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Calcium and vitamin D3 supplements in calcium and vitamin D3 sufficient early postmenopausal healthy women

Abstract

Objective: To study the calcium homeostasis in healthy, calcium and vitamin D replete early postmenopausal women during oral supplementation with calcium and vitamin D3.

Design: A prospective, placebo-controlled, randomised, double-single-blind, 3-week study.

Setting: Outpatient clinic at Copenhagen University Hospital, Denmark.

Subjects: In all, 17 started, one was excluded. Totally, 16 healthy women, 45–61 y of age (mean 57.3 y) who were at least 4 y after menopause (mean 6.7 y) completed.

Interventions: All underwent three consecutive 7-day study periods. Each began with 4 days of normal diet followed by 3 days treatment of either C:one tablet of 1.250 mg calcium carbonate (ie 500 mg Ca2+ per tablet) twice daily (breakfast and dinner), or CD3:as in C but plus 400 IU vitamin D3 b.i.d., or P(only) placebo tablets b.i.d.

Results: At baseline plasma 25-hydroxycholecalciferol was normal (66±22 nmol/l) and the calcium intake without supplements 850 mg/day. In group C, the 24-h urinary calcium increased by 35% (6.9±2.0 mmol), vs the placebo group P (5.1±1.6 mmol) (P<0.05). Addition of 800 IU vitamin D3 daily (CD3) did not increase calcium excretion further (6.6±2.1 mmol) but decreased plasma 1,25-(OH)2-vitamin D3 by 21% (P<0.05).

Conclusions: In this carefully controlled study calcium plus vitamin D3 supplements only had minor influences of uncertain significance on the calcium balance in healthy, calcium and vitamin D sufficient early postmenopausal women.

Sponsorship: Copenhagen University, Karolinska Institutet and Nycomed A/S.

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References

  • Aida K, Koishi S, Tawata M & Onaya T (1995): Molecular cloning of a putative Ca(2+)-sensing receptor cDNA from human kidney. Biochem. Biophys. Res. Commun. 214, 524–529.

    Article  CAS  Google Scholar 

  • Chapuy MC, Arlot ME, Delmas PD & Meunier PJ (1994): Effect of calcium and cholecalciferol treatment for three years on hip fractures in elderly women. Br.Med.J. 308, 1081–1082.

    Article  CAS  Google Scholar 

  • Chapuy MC, Arlot ME, Duboeuf F, Brun J, Crouzet B, Arnaud S, Delmas PD & Meunier PJ (1992): Vitamin D3 and calcium to prevent hip fractures in the elderly women. N. Engl. J. Med. 327, 1637–1642.

    Article  CAS  Google Scholar 

  • Dawson HB, Harris SS & Dallal GE (1997): Plasma calcidiol, season, and serum parathyroid hormone concentrations in healthy elderly men and women. Am. J. Clin. Nutr. 65, 67–71.

    Article  Google Scholar 

  • Dawson-Hughes B, Dallal GE, Krall EA, Sadowski L, Sahyoun N & Tannenbaum S (1990): A controlled trial of the effect of calcium supplementation on bone density in postmenopausal women. N. Engl. J. Med. 323, 878–883.

    Article  CAS  Google Scholar 

  • Farach-Carson MC & Nemere I (2003): Membrane receptors for vitamin D steroid hormones: potential new drug targets. Curr. Drug Targets 4, 67–76.

    Article  CAS  Google Scholar 

  • Francis RM, Boyle IT, Moniz C, Sutcliffe AM, Davis BS, Beastall GH, Cowan RA & Downes N (1996): A comparison of the effects of alfacalcidol treatment and vitamin D2 supplementation on calcium absorption in elderly women with vertebral fractures. Osteoporos. Int. 6, 284–290.

    Article  CAS  Google Scholar 

  • Heaney RP, Recker RR & Weaver CM (1990): Absorbability of calcium sources: the limited role of solubility. Calcif. Tissue Int. 46, 300–304.

    Article  CAS  Google Scholar 

  • Hunter D, Major P, Arden N, Swaminathan R, Andrew T, MacGregor AJ, Keen R, Snieder H & Spector TD (2000): A randomized controlled trial of vitamin D supplementation on preventing postmenopausal bone loss and modifying bone metabolism using identical twin pairs. J. Bone Miner. Res. 15, 2276–2283.

