2026-06-08T09:11:21Zhttps://docta.ucm.es/rest/oai/request

oai:docta.ucm.es:20.500.14352/1351052026-04-27T23:49:09Zcom_20.500.14352_14col_20.500.14352_15

00925njm 22002777a 4500 dc María Auxiliadora Gutiérrez Guerra author Luis Manuel Puerto-Parejo author Elena Pastor-Ramón author Juan Diego Pedrera-Zamorano author Jesús María Lavado-García author Fidel López-Espuela author Raúl Roncero Martín author Juan Fabregat Fernández author Jose M. Morán author Pedrera Canal, María author Vera González, Vicente author 2025-12-09 Studies evaluating habitual dietary copper intake and bone mineral density have garnered significant interest due to cop per’s indispensable role in collagen cross-linking and osteogenesis. These investigations, which employ dietary assess ment tools alongside DXA measurements of skeletal sites, have nonetheless yielded heterogeneous results regarding the impact of copper consumption on bone health. Consequently, elucidating the nature and magnitude of this association is of paramount importance for both nutritional epidemiology and osteoporosis prevention. The review was conducted in accordance with PRISMA guidelines and registered in Prospero (CRD42024617075). Electronic literature searches were performed up to February 2025 in EMBASE, PubMed, OVID, Scopus, and Web of Science to identify observational studies assessing dietary copper intake and DXA-measured BMD, and study quality was appraised using the Newcastle Ottawa Scale. Data were pooled via a generic inverse-variance random-effects model, with heterogeneity assessed by the Q test and I2 statistic. A random-effects meta‐analysis of three studies (n = 9059) found that higher dietary copper intake was associated with a modest but significant increase in lumbar spine BMD (MD 0.02 g/cm2; 95% CI 0.00–0.04; p = 0.04; I2 = 36%), whereas a separate meta‐analysis of four studies (n = 14,345) for hip BMD showed a similar MD of 0.02 g/ cm2 that did not reach significance (95% CI − 0.00–0.04; p = 0.07; I2 = 74%). Higher dietary copper intake is modestly associated with increased lumbar spine BMD, while evidence for hip BMD remains inconclusive, underscoring copper’s potential role in osteoporosis prevention Gutiérrez-Guerra, M.A., Puerto-Parejo, L.M., Pastor-Ramón, E. et al. Dietary Copper Intake and Bone Health: A Systematic Review and Meta-Analysis of Observational Studies. Calcif Tissue Int 116, 149 (2025). https://doi.org/10.1007/s00223-025-01463-w 0171-967X https://doi.org/10.1007/s00223-025-01463-w https://hdl.handle.net/20.500.14352/135105 1432-0827 https://doi.org/10.1007/s00223-025-01463-w 41361655 Dietary Copper Intake and Bone Health: A Systematic Review and Meta-Analysis of Observational Studies