Evidence map›Paper›PMID 25147494›Full record

ReviewFood & nutrition research2014

Calcium and vitamin D supplementation: state of the art for daily practice.

Robert Y van der Velde, Jacobus R B J Brouwers, Piet P Geusens, Willem F Lems, Joop P W van den Bergh

Open access · goldAbstract readReview
In one paragraph

Review in Food & nutrition research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
3.6field-weighted citation impact, top 7% 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

23 citing papers in PubMed, 52 citations in OpenAlex.

  1. A phase IV, two-armed, randomized, cross-over study comparing compliance with once-a-month administration of vitamin D3 to compliance with daily administration of a fixed-dose combination of vitamin D3 and calcium during two 6-month periods.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2015
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  14. Intestinal CaWorld journal of gastroenterology · 2020
    Review
  15. Vitamin D testing: advantages and limits of the current assays.European journal of clinical nutrition · 2020
    Review
  16. Calcium citrate: from biochemistry and physiology to clinical applications.Reviews in endocrine & metabolic disorders · 2019
    Review
  17. Dietary Supplements and Cardiovascular Diseases.International journal of preventive medicine · 2018
    Review
  18. Observational
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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

5 authors at 4 institutions in 2 countries.

Robert Y van der VeldeDepartment of Internal Medicine, VieCuri Medical Centre for North Limburg, Venlo, The Netherlands.
Jacobus R B J BrouwersDepartment of Geriatric Medicine, Expertise Centre for Pharmacotherapy in the Elderly, Ephor-UMC Utrecht, The Netherlands.
Piet P GeusensDepartment of Rheumatology, CAPHRI, Maastricht UMC, Maastricht, The Netherlands ; Biomedical Research Centre, University of Hasselt, Diepenbeek, Belgium.
Willem F LemsDepartment of Rheumatology, VU Medical Centre, Amsterdam, The Netherlands.
Joop P W van den BerghDepartment of Internal Medicine, VieCuri Medical Centre for North Limburg, Venlo, The Netherlands ; Department of Rheumatology, CAPHRI, Maastricht UMC, Maastricht, The Netherlands ; Biomedical Research Centre, University of Hasselt, Diepenbeek, Belgium.
Hasselt University · BEAmsterdam UMC Location VUmc · NLUniversity Medical Center Utrecht · NLVieCuri Medisch Centrum · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCalcium and vitamin D play an essential role in bone metabolism but deficiency and/or inadequate intake are common.

objectivesTo describe a practical approach based on the literature regarding clinically important aspects of calcium and vitamin D supplementation.

methodsA systematic evaluation of relevant literature in Medline was conducted. We included physiological studies, publications on relevant guidelines, meta-analysis, randomized clinical trials, and cohort studies.

resultsAn adequate calcium intake and vitamin D supplementation is recommended in most guidelines xon fracture prevention. Daily supplementation with 800 IU is advocated in most guidelines, appears to be safe, and with this approach it is generally not necessary to determine vitamin D levels. There are no data on additional effects of loading doses of vitamin D on fracture or fall prevention. Calcium supplementation should be tailored to the patient's need: usually 500 mg per day is required. The intestinal absorption of calcium citrate is approximately 24% better than that of calcium carbonate independent of intake with meals. Data on difference between calcium absorption with calcium carbonate compared to calcium citrate with simultaneous use of proton pump inhibitors are lacking. Concern has arisen about a possible link between calcium supplementation and an increased risk of myocardial infarction. Probably only well-designed prospective randomized controlled trials will be able to allow definite conclusions on this subject.

conclusionDaily supplementation with 800 IU vitamin D is a practical and safe strategy without the need for prior determination of vitamin D levels. Calcium supplementation should be tailored to the patient's need based on total daily dietary calcium intake. In most patients 500 mg per day is required to achieve a total intake of 1,200 mg, or in some 1,000 mg per day. More calcium is absorbed from calcium citrate compared to calcium carbonate.

Indexed as

calcium absorptioncardiovascular riskfall preventionfracture preventionvitamin D supplementation

Identifiers

PMID25147494
PMCPMC4126954
OpenAlexW2168652138

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.