Skip to main content
Top
Published in: Osteoporosis International 12/2009

01-12-2009 | Letter

Comment on review by Nordin: “The effect of calcium supplementation on bone loss in 32 controlled trials in postmenopausal women”

Author: E. Seeman

Published in: Osteoporosis International | Issue 12/2009

Login to get access

Excerpt

Professor Nordin suggests that calcium supplements reduce the rate of bone loss [1]. However, the reported ‘loss’ of −0.27%/year in the group supplemented with calcium is four-fold lower than that in controls (−1.07%/year)—a difference that is difficult to reconcile with the modest suppressive effects of calcium supplements on bone remodelling. The loss of bone mineral density (BMD), if calculated as (final − initial)/initial BMD underestimates the longer term loss in BMD in the calcium-supplemented subjects because it does not account for the transient perturbation of the steady state in remodelling of bone. …
Literature
2.
go back to reference Seeman E, Delmas PD (2006) Bone quality—the material and structural basis of bone strength and fragility. N Engl J Med 354:2250–2261CrossRefPubMed Seeman E, Delmas PD (2006) Bone quality—the material and structural basis of bone strength and fragility. N Engl J Med 354:2250–2261CrossRefPubMed
3.
go back to reference 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 323:878–883PubMed 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 323:878–883PubMed
4.
go back to reference Reid IR, Mason B, Horne A, Ames R, Reid HE, Bava U et al (2006) Randomized controlled trial of calcium in healthy older women. Am J Med 119:777–785CrossRefPubMed Reid IR, Mason B, Horne A, Ames R, Reid HE, Bava U et al (2006) Randomized controlled trial of calcium in healthy older women. Am J Med 119:777–785CrossRefPubMed
5.
go back to reference E Seeman. Evidence that calcium supplements reduce fracture risk is lacking. CJASN 2009, in press E Seeman. Evidence that calcium supplements reduce fracture risk is lacking. CJASN 2009, in press
6.
go back to reference Seeman E, Compston J, Adachi J, Brandi ML, Cooper C, Dawson-Hughes B, Jonsson B, Pols H, Cramer JA (2007) Non-compliance: the Achilles' heel of anti-fracture efficacy. Osteoporos Int 18:711–719CrossRefPubMed Seeman E, Compston J, Adachi J, Brandi ML, Cooper C, Dawson-Hughes B, Jonsson B, Pols H, Cramer JA (2007) Non-compliance: the Achilles' heel of anti-fracture efficacy. Osteoporos Int 18:711–719CrossRefPubMed
7.
go back to reference Tang BMP, Eslick GD, Nowson C, Smith C, Bensoussan A (2007) Use of calcium or calcium in combination with vitamin D supplementation to prevent fractures and bone loss in people aged 50 years and older: a meta-analysis. Lancet 370:657–666CrossRefPubMed Tang BMP, Eslick GD, Nowson C, Smith C, Bensoussan A (2007) Use of calcium or calcium in combination with vitamin D supplementation to prevent fractures and bone loss in people aged 50 years and older: a meta-analysis. Lancet 370:657–666CrossRefPubMed
8.
go back to reference Reid IR, Bolland MJ, Grey A (2008) Effect of calcium supplementation on hip fractures. Osteoporos Int 19:1119–1123CrossRefPubMed Reid IR, Bolland MJ, Grey A (2008) Effect of calcium supplementation on hip fractures. Osteoporos Int 19:1119–1123CrossRefPubMed
9.
go back to reference Bolland MJ, Barber PA, Doughty RN, Mason B, Horne A, Ames R, Gamble, Grey A, Reid IR (2008) Vascular events in healthy older women receiving calcium supplementation: randomised controlled trial. BMJ 336:262–266CrossRefPubMed Bolland MJ, Barber PA, Doughty RN, Mason B, Horne A, Ames R, Gamble, Grey A, Reid IR (2008) Vascular events in healthy older women receiving calcium supplementation: randomised controlled trial. BMJ 336:262–266CrossRefPubMed
10.
go back to reference Cumming R, Nevitt M (1997) Calcium for prevention of osteoporotic fractures in postmenopausal women. J Bone Miner Res 12:1321–1329CrossRefPubMed Cumming R, Nevitt M (1997) Calcium for prevention of osteoporotic fractures in postmenopausal women. J Bone Miner Res 12:1321–1329CrossRefPubMed
11.
go back to reference Reid IR, Ames R, Mason B, Reid HE, Bacon CJ, Bolland M, Gamble GD, Grey A, Horne A (2008) Randomized controlled trial of calcium supplementation in healthy, nonosteoporotic, older men. Arch Intern Med 168(20):2276–2282CrossRefPubMed Reid IR, Ames R, Mason B, Reid HE, Bacon CJ, Bolland M, Gamble GD, Grey A, Horne A (2008) Randomized controlled trial of calcium supplementation in healthy, nonosteoporotic, older men. Arch Intern Med 168(20):2276–2282CrossRefPubMed
12.
go back to reference Benjamin MP, Tang BMP (2009) Do calcium supplementation really cause more hip fractures? (Letter to the Editor). Osteop Intern 20:833–834CrossRef Benjamin MP, Tang BMP (2009) Do calcium supplementation really cause more hip fractures? (Letter to the Editor). Osteop Intern 20:833–834CrossRef
13.
go back to reference Curb JD, McTiernan A, Heckbert SR, Kooperberg C, Stanford J, Nevitt M, Johnson KC, Proulx-Burns L, Pastore L, Criqui M, Daugherty S, for the WHI Morbidity and Mortality Committee (2003) Outcomes ascertainment and adjudication methods in the Women’s Health Initiative. Ann Epidemiol 13:S122–S128CrossRefPubMed Curb JD, McTiernan A, Heckbert SR, Kooperberg C, Stanford J, Nevitt M, Johnson KC, Proulx-Burns L, Pastore L, Criqui M, Daugherty S, for the WHI Morbidity and Mortality Committee (2003) Outcomes ascertainment and adjudication methods in the Women’s Health Initiative. Ann Epidemiol 13:S122–S128CrossRefPubMed
Metadata
Title
Comment on review by Nordin: “The effect of calcium supplementation on bone loss in 32 controlled trials in postmenopausal women”
Author
E. Seeman
Publication date
01-12-2009
Publisher
Springer-Verlag
Published in
Osteoporosis International / Issue 12/2009
Print ISSN: 0937-941X
Electronic ISSN: 1433-2965
DOI
https://doi.org/10.1007/s00198-009-1016-9

Other articles of this Issue 12/2009

Osteoporosis International 12/2009 Go to the issue