Kenitra. 14000
Hassan Aguenaou

Joint Research Unit in Nutrition and Food. Ibn Tofaïl University (CNESTEN). Regional Designated Center of Nutrition (AFRA.IAEA).Rabat. Kenitra. 14000

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Bouziani, A. ., Saeid , N. ., Idrissi, M. ., El Mzibri, M. ., Bendjeddou, K. ., El Berri, H. ., Elhamdouchi, A. ., El Yahyaoui, A. ., El Kari, K. ., Benkirane, H. ., & Aguenaou, H. . (2019). Calcium Status in Moroccan Children and Adolescents Assessed by 24-Hour Urinary Excretion. The North African Journal of Food and Nutrition Research, 3(5), 172-179. https://doi.org/10.51745/najfnr.3.5.172-179

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1.

Rizzoli, R., Bianchi, M. L., Garabedian, M., McKay, H. A., & Moreno, L. A. (2010). Maximizing bone mineral mass gain during growth for the prevention of fractures in the adolescents and the elderly. Bone, 46(2), 294–305. https://doi.org/10.1016/j.bone.2009.10.005

2. Moon, R. J., Davies, J. H., Cooper, C., & Harvey, N. C. (2019). Vitamin D, and maternal and child health. Calcified Tissue International, 106(1), 30–46. https://doi.org/10.1007/s00223-019-00560-x

3. Thacher, T. D., Fischer, P. R., & Pettifor, J. M. (2007). Rickets: Vitamin D and calcium deficiency. Journal of Bone and Mineral Research, 22(4), 638. https://doi.org/10.1359/jbmr.070118

4. Ma, J., Johns, R. A., & Stafford, R. S. (2007). Americans are not meeting current calcium recommendations. The American Journal of Clinical Nutrition, 85(5), 1361–1366. https://doi.org/10.1093/ajcn/85.5.1361

5. Shirato, N. (2019). Pathophysiology of bone and calcium metabolism in young women. Clinical Calcium, 29(1), 27–34.

6. World Health Organization. (2013). Guideline: Calcium supplementation in pregnant women. World Health Organization. https://apps.who.int/iris/bitstream/handle/10665/85120/9789241505376_eng.pdf

7. Nordin, B. E. C. (1997). Calcium and osteoporosis. Nutrition, 13(7–8), 664–686. https://doi.org/10.1016/S0899-9007(97)83011-0

8. Kirk Bass, J., & Chan, G. M. (2006). Calcium nutrition and metabolism during infancy. Nutrition, 22(10), 1057–1066. https://doi.org/10.1016/j.nut.2006.05.014

9. López-Sobaler, A. M., Aparicio, A., González-Rodríguez, L. G., Cuadrado-Soto, E., Rubio, J., Marcos, V., Sanchidrián, R., Santos, S., Pérez-Farinós, N., Dal Re, M. Á., Villar, C., Robledo, T., Castrodeza, J. J., & Ortega, R. M. (2017). Adequacy of usual vitamin and mineral intake in Spanish children and adolescents: ENALIA study. Nutrients, 9(2), Article 131. https://doi.org/10.3390/nu9020131

10. Heaney, R. P. (1997). The roles of calcium and vitamin D in skeletal health: An evolutionary perspective. Food, Nutrition and Agriculture, 20, 4–12.

11. Institute of Medicine. (1997). Dietary reference intakes for calcium, phosphorus, magnesium, vitamin D, and fluoride. The National Academies Press. https://doi.org/10.17226/5776

12. Foley, K. F., & Boccuzzi, L. (2010). Urine calcium: Laboratory measurement and clinical utility. Laboratory Medicine, 41(11), 683–686. https://doi.org/10.1309/LM9SO94ZNBHEDNTM

13. Cashman, K. D. (2002). Calcium intake, calcium bioavailability and bone health. British Journal of Nutrition, 87(Suppl. 2), S169–S177. https://doi.org/10.1079/BJN/2002534

14. Guyton, A. C., & Hall, J. E. (2006). Textbook of medical physiology (11th ed.). Elsevier Saunders.

15. Comité Mixte FAO/OMS d'Experts de la Nutrition. (1962). Besoins en calcium [Calcium requirements] (Série des rapports techniques No. 245). Organisation Mondiale de la Santé. https://apps.who.int/iris/bitstream/handle/10665/37386/WHO_TRS_245_fre.pdf

16. Ross, A. C., Taylor, C. L., Yaktine, A. L., & Del Valle, H. B. (Eds.). (2011). Dietary reference intakes for calcium and vitamin D. The National Academies Press. https://doi.org/10.17226/13050

17. Joint FAO/WHO Expert Consultation on Human Vitamin and Mineral Requirements. (2001). Human vitamin and mineral requirements. Food and Agriculture Organization of the United Nations. http://www.fao.org/3/a-y2809e.pdf

