Evidence map›Paper›PMID 18541589›Full record

Trial reportThe American journal of clinical nutrition2008

Effect of calcium supplementation on fracture risk: a double-blind randomized controlled trial.

Heike A Bischoff-Ferrari, Judy R Rees, Maria V Grau, Elizabeth Barry, Jiang Gui, John A Baron

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal of clinical nutrition, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00153816 (Vitamin D/Calcium Polyp Prevention Study), which is not on this map. Cited by 24 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 4 pooled it
7.0field-weighted citation impact, top 3% 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.

NCT00153816 phase2 / phase3completednot on this map

Vitamin D/Calcium Polyp Prevention Study

TypeinterventionalSponsorDartmouth-Hitchcock Medical CenterRan2004 to 2016Enrolled2,813ConditionsColorectal Cancer, Polyps, AdenomasArmsCalcium Carbonate, Vitamin D3, placebo
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 4 syntheses or guidelines pooled it, 70 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Bone density in healthy men after cessation of calcium supplements: 20-month follow-up of a 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 · 2015
    Trial
  6. The Auckland calcium study: 5-year post-trial follow-up.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2014
    Trial
  7. Article
  8. Article
  9. Article
  10. Observational
  11. Issues of trial selection and subgroup considerations in the recent meta-analysis of Zhao and colleagues on fracture reduction by calcium and vitamin D supplementation in community-dwelling older adults.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2018
    Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Dairy foods and osteoporosis: an example of assessing the health-economic impact of food products.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2013
    Article
  18. Article
  19. The calcium scare--what would Austin Bradford Hill have thought?Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2011
    Article
  20. Current, new and future treatments of osteoporosis.Rheumatology international · 2011
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Heike A Bischoff-FerrariDepartment of Rheumatology and Institute of Physical Medicine, University Hospital Zurich, Zurich, Switzerland. hbischof@hsph.harvard.edu
Judy R Rees
Maria V Grau
Elizabeth Barry
Jiang Gui
John A Baron
University of Zurich · CH

Funding

Translational Engineering in Cancer (TEC)P30CA023108 · NCI · DARTMOUTH COLLEGE · PI Steven D Leach · 1985 to 2026
$91.3M
Colorectal Chemoprevention with Calcium and Vitamin DR01CA098286 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BARON, JOHN ANTHONY · 2003 to 2015
$43.9M
CALCIUM IN THE PREVENTION OF NEOPLASTIC POLYPSU01CA046927 · NCI · DARTMOUTH COLLEGE · PI BARON, JOHN ANTHONY · 1988 to 2003
$2.5M
NUTRITIONAL PREVENTION OF POLYPS IN THE LARGE BOWELU01CA037287 · NCI · DARTMOUTH COLLEGE · PI BRESNICK, EDWARD · 1985 to 1992
–
NCI NIH HHS CA23108NCI NIH HHS CA37287NCI NIH HHS P30 CA023108NCI NIH HHS R01 CA098286NCI NIH HHS U01 CA046927
6 · The paper itself

Abstract

backgroundThe effect of supplementation with calcium alone on risk fractures in a healthy population is not clear.

objectiveThe objective was to determine whether 4 y of calcium supplementation would reduce the fracture risk during treatment and subsequent follow-up in a randomized placebo-controlled trial.

designThe participants were aged <80 y at study entry (mean age: 61 y), were generally healthy, and had a recent diagnosis of colorectal adenoma. A total of 930 participants (72% men; mean age: 61 y) were randomly assigned to receive 4 y of treatment with 3 g CaCO(3) (1200 mg elemental Ca) daily or placebo and were followed for a mean of 10.8 y. The primary outcomes of this analysis were all fractures and minimal trauma fractures (caused by a fall from standing height or lower while sitting, standing, or walking).

resultsThere were 46 fractures (15 from minimal trauma) in 464 participants in the calcium group and 54 (29 from minimal trauma) in 466 participants in the placebo group. The overall risk of fracture differed significantly between groups during the treatment phase [hazard ratio (HR): 0.28; 95% CI: 0.09, 0.85], but not during the subsequent posttreatment follow-up (HR: 1.10; 95% CI: 0.71, 1.69). Minimal trauma fractures were also less frequent in the calcium group during treatment (HR: 0; 95% CI: 0, 0.50).

conclusionCalcium supplementation reduced the risk of all fractures and of minimal trauma fractures among healthy individuals. The benefit appeared to dissipate after treatment was stopped. This trial was registered at clinicaltrials.gov as NCT00153816.

Indexed as

Dietary SupplementsAdenomaAgedBody Mass IndexCalcium CarbonateColorectal NeoplasmsDouble-Blind MethodFemaleFollow-Up StudiesFractures, BoneHumansLife StyleMaleMiddle AgedPlacebosRisk AssessmentCalcium CarbonatePlacebos

Identifiers

PMID18541589
PMCPMC3773875
OpenAlexW2133945911

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.