5.2. The effects of polyols on bone resorption

The urinary 3H excretion of the [3H];tetracycline-prelabeled rats, reflecting the rate of bone resorption, was significantly reduced in the 10 % and 20 % dietary xylitol supplementation groups as compared to the controls (study I). This was detected already in the first measurement, made two days after the onset of xylitol feeding, and the diminished level was maintained throughout the experimental period of one month (Figure 5-1). However, no significant effect was seen in the 5% xylitol supplementation group. The retardation of bone resorption was about 25% in the 10% xylitol group (p=0.0138), and about 40% in the 20% xylitol group (p<0.0001). Accordingly, there was significantly more 3H radioactivity left in the tibiae of the 10% (p<0.05) and 20% (p<0.01) xylitol supplementation groups as compared to the controls at the end of the experimental period.

Figure 5-1. Urinary 3H excretion in different xylitol supplementation groups compared with the control group. All values are means, n=10 in each group. The mean value of the control group is set to 100 in each time point (Study I, Fig. 2.).

When comparing the effects of different polyols (study II), dietary supplementation of 1M xylitol (p<0.0001), 1M sorbitol (p<0.0001), and to a less degree 1M D-mannitol (p<0.05) reduced the amount of excreted 3H as compared to the basal diet alone (Figure 5-2). However, the 3H excretion was not affected by dietary erythritol. Preserved 3H radioactivity in the tibiae and scapulae was significantly greater after the experiment only in the xylitol group (p<0.05) as compared to the controls.

Ovariectomy doubled the excretion of 3H as compared to the sham-operated rats (p<0.0001) (study III). However, the ovariectomized rats that were fed a diet supplemented with 10% xylitol expressed a significantly reduced 3H excretion rate as compared to the ovariectomized rats without xylitol (p<0.0001) (Figure 5-3). Accordingly, there was significantly more preserved 3H radioactivity in the tibiae and scapulae of these xylitol-fed rats at the end of the experimental period (p<0.0001). In fact, no significant difference was detected between the xylitol-fed ovariectomized rats and the sham-operated controls.

Figure 5-2. Urinary 3H excretion of the rats fed different polyols (1 mol/kg dry diet) for 1 mo. Values are means, n=10 in each group (Study II, Fig. 2.).

Figure 5-3. Urinary 3H excretion of rats with sham-operatation, ovariectomy or ovariectomy followed by 10% dietary xylitol supplementation. The values are presented in proportion to the baseline levels (%), n=10 in each group (Study III, Fig. 1.).