Evidence map›Paper›PMID 37164266›Full record

ArticleThe Journal of nutrition2023

Association between a Calcium-to-Magnesium Ratio and Osteoporosis among Puerto Rican Adults.

Liam E Fouhy, Kelsey M Mangano, Xiyuan Zhang, Bess Dawson Hughes, Katherine L Tucker, Sabrina E Noel

Abstract read
In one paragraph

Article in The Journal of nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

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  7. Bioactive Potential of BalkanMicroorganisms · 2025
    Article
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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

6 authors.

Liam E FouhyDepartment of Biomedical and Nutritional Sciences, University of Massachusetts Lowell, Lowell, MA, United States; The Center for Population Health, Zuckerberg College of Health Sciences, University of Massachusetts Lowell, Lowell, MA, United States.
Kelsey M ManganoDepartment of Biomedical and Nutritional Sciences, University of Massachusetts Lowell, Lowell, MA, United States; The Center for Population Health, Zuckerberg College of Health Sciences, University of Massachusetts Lowell, Lowell, MA, United States.
Xiyuan ZhangThe Center for Population Health, Zuckerberg College of Health Sciences, University of Massachusetts Lowell, Lowell, MA, United States.
Bess Dawson HughesJean Mayer US Department of Agriculture Human Nutrition Research Center on Aging, Tufts University, Boston, MA, United States.
Katherine L TuckerDepartment of Biomedical and Nutritional Sciences, University of Massachusetts Lowell, Lowell, MA, United States; The Center for Population Health, Zuckerberg College of Health Sciences, University of Massachusetts Lowell, Lowell, MA, United States.
Sabrina E NoelDepartment of Biomedical and Nutritional Sciences, University of Massachusetts Lowell, Lowell, MA, United States; The Center for Population Health, Zuckerberg College of Health Sciences, University of Massachusetts Lowell, Lowell, MA, United States. Electronic address: sabrina_noel@uml.edu.

Funding

STATISTICSP50HL105185 · NHLBI · UNIVERSITY OF MASSACHUSETTS LOWELL · PI TUCKER, KATHERINE L · 2010 to 2015
$10.4M
Center for Research/Nutrition &Health among the ElderlyP01AG023394 · NIA · TUFTS UNIVERSITY BOSTON · PI TUCKER, KATHERINE L · 2003 to 2007
$8.1M
Bone microarchitecture, diabetes and change in bone mineral density in Puerto Rican adultsR01AR072741 · NIAMS · UNIVERSITY OF MASSACHUSETTS LOWELL · PI TUCKER, KATHERINE L · 2018 to 2022
$2.6M
Nutrition, Stress and Bone in Older Puerto RicansR01AG027087 · NIA · TUFTS UNIVERSITY BOSTON · PI TUCKER, KATHERINE L · 2007 to 2009
$1.9M
NHLBI NIH HHS P50 HL105185NIAMS NIH HHS R01 AR072741NIA NIH HHS P01 AG023394NIA NIH HHS R01 AG027087
6 · The paper itself

Abstract

backgroundThe ratio of calcium-to-magnesium intake (Ca:Mg) may be important for bone due to their competitive absorption. The Ca:Mg ratio has been related to health outcomes, but few studies have related it to bone.

objectivesThe purpose of this analysis was to examine associations between the Ca:Mg intake with bone mineral density (BMD) and osteoporosis among Puerto Rican adults.

methodsAdults, aged 47-79 y, from the Boston Puerto Rican Osteoporosis Study, with complete BMD and dietary data (n = 955) were included. BMD was assessed with dual-energy X-ray absorptiometry and diet by a food frequency questionnaire. Calcium and magnesium intakes from food were energy adjusted, and the Ca:Mg was calculated. Adjusted linear and logistic regression models were utilized for testing associations between Ca:Mg and bone outcomes.

resultsCalcium intake was greater in the highest compared with lowest tertile, whereas magnesium intake was similar across tertiles. Mean BMD at hip sites was higher in the middle, compared with the lowest, tertile. Higher odds of osteoporosis were observed for the highest and lowest tertiles, compared with the middle tertile, after adjustment (T3 compared with T2 OR: 2.79; 95% CI: 1.47, 5.3; T1 compared with T2 OR: 2.01; 95% CI: 1.03, 3.92). Repeated analyses without supplement users (n = 432) led to stronger differences and ORs, but lost significance for some comparisons.

conclusionsDietary calcium and magnesium are important for bone, perhaps not independently. The Ca:Mg intake ratio appeared most protective within a range of 2.2-3.2, suggesting that a balance of these nutrients may be considered in recommendations for osteoporosis..

Indexed as

Calcium, DietaryMagnesiumOsteoporosisAbsorptiometry, PhotonAgedBone DensityDietary SupplementsHispanic or LatinoHumansMiddle AgedCalcium, DietaryMagnesiumagingcalciumhealth disparitiesmagnesiumosteoporosis

Identifiers

PMID37164266
PMCPMC10550845

What OpenQuestion holds

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Registered trials

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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.