Skip to main content

Clinical Approaches for Studying Calcium Metabolism and Its Relationship to Disease

  • Chapter
Calcium in Human Health

Part of the book series: Nutrition and Health ((NH))

Abstract

This chapter describes several types of clinical studies for studying the relationship of dietary calcium to health. Fractional calcium absorption studies are used to evaluate bioavailability from various sources or intrinsic calcium absorption capacity. The latter is an important risk factor for osteoporosis and possibly other disorders associated with low calcium status. The accuracy of different methods commonly used to determine fractional calcium absorption varies widely. Calcium retention measurements are useful to determine influences on bone mass in short-term studies. Randomized, controlled trials (RCTs) are the inferentially strongest approach to understanding the relationship between calcium intake and outcome measures of disease.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Heaney RP, Weaver CM, Fitzsimmons ML, Recker RR. Calcium absorption consistency. J Bone Miner Res 1990;5:1139–1142.

    Article  CAS  Google Scholar 

  2. Weaver CM, Heaney RP, Connor L, Martin BR, Smith DL, Nielsen S. Bioavailability of calcium from tofu as compared with milk in premenopausal women. J Food Sci 2002;67(8):3144–3147.

    Article  Google Scholar 

  3. Weaver CM, Martin B, Ebner J, Krueger C. Oxalic acid decreases calcium absorption in rats. J Nutr 1987;117:1903–1906.

    CAS  Google Scholar 

  4. Abrams SA, Yergey AL, Heaney RP. Relationship between balance and dual tracer isotopic measurements of calcium absorption and excretion. J Clin Endocrinol Metab 1994;79:965–969.

    Article  CAS  Google Scholar 

  5. Stürup S, Hansen M, Mølgaard C. Measurements of 44Ca: 43Ca and 42Ca: 43Ca isotopic ratios in urine using high resolution inductively coupled plasma mass spectrometry. J Anal At Spectrom 1997;12:919–923.

    Article  Google Scholar 

  6. Kastenmayer P. Thermal ionization mass spectrometry (TIMS). In: Mellon, FA, Sandström B, eds. Stable isotopes in human nutrition. Academic, London: 1996; pp. 81-86.

    Google Scholar 

  7. Smith DL. Determination of stable isotopes of calcium in biological fluids by fast atom bombardment mass spectrometry. Anal Chem 1983; 55:2391–2393.

    Article  CAS  Google Scholar 

  8. Jackson GS, Weaver C, Elmore D. Use of accelerator mass spectrometry for studies in nutrition. Nutr Res Rev 2001;14:317–334.

    Article  CAS  Google Scholar 

  9. DeGrazia JA, Ivanovich P, Fellows H, Rich C. A double isotope method for measurement of intestinal absorption of calcium in man. J Lab Clin Med 1965;66:822–829.

    CAS  Google Scholar 

  10. Smith DL, Atkin C, Westenfelder C. Stable isotopes of calcium as tracers: methodology. Clin Chim Acta 1985;146:97.

    Article  CAS  Google Scholar 

  11. Yergey AL, Abrams SA, Viera NE, Aldreribi A, Marini J, Sidbury JE. Determination of fractional absorption of dietary calcium in humans. J Nutr 1994;124:674–682.

    CAS  Google Scholar 

  12. Heaney RP, Recker RR. Estimation of true calcium absorption. Ann Intern Med 1985;103:516–521.

    CAS  Google Scholar 

  13. Heaney RP, Recker RR. Estimating true fractional calcium absorption. Ann Intern Med 1988;108:905–906.

    CAS  Google Scholar 

  14. Marshall DH, Nordin BEC. A comparison of radioactive calcium tests with net calcium absorption. Clin Sci 1981;61:477–481.

    CAS  Google Scholar 

  15. Kung AWC, Luk KDK, Chu LW, Chin PKY. Age-related osteoporosis in Chinese: an evaluation of the response of intestinal calcium absorption and calcitropic hormones to dietary calcium deprivation. Am J Clin Nutr 1998;68:1291–1297.

    CAS  Google Scholar 

  16. Schulze KJ, O’Brien KO, Germain-Lee EL, Baer DJ, Leonard A, Rosenstein BJ. Effeciency of calcium absorption is not compromised in clinically stable prepubertal and pubertal girls with cystic fibrosis. Am J Clin Nutr 2003;78:110–116.

