Evidence map›Paper›PMID 42698992›Full record

ArticleJDS communications2026

Inflammation and delayed oral calcium supplementation: Associations with milk yield, reproduction, and herd removal in multiparous Holstein dairy cows.

Kathryn D Bach, Jackson A Seminara, Julia Poggi, Jessica A A McArt

Abstract read
In one paragraph

Article in JDS communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Kathryn D BachDepartment of Population Medicine and Diagnostic Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853.
Jackson A SeminaraDepartment of Population Medicine and Diagnostic Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853.
Julia PoggiCollege of Agriculture and Life Sciences, Cornell University, Ithaca, NY 14850.
Jessica A A McArtDepartment of Population Medicine and Diagnostic Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The transition from late gestation to early lactation is characterized by metabolic and immune challenges that predispose dairy cows to conditions such as dyscalcemia and excessive inflammation. Both conditions have been associated with impaired health and productivity, and recent evidence suggests they are physiologically linked. Oral calcium supplementation has been proposed as a strategy to support calcium homeorhesis, but results have been inconsistent, possibly due to cow-level factors such as inflammation. The objective of our observational study was to determine whether inflammatory status at 2 DIM, assessed by serum haptoglobin concentrations, modifies the response to oral calcium supplementation administered at 2 and 3 DIM in multiparous Holstein cows. Serum samples and data from 535 cows enrolled in a previously conducted randomized trial on 4 commercial farms in New York were analyzed. Outcomes included average daily milk yield through 15 wk of lactation, pregnancy to first service, time to pregnancy, and time to herd removal. Linear mixed-effects, quasi-Poisson, and Cox proportional hazards models were used to evaluate associations, with marginal means, risk ratios, and hazard ratios calculated at low (0.4 g/L) and high (1.1 g/L) haptoglobin concentrations. For cows with high haptoglobin concentrations at 2 DIM, oral calcium supplementation increased milk yield by 3.1 kg/d and the risk of pregnancy to first service (risk ratio = 1.6, 95% CI = 0.9 to 2.6) in parity ≥3 cows, and improved the hazard of pregnancy (hazard ratio = 1.3; 95% CI: 1.0 to 1.7) and reduced the hazard of herd removal (hazard ratio = 0.5; 95% CI: 0.3 to 1.0) for cows of all parities. No benefit of oral calcium supplementation was observed in cows with low haptoglobin concentrations at 2 DIM other than a 60% increase in risk of pregnancy to first service for parity 2 cows. Our findings suggest that inflammatory status may modify the response to oral calcium supplementation and highlight the potential for targeted strategies to improve postpartum performance.

Identifiers

PMID42698992
PMCPMC13542438

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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.