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Effects of calcium supplementation on body weight and adiposity in overweight and obese adults: a randomized trial.


ABSTRACT:

Background

Some data suggest that increasing calcium intake may help prevent weight gain.

Objective

To test the hypothesis that calcium supplementation can prevent weight gain in persons who are overweight or obese.

Design

Randomized, placebo-controlled trial. Randomization was computer-generated, and allocation was assigned by pharmacy personnel who prepared intervention and placebo capsules. Participants, providers, and those who assessed outcomes were blinded to study group assignment.

Setting

Single research center.

Participants

340 overweight (body mass index [BMI], 25 to <30 kg/m(2)) and obese (BMI > or =30 kg/m(2)) adults (mean age, 38.8 years [SD, 10.5]).

Intervention

Calcium carbonate (elemental calcium, 1500 mg/d) (n = 170) or placebo (n = 170) with meals for 2 years.

Measurements

Changes in body weight and fat mass (primary outcomes).

Results

Seventy-five percent of participants completed the trial (78% received calcium; 73% received placebo). There were no statistically or clinically significant differences between the calcium and placebo groups in change in body weight (difference, 0.02 kg [95% CI, -1.64 to 1.69 kg]; P = 0.98), BMI (difference, 0.32 kg/m(2) [CI, -0.41 to 1.02 kg/m(2)]; P = 0.39), or body fat mass (difference, 0.39 kg [CI, -1.04 to 1.92 kg]; P = 0.55). Parathyroid hormone concentrations decreased in the calcium group compared with the placebo group (difference, -0.71 pmol/L [CI, -1.28 to -0.13 pmol/L]).

Limitation

The study took place at a research center, and its sample was mostly women.

Conclusion

Dietary supplementation with elemental calcium, 1500 mg/d, for 2 years had no statistically or clinically significant effects on weight in overweight and obese adults. Calcium supplementation is unlikely to have clinically significant efficacy as a preventive measure against weight gain in such patients.

SUBMITTER: Yanovski JA 

PROVIDER: S-EPMC2698127 | biostudies-literature | 2009 Jun

REPOSITORIES: biostudies-literature

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Publications

Effects of calcium supplementation on body weight and adiposity in overweight and obese adults: a randomized trial.

Yanovski Jack A JA   Parikh Shamik J SJ   Yanoff Lisa B LB   Denkinger Blakeley I BI   Calis Karim A KA   Reynolds James C JC   Sebring Nancy G NG   McHugh Teresa T  

Annals of internal medicine 20090601 12


<h4>Background</h4>Some data suggest that increasing calcium intake may help prevent weight gain.<h4>Objective</h4>To test the hypothesis that calcium supplementation can prevent weight gain in persons who are overweight or obese.<h4>Design</h4>Randomized, placebo-controlled trial. Randomization was computer-generated, and allocation was assigned by pharmacy personnel who prepared intervention and placebo capsules. Participants, providers, and those who assessed outcomes were blinded to study gr  ...[more]

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