    CAS  Google Scholar 

  17. Nickel KP, Martin BR, Smith DL, Smith JB, Miller GD, and Weaver CM. Calcium bioavailability from bovine milk and dairy products in premenopausal women using intrinsic and extrinsic labeling techniques. J Nutr 1996;126:1406–1411.

    CAS  Google Scholar 

  18. Martin BR, Weaver CM, Heaney RP, Packard PT, Smith DL. Calcium absorption from three salts and CaSO4-fortified bread in premenopausal women. J Agric Food Chem 2002;50(13):3874–3876.

    Article  CAS  Google Scholar 

  19. O’Brien KO, Abrams SA. Effects of development on techniques for calcium stable isotope studies in children. Biol Mass Spec 1994;23:357–361.

    Article  CAS  Google Scholar 

  20. van den Heuvel EG, Mays T, van Dokkum W, Schaafsma G. Oligofructose stimulates calcium absorption in adolescents. Am J Clin Nutr 1999;69:544–548.

    Google Scholar 

  21. Weaver CM. Intrinsic mineral labeling of edible plants: Methods and Uses. CRC Critical Reviews in Food Science and Nutrition 1985;23:75–101.

    CAS  Google Scholar 

  22. Weaver CM, Martin BR, Costa NMB, Saleeb FZ, Huth PJ. Absorption of calcium fumarate salts is equivalent to other calcium salts when measured in the rat model. J Agric Food Chem 2002; 50:4974–4975.

    Article  CAS  Google Scholar 

  23. Weaver CM, Proulx WR, Heaney R. Choices for achieving adequate dietary calcium with a vegetarian diet. Am J Clin Nutr 1999; 70:543S–548S.

    CAS  Google Scholar 

  24. Heaney RP, Dowell MS, Bierman J, Hale CA, Bendich A. Absorbability and cost effectiveness in calcium supplementation. J Am Coll Nutr 2001;20:239–246.

    CAS  Google Scholar 

  25. Heaney RP, Dowell S, Hale CA, Bendich A. Calcium absorption varies within the reference range for serum 25-hydroxyvitamin D. J Am Col Nutr 2003;22:142–146.

    CAS  Google Scholar 

  26. Guillemant J, Guillemant S. Comparison of the suppressive effect of two doses (500 kg vs. 1500 mg) of oral calcium on parathyroid hormone secretion and on urinary cyclic AMP. Calcif Tissue Int 1993;53:304–306.

    Article  CAS  Google Scholar 

  27. Martini L, Wood RJ. Relative bioavailability of calcium-rich dietary sources in the elderly. Am J Clin Nutr 2002;76:1345–1350.

    CAS  Google Scholar 

  28. Heller HJ, Greer LG, Haynes SD, Poindexter JR, Pak CYC. Pharmacokinetic and pharmacodynamic comparison of two calcium supplement in postmenopausal women. J Clin Pharmacol 2000;40:1237–1244.

    CAS  Google Scholar 

  29. Heaney RP, Dowell MS, Barger-Lux MJ. Absorption of calcium as the carbonate and citrate salts, with some observations on method. Osteoporosis Int 1999;9:19–23.

    Article  CAS  Google Scholar 

  30. Ishitani K, Itakura E, Goto S, Esashi T. Calcium absorption from the ingestion of coral-derived calcium by humans. J Nutr Sci Vitaminol 1999;45:509–517.

    CAS  Google Scholar 

  31. Jackman LA, Millane SS, Martin BR, Wood OB, McCabe GP, Peacock M, Weaver CM. Calcium retention in relation to calcium intake and postmenarcheal age in adolescent females. Am J Clin Nutr 1997;327–333.

    Google Scholar 

  32. Weaver CM, Martin BR, Plawecki KL, et al. Differences in calcium metabolism between adolescent and adult females. Am J Clin Nutr 1995;61:577–581.

    CAS  Google Scholar 

  33. DeSantiago S, Alonso L, Halkali A, Larrea F, Isoard F, Bourges H. Negative calcium balance during lactation in rural Mexican women. Am J Clin Nutr 2002;76:845–851.

    CAS  Google Scholar 

  34. Bryant RJ, Wastney ME, Martin BR, et al. Racial differences in bone turnover and calcium metabolism in adolescent females. J Clin Endocrinol Metab 2003;88(3):1043–1047.

    Article  CAS  Google Scholar 

  35. Rambaut PC, Leach CS, Whedon GD. A study of metabolic balance in crewmembers of Skylab W. Acta Astronautica 1979;6:1313–1322.

