Calcium Supplementation and Bone Loss

Calcium supplementation with and without hormone replacement therapy to prevent postmenopausal bone loss.

 

Article Summary:

This is a review of the study that determines the effectiveness of dietary calcium in the prevention of early postmenopausal bone loss. The study included a three-arm, placebo-controlled, randomized parallel trial, and the duration of the study was anywhere between 1.8 to 4 years. There were total of 118 healthy white women participated in the study. These women have experienced 3 to 6 years of spontaneous menopause. The study randomly allocates 1,700 mg of calcium, placebo, or conjugated equine estrogens, progesterone, and 1,700 mg of elemental calcium daily. Each participant also received 400 IU of vitamin D daily. Total body calcium was measured by delayed gamma neutron activation analysis and whole-body counting; bone mineral density of the spine, femur, and radius were also measured by using photon absorptiometry. The results show that the

bone mineral density declined in the placebo group. Although calcium augmentation appears to be less effective than estrogen-progesterone-calcium, but it significantly slowed down the rate of bone loss from the femoral neck and improved calcium balance in postmenopausal women. The study recommended dietary calcium augmentation in helping to prevent early postmenopausal bone loss.

Authors:

Aloia JF, Vaswani A, Yeh JK, Ross PL, Flaster E, Dilmanian FA.

Insititution:

Department of Medicine, Winthrop-University Hospital

Country of Publication:

United States

Source:

Ann Intern Med. 120(2):97-103, 1994 January. NIH

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