Evidence map›Paper›PMID 40155753›Full record

ArticleScientific reports2025

Comparison of serum calcium, magnesium, phosphate, alkaline phosphatase, and vitamin D levels in children consuming reverse osmosis, non reverse osmosis, and high fluoride drinking water.

H M Thippeswamy, Raghavendra Shanbhog, M Nanditha Kumar, S N Prashanth, P Smitha

Abstract readComparative Study
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

H M ThippeswamyDepartment of Public Health Dentistry, JSS Dental College and Hospital, JSS Academy Of Higher Education and Research, Mysore, 570015, India.
Raghavendra ShanbhogDepartment of Pediatric Dentistry, JSS Dental College and Hospital, JSS Academy of Higher Education and Research, Mysore, 570015, India.
M Nanditha KumarDepartment of Prosthodontics, JSS Dental College and Hospital, JSS Academy of Higher Education and Research, Mysore, 570015, India. dr.nandithakumarm@jssuni.edu.in.
S N PrashanthDepartment of Pediatrics, JSS Medical College and Hospital, JSS Academy of Higher Education and Research, Mysore, 570015, India.
P SmithaDepartment of Public Health Dentistry, JSS Dental College and Hospital, JSS Academy Of Higher Education and Research, Mysore, 570015, India.

Funding

Indian Council of Medical Research NoF.N.5/9/1325/2020 NUT
6 · The paper itself

Abstract

Water is vital for the human body. Due to concerns over tap water, preference for taste, and convenience, there has been increased consumption of reverse osmosis (RO) water. Various metal ions (e.g., magnesium, calcium, sodium) are essential for human growth and function. Evaluate and compare serum calcium, magnesium, phosphate, alkaline phosphatase, and vitamin D levels in children consuming RO, non-RO, and high-fluoride drinking water. This comparative study included children aged 9-13. Participants were divided into three groups: RO water drinkers, non-RO water drinkers, and those consuming high-fluoride water. A questionnaire gathered socio-demographic, medical, sunlight exposure, and including a validated food frequency questionnaire (FFQ) for nutrient intake. Water samples were analyzed per APHA guidelines for calcium, magnesium, phosphorous, fluoride, and TDS. Urine samples assessed calcium and creatinine, while automated chemistry analyzers measured calcium, phosphorous, and alkaline phosphatase. Vitamin D levels were analyzed using immunoassay. Participants across all age groups were evenly distributed among the three water type groups. Drinking water type significantly correlated with serum and ionic calcium, magnesium, alkaline phosphatase, and serum phosphate levels. Higher 24-h urine calcium and creatinine were found in the high-fluoride group. Regression analysis showed significant associations between drinking water calcium, magnesium, phosphate, TDS, and serum levels after adjusting for age, gender, socioeconomic status, and dietary intake. (serum calcium = β = 0.006, p < 0.001, serum magnesium = β = 0.002, p < 0.001,serum phosphate = β =  - 1.260, p = 0.016). Drinking water type impacts serum calcium, magnesium, phosphate, and alkaline phosphatase levels in children.

Indexed as

Alkaline PhosphataseCalciumDrinking WaterFluoridesMagnesiumPhosphatesVitamin DAdolescentChildFemaleHumansMaleOsmosisAlkaline PhosphataseCalciumDrinking WaterFluoridesMagnesiumPhosphatesVitamin DAlkaline phosphataseHigh fluoride waterMagnesiumRO waterSerum calcium

Identifiers

PMID40155753
PMCPMC11953389

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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.