[Idiopathic hypoparathyroidism. Recent data on pathophysiology of calcium-phosphorus metabolism and its clinical aspects and therapy].
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Utilizing a 2 X 2 factorial design, male weanling rats were fed diets containing either 25% or 45% casein with 0.35% or 0.8% phosphorus (P). Dietary calcium (Ca) was set at 0.9% for each diet. During the 7 weeks of this experiment, food intakes and body weights were measured weekly; urine and fecal samples were collected daily. Regardless of dietary P level, increasing dietary protein resulted in significantly decreased fecal Ca output accompanied by an increase in the Ca content of urine. Increasing dietary P resulted in significantly increased fecal Ca content, decreased absolute and percent Ca absorption, and decreased urinary Ca output. Increased fecal and urinary P excretion were obtained when dietary P levels were increased. Increasing dietary protein at the 0.35% P level slightly increased the values for absolute and percent Ca and P absorption. However, when 0.8% P was fed, increasing the protein level of the diet decreased these Ca (weeks 1-5) and P absorption values. Ca and P balances were positive at all times.
Four- or 12-week-old rats were fed diets containing either 25 or 45% casein and either 0.35 or 0.8% phosphorus (P) for 7 weeks. Calcium (Ca) level of each diet was 0.9%. In the young, fast-growing rat (expt 1), plasma P was increased (P less than 0.01) when 0.8%, rather than 0.35%, P was fed. In the more mature rats (expt 2), increased dietary P depressed Ca in plasma but elevated P; high protein intake elevated whole-blood Ca, but depressed plasma P. Dietary treatment had little effect on muscle of mature rats, but wet weight and total P content of muscle were higher in young rats fed 0.8%, rather than 0.35%, P. Femur dry weight and P concentration were greater when 0.8%, rather than 0.35%, P was fed to young rats; dietary P did not affect any other parameter of bone (expt 1, 2). Excessive protein intake elevated femur P concentration in young rats, but depressed length and strength of femurs in mature rats. Some parameters of bone, blood and muscle can be influenced by dietary levels of protein and P. The response, however, is dependent on the physical maturity of the rat when dietary treatment begins.
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