18. Weaver, C. M., Proulx, W. R., & Heaney, R. (1999). Choices for achieving adequate dietary calcium with a vegetarian diet. The American Journal of Clinical Nutrition, 70(Suppl. 3), S543–S548. https://doi.org/10.1093/ajcn/70.3.543s

19. van der Wijst, J., Tutakhel, O. A. Z., Bos, C., Danser, A. H. J., Hoorn, E. J., Hoenderop, J. G. J., & Bindels, R. J. M. (2018). Effects of a high-sodium/low-potassium diet on renal calcium, magnesium, and phosphate handling. American Journal of Physiology—Renal Physiology, 315(1), F110–F122. https://doi.org/10.1152/ajprenal.00379.2017

20. Sáez-Torres, C., Rodrigo, D., Grases, F., García-Raja, A. M., Gómez, C., Lumbreras, & Frontera, G. (2014). Urinary excretion of calcium, magnesium, phosphate, citrate, oxalate, and uric acid by healthy schoolchildren using a 12-h collection protocol. Pediatric Nephrology, 29(7), 1201–1208. https://doi.org/10.1007/s00467-014-2755-1

21. Safarinejad, M. R. (2003). Urinary mineral excretion in healthy Iranian children. Pediatric Nephrology, 18(2), 140–144. https://doi.org/10.1007/s00467-002-1020-1

22. Fiorentino, M., Landais, E., Bastard, G., Carriquiry, A., Wieringa, F. T., & Berger, J. (2016). Nutrient intake is insufficient among Senegalese urban school children and adolescents: Results from two 24 h recalls in state primary schools in Dakar. Nutrients, 8(10), Article 650. https://doi.org/10.3390/nu8100650

23. Haut-Commissariat au Plan. (2014). Enquête nationale sur la consommation et les dépenses des ménages : Rapport de synthèse [National survey on household consumption and expenditure: Summary report]. Haut-Commissariat au Plan. https://www.hcp.ma/file/204566/

24. Bouziani, A., Saeid, N., Benkirane, H., Qandoussi, L., Taboz, Y., El Hamdouchi, A., El Kari, K., El Mzibri, M., & Aguenaou, H. (2018). Dietary calcium intake in sample of school-age children in city of Rabat, Morocco. Journal of Nutrition and Metabolism, 2018, Article 8084623. https://doi.org/10.1155/2018/8084623

25. Lohman, T. G., Roche, A. F., & Martorell, R. (1988). Anthropometric standardization reference manual. Human Kinetics Books.

26. World Health Organization. (2007). Growth reference 5–19 years. https://www.who.int/growthref/who2007_bmi_for_age/en

27. Bilezikian, J. P., Bailey, L., Elmer, P. J., Favus, M. J., Go, V. L. W., Goldring, S. R., et al. (1994). Optimal calcium intake. JAMA, 272(24), 1942–1948. https://doi.org/10.1001/jama.1994.03520240070044

28. Matkovic, V., Ilich, J. Z., Andon, M. B., Hsieh, L. C., Tzagournis, M. A., Lagger, B. J., & Goel, P. K. (1995). Urinary calcium, sodium, and bone mass of young females. The American Journal of Clinical Nutrition, 62(2), 417–425. https://doi.org/10.1093/ajcn/62.2.417

29. Wilkinson, R. (1976). Absorption of calcium, phosphorus and magnesium. In B. E. C. Nordin (Ed.), Calcium, phosphate and magnesium metabolism (pp. 36–112). Churchill Livingstone.

30. Matos, V., van Melle, G., Boulat, O., Markert, M., Bachmann, C., & Guignard, J. P. (1997). Urinary phosphate/creatinine, calcium/creatinine, and magnesium/creatinine ratios in a healthy pediatric population. The Journal of Pediatrics, 131(2), 252–257. https://doi.org/10.1016/S0022-3476(97)70162-8

31. Joint FAO/WHO Expert Consultation on Human Vitamin and Mineral Requirements. (2005). Vitamin and mineral requirements in human nutrition (2nd ed.). World Health Organization. https://apps.who.int/iris/bitstream/handle/10665/42716/9241546123.pdf

32. Greer, F. R., & Krebs, N. F. (2006). Optimizing bone health and calcium intakes of infants, children, and adolescents. Pediatrics, 117(2), 578–585. https://doi.org/10.1542/peds.2005-2822

33. Penido, M. G. M. G., Diniz, J. S. S., Guimarães, M. M. M., Cardoso, R. B., Souto, M. F. de O., & Penido, M. G. (2002). Urinary excretion of calcium, uric acid and citrate in healthy children and adolescents. Jornal de Pediatria, 78(2), 153–160. https://doi.org/10.1590/S0021-75572002000200015

34. Honarpisheh, A., Hooman, N., & Taghavi, A. (2009). Urinary calcium excretion in healthy children living in Kashan/Iran. Iranian Journal of Pediatrics, 19(2), 154–158.