    Article  CAS  Google Scholar 

  36. Wastney ME, Martin BR, Peacock M, Smith D, Jiang X-Y, Jackman LA, Weaver CM. Changes in calcium kinetics in adolescent girls induced by high calcium intake. J Clin Endocrinol Metab 2000;85;4470–4475.

    Article  CAS  Google Scholar 

  37. Palacios C, Wigertz K, Martin BR, Weaver CM. Sweat mineral loss from whole body, patch and arm bag in white and black girls. Nutr Res 2003;23:401–411.

    Article  CAS  Google Scholar 

  38. Charles P, Jensen FT, Mosekilde L, Hanson HH. Calcium metabolism evaluated by 47Ca kinetics estimation of dermal calcium loss. Clin Sci 1983;65:415–422.

    CAS  Google Scholar 

  39. Heaney RP, Weaver CM, and Barger-Lux MJ. Food Factors Influencing Calcium Availability. Challenges of Modern Med. In: Burckhardt P. and Heaney RP, ed. Nutritional Aspects of Osteoporosis ′94 (Proceedings of 2nd International Symposium on Osteoporosis, Lausanne, May 1994). Ares-Serono Symposia, Rome: 1995;229–241.

    Google Scholar 

  40. Dawson-Hughes B, Harris S, Kramiek C, Dallal G, Rasmussen HM. Calcium retention and hormone levels in black and white woman on high-and low-calcium diets. J Bone Miner Metab 1993;8:779–787.

    CAS  Google Scholar 

  41. Malm OJ. Calcium requirement and adaptation in adult men. Scand J Clin Lab Invest 1958;10(Suppl 36):1–280.

    CAS  Google Scholar 

  42. Weaver CM, Martin BR, Peacock M. Calcium metabolism in adolescent girls. Challenges of Modern Medicine. Burckhardt P, Heaney RP, eds. In: Nutritional Aspects of Osteoporosis ′94. Ares-Serono Symposium Publications 1995;7:123–128.

    Google Scholar 

  43. Isaksson B, Lindholm B, Sjögren B. A critical evaluation of the calcium balance technic. II Dermal calcium losses. Metabolism 1967;16:303–313.

    Article  CAS  Google Scholar 

  44. Wilkinson R. Polyethylene glycol 4000 as a continuously administered non-absorbable fecal marker for metabolic balance studies in human subjects. Gut 1971;12:654–660.

    Article  CAS  Google Scholar 

  45. Eastell R, Dewanjee MK, Riggs BL. Comparison of polyethylene glycol and chromium-51 chloride as nonabsorbable stool markers in calcium balance studies. Bone Miner 1989;6:95–105.

    Article  CAS  Google Scholar 

  46. Weaver CM, Wastney M, Spence LA. Quantitative clinical nutrition approaches to the study of calcium and bone metabolism. Clin Rev Bone Miner Metab 2003;1:219–232.

    Article  Google Scholar 

  47. Shipp CC, Maletskos CJ, Dawson-Hughes B. Measurement of 47Ca retention with a whole-body counter. Calcif Tissue Int 1987;41:307–312.

    Article  CAS  Google Scholar 

  48. Roughead ZK, Johnson LK, Lykken GI, Hunt JR. Controlled high meat diets do not affect calcium retention or indices of bone status in healthy postmenopausal women. J Nutr 2003;13:1020–1026.

    Google Scholar 

  49. McCabe LD, Martin BR, McCabe GP, Johnston CC, Weaver CM and Peacock M. Dairy intake impacts bone density in the elderly, Am J Clin Nutr In press.

    Google Scholar 

  50. Feskanich D, Willett WC, Colditz GA. Calcium, vitamin D, milk consumption, and hip fractures: a prospective study among postmenopausal women. Am J Clin Nutr 2003;77:504–11.

    CAS  Google Scholar 

  51. Peacock M, Liu G, Carey M, et al. Bone mass and structure at the hip in men and women over the age of 50. Osteoporosis Int 1998;85:231–239.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2006 Humana Press Inc., Totowa, NJ

About this chapter

Cite this chapter

Weaver, C.M. (2006). Clinical Approaches for Studying Calcium Metabolism and Its Relationship to Disease. In: Weaver, C.M., Heaney, R.P. (eds) Calcium in Human Health. Nutrition and Health. Humana Press. https://doi.org/10.1007/978-1-59259-961-5_5

Download citation

Publish with us

Policies and ethics