Abstract
Recently, administration of calcium supplements for the prevention and treatment of osteoporosis has become a highly controversial issue. The findings of epidemiological studies are not necessarily supportive of the practice and are also open to different interpretations. In this article, we attempt to broaden the discussion and provide evidence that calcium supplementation may fail to compensate for renal calcium loss, and also that the resultant increased calcium load in the circulation could lead to extraskeletal deposition, including in the coronary arteries.
Similar content being viewed by others
References
I.R. Reid, M.J. Bolland, Calcium risk-benefit updated–new WHI analyses. Maturitas. 77(1), 1–3 (2014). doi:10.1016/j.maturitas.2013.10.003
W.R. McKane, S. Khosla, M.F. Burritt, P.C. Kao, D.M. Wilson, S.J. Ory, B.L. Riggs, Mechanism of renal calcium conservation with estrogen replacement therapy in women in early postmenopause–a clinical research center study. J. Clin. Endocrinol. Metab. 80(12), 3458–3464 (1995)
S. Khosla, Pathogenesis of age-related bone loss in humans. J. Gerontol. A Biol. Sci. Med. Sci. 68(10), 1226–1235 (2013)
G. Passeri, G. Girasole, R.L. Jilka, S.C. Manolagas, Increased interleukin-6 production by murine bone marrow and bone cells after estrogen withdrawal. Endocrinology 133(2), 822–828 (1993)
R.L. Prince, I. Dick, P. Garcia-Webb, R.W. Retallack, The effects of the menopause on calcitriol and parathyroid hormone: responses to a low dietary calcium stress test. J. Clin. Endocrinol. Metab. 70(4), 1119–1123 (1990)
B. Dawson-Hughes, G.E. Dallal, E.A. Krall, L. Sadowski, N. Sahyoun, S. Tannenbaum, A controlled trial of the effect of calcium supplementation on bone density in postmenopausal women. N. Engl. J. Med. 323(13), 878–883 (1990)
C.Y. Park, W.H. Lee, J.C. Fleet, M.R. Allen, G.P. McCabe, D.M. Walsh, C.M. Weaver, Calcium and vitamin D intake maintained from preovariectomy independently affect calcium metabolism and bone properties in Sprague Dawley rats. Osteoporos. Int. 25(7), 1905–1915 (2014)
A.M. Parfitt, Renal bone disease: a new conceptual framework for the interpretation of bone histomorphometry. Curr. Opin. Nephrol. Hypertens. 12(4), 387–403 (2003)
R. Lubwama, A. Nguyen, A. Modi, C. Diana, P.D. Miller, Prevalence of renal impairment among osteoporotic women in the USA, NHANES 2005-2008: is treatment with bisphosphonates an option? Osteoporos. Int. 25(5), 1607–1615 (2014)
Conflict of interest
No competing interests.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Paziana, K., Pazianas, M. Calcium supplements controversy in osteoporosis: a physiological mechanism supporting cardiovascular adverse effects. Endocrine 48, 776–778 (2015). https://doi.org/10.1007/s12020-015-0550-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12020-015-0550-9