Evidence map›Paper›PMID 25329821›Full record

Trial reportPloS one2014

Calcium supplementation increases blood creatinine concentration in a randomized controlled trial.

Elizabeth L Barry, Leila A Mott, Michal L Melamed, Judith R Rees, Anastasia Ivanova, Robert S Sandler, Dennis J Ahnen, Robert S Bresalier, Robert W Summers, Roberd M Bostick and 1 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2014. 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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.8field-weighted citation impact, top 27% 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

8 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Article
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  7. 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

11 authors at 6 institutions in 1 country.

Elizabeth L BarryDepartment of Community and Family Medicine, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire, United States of America.
Leila A MottDepartment of Community and Family Medicine, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire, United States of America.
Michal L MelamedDepartments of Medicine and of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York, United States of America.
Judith R ReesDepartment of Community and Family Medicine, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire, United States of America.
Anastasia IvanovaDepartment of Biostatistics, University of North Carolina, Chapel Hill, North Carolina, United States of America.
Robert S SandlerDepartment of Medicine, University of North Carolina, Chapel Hill, North Carolina, United States of America.
Dennis J AhnenDepartment of Veterans Affairs Eastern Colorado Health Care System and University of Colorado School of Medicine, Denver, Colorado, United States of America.
Robert S BresalierDepartment of Gastroenterology, Hepatology and Nutrition, University of Texas MD Anderson Cancer Center, Houston, Texas, United States of America.
Robert W SummersDepartment of Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa, United States of America.
Roberd M BostickDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.
John A BaronDepartment of Community and Family Medicine, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire, United States of America; Department of Medicine, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire, United States of America; Department of Medicine, University of North Carolina, Chapel Hill, North Carolina, United States of America.
University of North Carolina at Chapel Hill · USAlbert Einstein College of Medicine · USEmory University · USThe University of Texas MD Anderson Cancer Center · USUniversity of Iowa · USVA Eastern Colorado Health Care System · US

Funding

Translational Engineering in Cancer (TEC)P30CA023108 · NCI · DARTMOUTH COLLEGE · PI Fred W Kolling IV · 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
Racial Disparities in Chronic Kidney Disease and Vitamin D: Are they related?K23DK078774 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI MELAMED, MICHAL L · 2007 to 2011
$769k
NCI NIH HHS CA098286NCI NIH HHS P30 CA023108NCI NIH HHS R01 CA098286NIDDK NIH HHS DK078774NIDDK NIH HHS K23 DK078774
6 · The paper itself

Abstract

backgroundCalcium supplements are widely used among older adults for osteoporosis prevention and treatment. However, their effect on creatinine levels and kidney function has not been well studied.

methodsWe investigated the effect of calcium supplementation on blood creatinine concentration in a randomized controlled trial of colorectal adenoma chemoprevention conducted between 2004-2013 at 11 clinical centers in the United States. Healthy participants (N = 1,675) aged 45-75 with a history of colorectal adenoma were assigned to daily supplementation with calcium (1200 mg, as carbonate), vitamin D3 (1000 IU), both, or placebo for three or five years. Changes in blood creatinine and total calcium concentration were measured after one year of treatment and multiple linear regression was used to estimate effects on creatinine concentrations.

resultsAfter one year of treatment, blood creatinine was 0.013±0.006 mg/dL higher on average among participants randomized to calcium compared to placebo after adjustment for other determinants of creatinine (P = 0.03). However, the effect of calcium treatment appeared to be larger among participants who consumed the most alcohol (2-6 drinks/day) or whose estimated glomerular filtration rate (eGFR) was less than 60 ml/min/1.73 m2 at baseline. The effect of calcium treatment on creatinine was only partially mediated by a concomitant increase in blood total calcium concentration and was independent of randomized vitamin D treatment. There did not appear to be further increases in creatinine after the first year of calcium treatment.

conclusionsAmong healthy adults participating in a randomized clinical trial, daily supplementation with 1200 mg of elemental calcium caused a small increase in blood creatinine. If confirmed, this finding may have implications for clinical and public health recommendations for calcium supplementation.

trial registrationClinicalTrials.gov NCT00153816.

Indexed as

AdultAgedCalcium, DietaryCholecalciferolCreatinineDietary SupplementsFemaleHumansKidney Function TestsMaleMiddle AgedOsteoporosisCalcium, DietaryCholecalciferolCreatinine

Identifiers

PMID25329821
PMCPMC4198086
OpenAlexW2013563952

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.