title: Comparison of the effects of calcium loading with calcium citrate or calcium carbonate on bone turnover in postmenopausal women.
abstract: Calcium supplementation is known to increase bone mineral density and decrease fractures, but the relative efficacy of different forms of calcium supplementation is not established. We compared the effects of calcium carbonate and calcium citrate on markers of bone resorption in older postmenopausal women in an open-labeled crossover study. Forty women were randomized to receive 1000 mg/day of either calcium citrate or calcium carbonate for 12 weeks, followed by a 2-week washout without calcium supplements and 12 weeks treatment with the alternate calcium supplement. All women received vitamin D (900 IU/day). Thirty-four women (25 Caucasian, nine Hispanic) completed the study. No significant differences in the decrease in parathyroid hormone (PTH) or bone specific alkaline phosphatase or the increase in urinary calcium/creatinine were detected between the two treatments. However, calcium citrate supplementation decreased the collagen cross-link resorption markers, urinary N-telopeptide (-30%), C-telopeptide (-31%), free deoxypyridinoline (19%) and serum N-telopeptide (-8%), compared to no significant change following calcium carbonate supplementation (+2%, +3%, +2% and +2%, respectively; P<0.05). Calcium citrate decreased markers of bone resorption significantly more than calcium carbonate in postmenopausal women, although no differences in their effects in calcium excretion or PTH were detected.
authors.affiliation: Center on Aging, MC-5215, University of Connecticut Health Center, Farmington, CT 06030-5215, USA. kenny@nso1.uchc.edu
authors.forename: Anne M
authors.initials: AM
authors.lastname: Kenny
authors.forename: Karen M
authors.initials: KM
authors.lastname: Prestwood
authors.forename: Bradley
authors.initials: B
authors.lastname: Biskup
authors.forename: Bertha
authors.initials: B
authors.lastname: Robbins
authors.forename: Enid
authors.initials: E
authors.lastname: Zayas
authors.forename: Alison
authors.initials: A
authors.lastname: Kleppinger
authors.forename: Joseph A
authors.initials: JA
authors.lastname: Burleson
authors.forename: Lawrence G
authors.initials: LG
authors.lastname: Raisz
mesh_terms: D000368:Aged; D000704:Analysis of Variance; D015415:Biomarkers / Q000032:analysis; D001862:Bone Resorption / Q000503:physiopathology*; D002118:Calcium / Q000378:metabolism* / Q000652:urine; D002119:Calcium Carbonate / Q000008:administration & dosage* / Q000378:metabolism; D019355:Calcium Citrate / Q000008:administration & dosage* / Q000378:metabolism; D018592:Cross-Over Studies; D019587:Dietary Supplements; D005260:Female; D006801:Humans; D017698:Postmenopause / Q000502:physiology
chemical_list: D015415:Biomarkers; D002119:Calcium Carbonate; D019355:Calcium Citrate; D002118:Calcium