35. Nikibakhsh, A., Seyedzadeh, A., & Mahmoodzadeh, H. (2008). Normal values for random urinary calcium to creatinine ratio in Iranian children. Iranian Journal of Pediatrics, 18(3), 263–266.

36. So, N. P., Osorio, A. V., Simon, S. D., & Alon, U. S. (2001). Normal urinary calcium/creatinine ratios in African-American and Caucasian children. Pediatric Nephrology, 16(2), 133–139. https://doi.org/10.1007/s004670000510

37. Choi, I. S., Jung, E. S., Choi, Y. E., Cho, Y. K., Yang, E. M., & Kim, C. J. (2013). Random urinary calcium/creatinine ratio for screening hypercalciuria in children with hematuria. Annals of Laboratory Medicine, 33(6), 401–405. https://doi.org/10.3343/alm.2013.33.6.401

38. Alconcher, L. F., Castro, C., Quintana, D., Abt, N., Moran, L., Gonzalez, L., Cella, M., & Torelli, M. (1997). Urinary calcium excretion in healthy school children. Pediatric Nephrology, 11(2), 186–188. https://doi.org/10.1007/s004670050256

39. Vachvanichsanong, P., Lebel, L., & Moore, E. S. (2000). Urinary calcium excretion in healthy Thai children. Pediatric Nephrology, 14(8–9), 847–850. https://doi.org/10.1007/s004679900229

40. El Mallah, C., Ghattas, H., Shatila, D., Francis, S., Merhi, K., Hlais, S., Toufeili, I., & Obeid, O. (2015). Urinary magnesium, calcium, and phosphorus to creatinine ratios of healthy elementary school Lebanese children. Biological Trace Element Research, 170(2), 264–270. https://doi.org/10.1007/s12011-015-0484-3

41. Fernández-Alvira, J. M., Bammann, K., Pala, V., Krogh, V., Barba, G., Eiben, G., Hebestreit, A., Veidebaum, T., Reisch, L., Tornaritis, M., Kovacs, E., Huybrechts, I., & Moreno, L. A. (2014). Country-specific dietary patterns and associations with socioeconomic status in European children: The IDEFICS study. European Journal of Clinical Nutrition, 68(7), 811–821. https://doi.org/10.1038/ejcn.2014.78

42. Pan, W. H., Wu, H. J., Yeh, C. J., Chuang, S. Y., Chang, H. Y., Yeh, N. H., & Hsieh, Y. T. (2011). Diet and health trends in Taiwan: Comparison of two nutrition and health surveys from 1993–1996 and 2005–2008. Asia Pacific Journal of Clinical Nutrition, 20(2), 238–250. https://doi.org/10.6133/apjcn.2011.20.2.14

43. Nordin, B. E. C., Morris, H. A., Need, A. G., & Horowitz, M. (1993). Dietary calcium and osteoporosis. In P. Pietinen, C. Nishida, & N. Khaltaev (Eds.), Nutrition and quality of life: Proceedings of the 2nd WHO Symposium on Health Issues for the 21st Century (pp. 181–198). World Health Organization.

44. Shi, L., Libuda, L., Schönau, E., Frassetto, L., & Remer, T. (2012). Long term higher urinary calcium excretion within the normal physiologic range predicts impaired bone status of the proximal radius in healthy children with higher potential renal acid load. Bone, 50(5), 1026–1031. https://doi.org/10.1016/j.bone.2012.01.026

45. Osorio, A. V., & Alon, U. S. (1997). The relationship between urinary calcium, sodium, and potassium excretion and the role of potassium in treating idiopathic hypercalciuria. Pediatrics, 100(4), 675–681. https://doi.org/10.1542/peds.100.4.675

46. Ilich, J. Z., & Kerstetter, J. E. (2000). Nutrition in bone health revisited: A story beyond calcium. Journal of the American College of Nutrition, 19(6), 715–737. https://doi.org/10.1080/07315724.2000.10718070

47. New, S. A., Bonjour, J. P., Ammann, P., Chevalley, T., Ferrari, S., & Rizzoli, R. (2003). Nutritional aspects of bone growth: An overview. In S. A. New & J. P. Bonjour (Eds.), Nutritional aspects of bone health (pp. 111–127). The Royal Society of Chemistry.

48. Palacios, C., Wigertz, K., Braun, M., Martin, B. R., McCabe, G. P., McCabe, L., Pratt, J. H., Peacock, M., & Weaver, C. M. (2013). Magnesium retention from metabolic-balance studies in female adolescents: Impact of race, dietary salt, and calcium. The American Journal of Clinical Nutrition, 97(5), 1014–1019. https://doi.org/10.3945/ajcn.112.039867

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Calcium Status in Moroccan Children and Adolescents Assessed by 24-Hour Urinary Excretion

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