title: [Calcium supplementation and the possible increase in cardiovascular risk].
abstract: The primary goal of osteoporosis treatment is to prevent the occurrence of fragility fractures, and thereby reduce morbidity and mortality. Among the various approaches to the treatment of this disease include ensuring proper calcium intake and to obtain adequate levels of vitamin D. Virtually all clinical trials with drugs used to treat osteoporosis systematically include calcium and vitamin D supplements. In light of the recent publication of clinical trials and meta-analyses, a possible increase in cardiovascular risk, particularly in the form of a myocrdial infarction, is hypothesised in patients taking calcium supplements. However, data published to date are inconclusive. Until the development of new scientific evidence, it seems reasonable to recommend, whenever practicable and individualized for each patient, increasing calcium intake with food and reserve supplements for patients with very low calcium intake in the diet. It would also be advisable for the administration of total daily dose to be fractionated throughout the day and with meals, and to obtain appropriate levels of vitamin D (25-hydroxycholecalciferol or calcidiol), along with the basic treatment for osteoporosis that is decided to be prescribed to patients.
authors.affiliation: Servicio de Medicina Interna, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, España. amontero@gencat.cat
authors.forename: Abelardo
authors.initials: A
authors.lastname: Montero Sáez
authors.forename: Francesc
authors.initials: F
authors.lastname: Formiga
authors.forename: Ramón
authors.initials: R
authors.lastname: Pujol Farriols
mesh_terms: D000368:Aged; D002118:Calcium / Q000009:adverse effects*; D002318:Cardiovascular Diseases / Q000139:chemically induced* / Q000453:epidemiology; D019587:Dietary Supplements / Q000009:adverse effects*; D006801:Humans; D010024:Osteoporosis / Q000188:drug therapy; D012307:Risk Factors
chemical_list: D002118:Calcium