Evidence map›Paper›PMID 15213038›Full record

Trial reportThe American journal of clinical nutrition2004

Weight loss and calcium intake influence calcium absorption in overweight postmenopausal women.

Mariana Cifuentes, Claudia S Riedt, Robert E Brolin, M Paul Field, Robert M Sherrell, Sue A Shapses

Erratum issued 3 registry-linked trialsOpen access · bronzeAbstract readClinical TrialRandomized Controlled Trial
In one paragraph

Trial report in The American journal of clinical nutrition, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 3 registered trials, which are not on this map. Cited by 37 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 5 pooled it
2.3field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00472654 nacompletednot on this mapstarted 2007, after this paper: background citation

Nutritional Regulation of Bone - Aim 3

TypeinterventionalSponsorRutgers UniversityRan2007 to 2011Enrolled83ConditionsWeight Loss, Vitamin D or PlaceboArmsWeight Loss, Vitamin D 2500 IU, Weight Maintenance
NCT00472745 nacompletednot on this mapstarted 2007, after this paper: background citation

Nutritional Regulation of Bone - Pilot Study

TypeinterventionalSponsorRutgers UniversityRan2007 to 2012Enrolled44ConditionsWeight Loss, BMDArmsWeight Loss, Weight Maintenance
NCT00473031 nacompletednot on this mapstarted 2007, after this paper: background citation

Nutritional Regulation of Bone - Aim 1

TypeinterventionalSponsorRutgers UniversityRan2007 to 2010Enrolled60ConditionsWeight Loss, Bone DensityArmsCaloric restriction, high protein, Caloric restriction, normal protein, Counseling
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 5 syntheses or guidelines pooled it, 67 citations in OpenAlex.

  1. Calcium supplementation for people with overweight or obesity.The Cochrane database of systematic reviews · 2024
    Pooled it
  2. Does exercise affect bone mineral density and content when added to a calorie-restricted diet? A systematic review and meta-analysis of controlled clinical trials.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022
    Pooled it
  3. The effects of weight loss approaches on bone mineral density in adults: a systematic review and meta-analysis of randomized controlled trials.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2016
    Pooled it
  4. Guideline
  5. Canadian Consensus Conference on osteoporosis, 2006 update.Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC · 2006
    Guideline
  6. Three doses of vitamin D, bone mineral density, and geometry in older women during modest weight control in a 1-year randomized controlled trial.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2017
    Trial
  7. Intestinal Calcium Absorption Decreases Dramatically After Gastric Bypass Surgery Despite Optimization of Vitamin D Status.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2015
    Trial
  8. Trial
  9. Trial
  10. Areal and volumetric bone mineral density and geometry at two levels of protein intake during caloric restriction: a randomized, controlled trial.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2011
    Trial
  11. Trial
  12. Trial
  13. Trial
  14. Overweight postmenopausal women lose bone with moderate weight reduction and 1 g/day calcium intake.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2005
    Trial
  15. Review
  16. Observational
  17. Review
  18. Review
  19. Article
  20. Review
4 · The record

Corrections and comments

  • Erratum issued
5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Mariana CifuentesDepartment of Nutritional Sciences, Rutgers University, New Brunswick, NJ 08901, USA.
Claudia S Riedt
Robert E Brolin
M Paul Field
Robert M Sherrell
Sue A Shapses
Rutgers, The State University of New Jersey · US

Funding

NUTRITIONAL REGULATION OF BONE TURNOVERR01AG012161 · NIA · RUTGERS THE ST UNIV OF NJ NEW BRUNSWICK · PI SHAPSES, SUE AMY · 2000 to 2014
$3.4M
NUTRITIONAL REGULATION OF BONE TURNOVERR29AG012161 · NIA · RUTGERS THE ST UNIV OF NJ NEW BRUNSWICK · PI SHAPSES, SUE AMY · 1994 to 1998
–
NIA NIH HHS AG-12161NIA NIH HHS R01 AG012161
6 · The paper itself

Abstract

backgroundWeight loss (WL) reduces bone mass and increases fracture risk. Mechanisms regulating calcium metabolism during WL are unclear.

objectiveThe objective was to assess the effect of 6 wk of WL at 2 different amounts of calcium intake [normal (NlCa): 1 g/d; high (HiCa): 1.8 g/d] on true fractional calcium absorption (TFCA), bone turnover, and bone-regulating hormones in overweight postmenopausal women.

designSeventy-three women (body mass index, 26.9 +/- 1.9 kg/m(2)) were recruited either to consume a moderately energy-restricted diet (WL group) or to maintain their body weight [weight-maintenance (WM) group] and were randomly assigned to either the HiCa or the NlCa group in a double-blind manner. Subjects underwent weekly diet counseling, and measurements were taken at baseline and after 6 wk.

resultsFifty-seven women completed the study and had a baseline TFCA of 24.9 +/- 7.4%. Energy restriction significantly decreased the total calcium absorbed (P < 0.05) in the WL group (n = 32) compared with the WM group (n = 25; analysis of covariance). Regression analysis showed that a greater rate of weight loss suppressed TFCA and the total calcium absorbed (P < 0.05) in the HiCa group. The women in the NlCa WL group absorbed inadequate amounts of calcium (195 +/- 49 mg/d), whereas the women in the HiCa WL group absorbed adequate amounts (348 +/- 118 mg/d). Parathyroid hormone explained 22% of the variance in calcium absorbed in the NlCa group only.

conclusionsWe suggest that WL is associated with elevated calcium requirements that, if not met, could activate the calcium-parathyroid hormone axis to absorb more calcium. Normal intakes of calcium during energy restriction result in inadequate total calcium absorption and could ultimately compromise calcium balance and bone mass.

Indexed as

AgedAnalysis of VarianceBone and BonesBone DensityCalciumCalcium, DietaryDiet, ReducingDouble-Blind MethodFemaleHumansIntestinal AbsorptionMiddle AgedObesityParathyroid HormonePostmenopauseRegression AnalysisCalciumCalcium, DietaryParathyroid Hormone

Identifiers

PMID15213038
PMCPMC4016237
OpenAlexW2117713858

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.