Skip to main content
Erschienen in: Archives of Gynecology and Obstetrics 4/2004

01.12.2004 | Original Article

Short-term calcium supplementation has no effect on biochemical markers of bone remodeling in early postmenopausal women

verfasst von: U. Ulrich, P. B. Miller, D. R. Eyre, C. H. Chesnut III, C. Bodenschatz, H. Schlebusch, M. R. Soules

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 4/2004

Einloggen, um Zugang zu erhalten

Abstract

Introduction

This study was designed to assess changes in biochemical markers of bone remodeling in early postmenopausal women receiving calcium supplementation.

Materials and methods

In a randomized cross-over study of eighteen weeks duration, the effect of a 6-week calcium supplementation (1000 mg calcium carbonate) on biochemical markers of bone resorption (collagen type I cross-linked C- and N-telopeptides) and bone formation (osteocalcin, total and bone-specific alkaline phosphatase), and total serum calcium was assessed in 27 early postmenopausal women.

Results

While total serum calcium levels increased significantly due to calcium supplementation (p<0.05), biochemical markers of both bone resorption and formation remained virtually unchanged.

Conclusion

In contrast to other investigations, there was no significant short-term effect of calcium supplementation on biochemical markers of either bone resorption or formation.
Literatur
1.
Zurück zum Zitat Akesson K, Lau KH, Johnston P, Imperio E, Baylink DJ (1998) Effects of short-term calcium depletion and repletion on biochemical markers of bone turnover in young adult women. J Clin Endocrinol Metab 83:1921–1927PubMed Akesson K, Lau KH, Johnston P, Imperio E, Baylink DJ (1998) Effects of short-term calcium depletion and repletion on biochemical markers of bone turnover in young adult women. J Clin Endocrinol Metab 83:1921–1927PubMed
2.
Zurück zum Zitat Aloia JF, Vaswani A, Yeh JK, Russo L (1996) Differential effects of dietary calcium augmentation and hormone replacement therapy on bone turnover and serum levels of calcitrophic hormones. Osteoporos Int 6:55–62PubMed Aloia JF, Vaswani A, Yeh JK, Russo L (1996) Differential effects of dietary calcium augmentation and hormone replacement therapy on bone turnover and serum levels of calcitrophic hormones. Osteoporos Int 6:55–62PubMed
3.
Zurück zum Zitat Baker V, Ulrich U (1999) Estrogen replacement and alternatives for the prevention and treatment of osteoporosis. Curr Probl Obstet Gynecol Fertil 22:73–120 Baker V, Ulrich U (1999) Estrogen replacement and alternatives for the prevention and treatment of osteoporosis. Curr Probl Obstet Gynecol Fertil 22:73–120
4.
Zurück zum Zitat Blumsohn A, Herrington K, Hannon RA, Shao P, Eyre DR, Eastell R (1994) The effect of calcium supplementation on the circadian rhythm of bone resorption. J Clin Endocrinol Metabol 79:730–735 Blumsohn A, Herrington K, Hannon RA, Shao P, Eyre DR, Eastell R (1994) The effect of calcium supplementation on the circadian rhythm of bone resorption. J Clin Endocrinol Metabol 79:730–735
5.
Zurück zum Zitat Chesnut CH III, Bell NH, Clark GS, Drinkwater BL, English SC, Notelovitz M, Rosen C, Cain DF, Flessland KA, Mallinak NJ (1997) Hormone replacement therapy in postmenopausal women: N-telopeptide of type I collagen monitors therapeutic effect and predicts response of bone mineral density. Am J Med 102:29–37CrossRefPubMed Chesnut CH III, Bell NH, Clark GS, Drinkwater BL, English SC, Notelovitz M, Rosen C, Cain DF, Flessland KA, Mallinak NJ (1997) Hormone replacement therapy in postmenopausal women: N-telopeptide of type I collagen monitors therapeutic effect and predicts response of bone mineral density. Am J Med 102:29–37CrossRefPubMed
6.
Zurück zum Zitat Christiansen C (1994) The different routes of administration and the effect of hormone replacement therapy on osteoporosis. Fertil Steril 62 [Suppl 6]:152–156 Christiansen C (1994) The different routes of administration and the effect of hormone replacement therapy on osteoporosis. Fertil Steril 62 [Suppl 6]:152–156
7.
