Evidence map›Paper›PMID 23417353›Full record

ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2013

Acute response to oral calcium loading in pregnant and lactating women with a low calcium intake: a pilot study.

I Schoenmakers, L M A Jarjou, G R Goldberg, K Tsoi, D Harnpanich, A Prentice

Open access · hybridAbstract read
In one paragraph

Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.3field-weighted citation impact, top 20% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 18 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Serum Creatinine in Pregnancy: A Systematic Review.Kidney international reports · 2019
    Article
  5. Article
  6. Ethnic differences in urinary calcium and phosphate excretion between Gambian and British 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 · 2015
    Article
  7. Predictors of 25(OH)D half-life and plasma 25(OH)D concentration in The Gambia and the UK.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2015
    Article
  8. Dietary mineral supplies in Africa.Physiologia plantarum · 2014
    Article
  9. Ethnic differences in calcium, phosphate and bone metabolism.The Proceedings of the Nutrition Society · 2014
    Article
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 2 institutions in 2 countries.

I SchoenmakersMRC Human Nutrition Research, Elsie Widdowson Laboratory, Fulbourn Road, Cambridge, CB1 9NL, UK. inez.schoenmakers@mrc-hnr.cam.ac.uk
L M A Jarjou
G R Goldberg
K Tsoi
D Harnpanich
A Prentice
MRC Human Nutrition Research · GBMRC Unit the Gambia · GM

Funding

Medical Research Council MC_U105960371Medical Research Council U105960371Medical Research Council U123261351
6 · The paper itself

Abstract

unlabelledThis pilot study in women from The Gambia with low habitual calcium intakes showed differences in calciotropic hormones between pregnant, lactating and non-pregnant, non-lactating women similar to those in Western women. The response to oral calcium loading indicates a high degree of calcium conservation independent of reproductive status.

introductionIn pregnancy and early lactation, parathyroid hormone (PTH) concentrations may be suppressed. Uncertainty exists about how calcium metabolism is regulated, particularly when calcium intake is low.

methodsWe investigated fasting markers of calcium metabolism and the acute calcemic and calciuric responses after an oral calcium load in 30 pregnant, lactating or non-pregnant, non-lactating (NPNL) Gambian women with low habitual calcium intakes. Women received 1 g elemental calcium (CaCO3) at 0 min. Blood was collected at -30 and 180 min. Urine was collected from -60 to 0, 0-120 and 120-240 min. Samples were analysed (blood: ionized calcium (iCa); plasma (p): total calcium (tCa), phosphate (P), creatinine (Cr), PTH, 1,25-dihydroxyvitamin D (1,25(OH)2D), osteocalcin (OC), β C-terminal cross-linked telopeptide of type 1 collagen (βCTX), cyclic adenosine monophosphate (cAMP); urine (u): Ca, P, Cr, cAMP).

resultsPre-loading, groups did not differ significantly in iCa, pP, uCa/Cr and uP/Cr. pOC concentrations were significantly lower and NcAMP and p1,25(OH)2D higher in pregnant women; pPTH and pβCTX in lactating women were higher than in NPNL women. Post-loading, iCa, ptCa and uCa/Cr concentrations increased; pPTH, NcAMP, βCTX and uP/Cr decreased in all groups, but the magnitude of change did not differ significantly between groups.

conclusionDifferences between pregnant, lactating and NPNL Gambian women in pPTH, NcAMP and p1,25(OH)2D and bone markers were similar to Western women. However, the response to calcium loading indicates that there may be no differences in renal and intestinal calcium economy associated with reproductive status, potentially due to a high degree of calcium conservation associated with low intakes.

Indexed as

Administration, OralAdultBiomarkersBlood Specimen CollectionCalciumCalcium, DietaryCyclic AMPFemaleHomeostasisHumansLactationParathyroid HormonePhosphatesPilot ProjectsPregnancyBiomarkersCalciumCalcium, DietaryCyclic AMPParathyroid HormonePhosphates

Identifiers

PMID23417353
PMCPMC3706729
OpenAlexW2127356002

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.