    Article  CAS  Google Scholar 

  • International Conference on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use (ICH) adopts Consolidated Guideline on Good Clinical Practice in the Conduct of Clinical Trials on Medicinal Products for Human Use (1997): International Digest of Health Legislation. 48 (2), 231–234.

  • Kerstetter JE, O'Brian KO & Insogna KL (2002): Dietary protein, calcium metabolism, and skeleton homeostasis revisited. Am. J. Clin. Nutr. 78, 584S–592S.

    Article  Google Scholar 

  • Komulainen M, Kroger H, Tuppurainen MT, Heikkinen AM, Alhava E, Honkanen R, Jurvelin J & Saarikoski S (1999): Prevention of femoral and lumbar bone loss with hormone replacement therapy and vitamin D3 in early postmenopausal women: a population-based 5-year randomized trial. J. Clin. Endocrinol. Metab. 84, 546–552.

    CAS  PubMed  Google Scholar 

  • Lips P (1991): The pathogenesis and treatment of hip fractures. Osteoporos. Int. 1, 218–231.

    Article  CAS  Google Scholar 

  • McKenna MJ (1992): Differences in vitamin D status between countries in young adults and the elderly. Am. J. Med 93, 69–77.

    Article  CAS  Google Scholar 

  • Melin AL, Wilske J, Ringertz H & Saaf M (1999): Vitamin D status, parathyroid function and femoral bone density in an elderly Swedish population living at home. Aging. 11, 200–207.

    CAS  PubMed  Google Scholar 

  • Mortensen L & Charles P (1996): Bioavailability of calcium supplements and the effect of Vitamin D: comparisons between milk, calcium carbonate, and calcium carbonate plus vitamin D. Am. J. Clin. Nutr. 63, 354–357.

    Article  CAS  Google Scholar 

  • NIH Consensus Statement (1994): Optimal Calcium Intake. Washington, USA: NIH. P 12.

  • Ooms ME, Roos JC, Bezemer PD, van de V, Bouter LM & Lips P (1995): Prevention of bone loss by vitamin D supplementation in elderly women: a randomized double-blind trial. J. Clin. Endocrinol. Metab. 80, 1052–1058.

    CAS  PubMed  Google Scholar 

  • Physicican's guide to prevention and treatment of osteoporosis (2000): National Osteoporosis Foundation. Washington DC, USA (http://www.nof.org).

  • Rasmussen LB, Hansen GL, Hansen E, Koch B, Mosekilde L, Molgaard C, Sorensen OH & Ovesen L (2000): Vitamin D: should the supply in the Danish population be increased? Int. J. Food. Sci. Nutr. 51, 209–215.

    Article  CAS  Google Scholar 

  • Tfelt-Hansen J, Schwarz P & Tørring O (2001): PTH and ionized calcium changes to oral calcium and D-vitamins in healthy premenopausal women. Scand. J. Clin. Lab. Invest. 61, 395–400.

    Article  CAS  Google Scholar 

  • Tilyard MW, Spears GF, Thomson J & Dovey S (1992): Treatment of postmenopausal osteoporosis with calcitriol or calcium. N. Engl. J. Med. 326, 357–362.

    Article  CAS  Google Scholar 

  • Tørring O, Bucht E & Sjoberg HE (1985): Plasma calcitonin response to a calcium clamp. Influence of sex and age. Horm. Metab. Res. 17, 536–539.

    Article  Google Scholar 

  • World Medical Association Declaration of Helsinki (1964).

  • Zerwekh JE, Sakhaee K & Pak CY (1981): Utility and limitation of calciuric response to oral calcium load as a measure of intestinal calcium absorption: comparison with isotopic fractional calcium absorption. Invest. Urol. 19, 161–164.

    CAS  PubMed  Google Scholar 

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Acknowledgements

We wish to thank the staff at the department of nephrology, especially Bente Spon, Betty Fisher and Kirsten Andersen for excellent help and support.

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Guarantor: O Tørring.

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Correspondence to O Tørring.

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Sources of support: Nycomed DK-4000 Roskilde, Denmark

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Tfelt-Hansen, J., Tørring, O. Calcium and vitamin D3 supplements in calcium and vitamin D3 sufficient early postmenopausal healthy women. Eur J Clin Nutr 58, 1420–1424 (2004). https://doi.org/10.1038/sj.ejcn.1601987

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