Zurück zum Zitat Compston JE (1995) The role of vitamin D and calcium supplementation in the prevention of osteoporotic fractures in the elderly. Clin Endocrinol (Oxf) 43:393–405 Compston JE (1995) The role of vitamin D and calcium supplementation in the prevention of osteoporotic fractures in the elderly. Clin Endocrinol (Oxf) 43:393–405
8.
Zurück zum Zitat Elders PJM, Netelenbos JC, Lips P, van Ginkel F, Khoe E, Leeuwenkamp OR, Hackeng WHL, van der Stelt PF (1991) Calcium supplementation reduces vertebral bone loss in perimenopausal women: a controlled trial in 248 women between 46 and 55 years of age. J Clin Endocrinol Metab 73:533–540PubMed Elders PJM, Netelenbos JC, Lips P, van Ginkel F, Khoe E, Leeuwenkamp OR, Hackeng WHL, van der Stelt PF (1991) Calcium supplementation reduces vertebral bone loss in perimenopausal women: a controlled trial in 248 women between 46 and 55 years of age. J Clin Endocrinol Metab 73:533–540PubMed
9.
Zurück zum Zitat Ettinger B (1992) Role of calcium in preserving the skeletal health of aging women. South Med J 85 [Suppl 2]:22–30 Ettinger B (1992) Role of calcium in preserving the skeletal health of aging women. South Med J 85 [Suppl 2]:22–30
10.
Zurück zum Zitat Ettinger B, Genant HK, Cann CE (1987) Postmenopausal bone loss is prevented by treatment with low-dosage estrogen with calcium. Ann Int Med 106:40–45PubMed Ettinger B, Genant HK, Cann CE (1987) Postmenopausal bone loss is prevented by treatment with low-dosage estrogen with calcium. Ann Int Med 106:40–45PubMed
11.
12.
Zurück zum Zitat Gonnelli S, Cepollaro C, Camporeale A, Nardi P, Rossi S, Gennari C (1995) Acute biochemical variations induced by two different calcium salts in healthy perimenopausal women. Calcif Tissue Int 57:175–177PubMed Gonnelli S, Cepollaro C, Camporeale A, Nardi P, Rossi S, Gennari C (1995) Acute biochemical variations induced by two different calcium salts in healthy perimenopausal women. Calcif Tissue Int 57:175–177PubMed
13.
Zurück zum Zitat Kanis JA, Melton LJ III, Christiansen C, Johnston CC, Khaltaev N (1994) The diagnosis of osteoporosis. J Bone Miner Res 9:1137–1141PubMed Kanis JA, Melton LJ III, Christiansen C, Johnston CC, Khaltaev N (1994) The diagnosis of osteoporosis. J Bone Miner Res 9:1137–1141PubMed
14.
Zurück zum Zitat Kulak CAM, Belezikian JP (1998) Osteoporosis: preventive strategies. Int J Fertil 43:56–64 Kulak CAM, Belezikian JP (1998) Osteoporosis: preventive strategies. Int J Fertil 43:56–64
15.
Zurück zum Zitat Lloyd T, Andon MB, Rollings N, Martel JK, Landis JR, Demers LM, Eggli DF, Kieselhorst K, Kulin H (1993) Calcium supplementation and bone mineral density in adolescent girls. JAMA 270:841–844CrossRefPubMed Lloyd T, Andon MB, Rollings N, Martel JK, Landis JR, Demers LM, Eggli DF, Kieselhorst K, Kulin H (1993) Calcium supplementation and bone mineral density in adolescent girls. JAMA 270:841–844CrossRefPubMed
16.
Zurück zum Zitat McKane WR, Khosla S, Egan KS, Robins SP, Burritt MF, Riggs BL (1996) Role of calcium intake in modulating age-related increases in parathyroid function and bone resorption. J Clin Endocrinol Metab 81:1699–1703 McKane WR, Khosla S, Egan KS, Robins SP, Burritt MF, Riggs BL (1996) Role of calcium intake in modulating age-related increases in parathyroid function and bone resorption. J Clin Endocrinol Metab 81:1699–1703
17.
Zurück zum Zitat Nicar MJ, Pak CYC (1985) Calcium bioavailability from calcium carbonate and calcium citrate. J Clin Endocrinol Metab 61:391–393PubMed Nicar MJ, Pak CYC (1985) Calcium bioavailability from calcium carbonate and calcium citrate. J Clin Endocrinol Metab 61:391–393PubMed
18.
Zurück zum Zitat Nilas L, Christiansen C, Rodbro P (1984) Calcium supplementation and postmenopausal bone loss. Br Med J 289:1103–1106 Nilas L, Christiansen C, Rodbro P (1984) Calcium supplementation and postmenopausal bone loss. Br Med J 289:1103–1106
19.
Zurück zum Zitat Notelovitz M (1993) Osteoporosis: screening, prevention, and management. Fertil Steril 59:707–725PubMed Notelovitz M (1993) Osteoporosis: screening, prevention, and management. Fertil Steril 59:707–725PubMed
