Ontology highlight
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
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]