Study · Journal of bone and mineral metabolism · 2023Abstract only

Alpha-tocopherol intake, cadmium exposure and osteoporosis in older adults

What it found

In 8459 people aged 50 and over, higher alpha-tocopherol intake was linked to a lower risk of osteoporosis tied to cadmium exposure.

The study was cross-sectional, so it cannot prove cause and effect.

What they found

Studies in people

Osteoporosis cases

Out of 8459 people, 543 older adults had osteoporosis.

Cadmium and osteoporosis

People with osteoporosis had higher serum cadmium levels (0.52 μg/L) than those without (0.37 μg/L). High cadmium exposure was linked to a higher risk of osteoporosis.

Alpha-tocopherol intake

People with osteoporosis had lower alpha-tocopherol intake (5.28 mg) than those without (6.50 mg).

Bone mineral density

In the total femur, alpha-tocopherol intake was linked to less loss of bone mineral density associated with cadmium exposure.

Combined intake and exposure

High alpha-tocopherol intake combined with low cadmium exposure was linked to a lower risk of osteoporosis compared with low intake and high exposure.

What the authors conclude

“High α-tocopherol intake may improve the Cd-related osteoporosis and loss of BMD that could provide some dietary reference for prevention of osteoporosis in population ≥ 50 years old.”
Li R, Qu H, Xu J, et al, 2023

Also in their conclusions

  • They conclude that high alpha-tocopherol intake may improve cadmium-related osteoporosis and loss of bone mineral density.
  • They say this could provide some dietary reference for prevention of osteoporosis in people aged 50 and over.

How it was done

The authors wanted to look at how alpha-tocopherol intake and cadmium exposure relate to osteoporosis in people aged 50 and over.

They used data from 8459 people aged 50 and over in the National Health and Nutrition Examination Survey (NHANES). They looked at diet, physical exams, and lab tests including serum cadmium and dietary alpha-tocopherol, and compared these with osteoporosis and bone mineral density at the total femur and femur neck.

What it can’t tell you

  • We summarised it from the abstract only.
  • This was a cross-sectional study, so it can show links but cannot prove that alpha-tocopherol or cadmium directly cause or prevent osteoporosis.
  • It cannot show whether changing alpha-tocopherol intake over time would change osteoporosis risk.

The paper

Title
Association between dietary intake of α-tocopherol and cadmium related osteoporosis in population ≥ 50 years
Type
Study
Evidence
Studies in people
Summarised from
Abstract only
Cite
Li R, Qu H, Xu J, et al (2023). Association between dietary intake of α-tocopherol and cadmium related osteoporosis in population ≥ 50 years. Journal of bone and mineral metabolism. doi:10.1007/s00774-023-01418-xPubMed 37036532DOI

Summary written 26 Sep 2026. Check it against the paper before it changes what you eat. How we summarise papers · Report an error