20.
Zurück zum Zitat Prestwood KM, Thompson DL, Kenny AM, Seibel MJ, Pilbeam CC, Raisz LG (1999) Low dosage estrogen and calcium have an additive effect on bone resorption in older women. J Clin Endocrinol Metab 84:179–183PubMed Prestwood KM, Thompson DL, Kenny AM, Seibel MJ, Pilbeam CC, Raisz LG (1999) Low dosage estrogen and calcium have an additive effect on bone resorption in older women. J Clin Endocrinol Metab 84:179–183PubMed
21.
Zurück zum Zitat Reid IR, Ames RW, Evans MC, Gamble GD, Sharpe SJ (1995) Long-term effects of calcium supplementation on bone loss and fractures in postmenopausal women: a randomized controlled trial. Am J Med 98:331–335CrossRefPubMed Reid IR, Ames RW, Evans MC, Gamble GD, Sharpe SJ (1995) Long-term effects of calcium supplementation on bone loss and fractures in postmenopausal women: a randomized controlled trial. Am J Med 98:331–335CrossRefPubMed
22.
Zurück zum Zitat Riis B, Thomsen K, Christiansen C (1987) Does calcium supplementation prevent postmenopausal bone loss? N Engl J Med 316:173–177PubMed Riis B, Thomsen K, Christiansen C (1987) Does calcium supplementation prevent postmenopausal bone loss? N Engl J Med 316:173–177PubMed
23.
Zurück zum Zitat Rosen CJ, Chesnut CH III, Mallinak NJ (1997) The predictive value of biochemical markers of bone turnover for bone mineral density in early postmenopausal women treated with hormone replacement or calcium supplementation. J Clin Endocrinol Metab 82:1904–1910PubMed Rosen CJ, Chesnut CH III, Mallinak NJ (1997) The predictive value of biochemical markers of bone turnover for bone mineral density in early postmenopausal women treated with hormone replacement or calcium supplementation. J Clin Endocrinol Metab 82:1904–1910PubMed
24.
Zurück zum Zitat Senn S (1993) Cross-over trials in clinical research. Wiley, New York Senn S (1993) Cross-over trials in clinical research. Wiley, New York
25.
Zurück zum Zitat Steiniche T, Hasling C, Charles P, Eriksen EF, Mosekilde L, Melsen F (1989) A randomized study on the effects of estrogen/gestagen or high calcium on trabecular bone remodeling in postmenopausal osteoporosis. Bone 10:313–320PubMed Steiniche T, Hasling C, Charles P, Eriksen EF, Mosekilde L, Melsen F (1989) A randomized study on the effects of estrogen/gestagen or high calcium on trabecular bone remodeling in postmenopausal osteoporosis. Bone 10:313–320PubMed
26.
Zurück zum Zitat Takahashi M, Kushida K, Hoshino H, Ohishi T, Inoue T (1999) Biochemical markers of bone turnover do not decline after menopause in healthy women. Br J Obstet Gynaecol 106:427–431PubMed Takahashi M, Kushida K, Hoshino H, Ohishi T, Inoue T (1999) Biochemical markers of bone turnover do not decline after menopause in healthy women. Br J Obstet Gynaecol 106:427–431PubMed
27.
Zurück zum Zitat Tukey JW (1977) Data analysis. Addison-Wesley, Reading, MA Tukey JW (1977) Data analysis. Addison-Wesley, Reading, MA
28.
Zurück zum Zitat Writing Group for the Women’s Health Initiative Investigators (2002) Risks and benefits of estrogen plus progestin in healthy postmenopausal women. Principal results from the women’s health initiative randomized controlled trial. JAMA 288:321–333PubMed Writing Group for the Women’s Health Initiative Investigators (2002) Risks and benefits of estrogen plus progestin in healthy postmenopausal women. Principal results from the women’s health initiative randomized controlled trial. JAMA 288:321–333PubMed
Metadaten
Titel
Short-term calcium supplementation has no effect on biochemical markers of bone remodeling in early postmenopausal women
verfasst von
U. Ulrich
P. B. Miller
D. R. Eyre
C. H. Chesnut III
C. Bodenschatz
H. Schlebusch
M. R. Soules
Publikationsdatum
01.12.2004
Verlag
Springer-Verlag
Erschienen in
Archives of Gynecology and Obstetrics / Ausgabe 4/2004
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-003-0562-1

Weitere Artikel der Ausgabe 4/2004

Archives of Gynecology and Obstetrics 4/2004 Zur Ausgabe

Update Gynäkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.