(08-10-12) Why You May Want To Stop Taking Calcium Supplements
For years, doctors (including me!) had been telling their patients (especially
postmenopausal women over 60 and older men) to take calcium supplements to
prevent risks of osteoporosis. Now, with recent research findings, many
doctors are holding off on telling our patients to take calcium supplements.
Perhaps you routinely take calcium supplements as well. If so, you should know
what this new research has shown and why you might want to stop taking your
calcium supplements.
Calcium Supplements Linked to Heart Attack Risk
That was the headline of a recent ABC World News Report back in May this year
(2012), heralding the bottom line finding of a recent study by German and Swiss
researchers. Needless to say, my phone was buzzing the next day from patients
who?ve routinely been taking calcium supplements. A similar prior study done a
few years earlier out of the University of Auckland, New Zealand [Calcium
Supplements May Increase Heart Attack Risk in Older Women, British Medical
Journal, January 2008] had reached the same conclusion in studying a small
group of women over 55. In medical research though, the findings of one study
isn?t always the definitive answer. But now there were two different studies
with the same conclusion.
However, prior research had also suggested that higher intakes of calcium
could lower blood pressure and prevent type 2 diabetes ? two major risks for
developing heart disease. As I keep an open mind towards new research that
better protects my patients? health, I investigated further into this new
research.
The latest findings are based on a study done out of one of the German
branches of the European Prospective Investigation into Cancer and Nutrition
(EPIC) in Heidelberg, Germany. The study followed 24,000 participants aged 35
to 64 for 11 years. Their diets for the preceding 12 months were evaluated and
all participants were asked if they took vitamin or mineral supplements.
During the study period, there were 354 heart attacks, 260 strokes, and 267
associated deaths.
Of those participants who took calcium supplements regularly, they were found
to be 86% more likely to have a heart attack than those who didn?t. In
addition, the participants who took only calcium supplements for their calcium
intake were more than twice as likely to have a heart attack. The researchers
bottom line conclusion was that while calcium intake from diet might not give
significant cardiovascular benefits, calcium supplements may raise heart attack
risk and should be taken with caution.
Further, two other researchers from the University of Auckland, New Zealand,
Drs. Ian Reid and Mark Bolland, in an accompanying editorial to the study
commented that ?the safety of calcium supplements are coming under scrutiny
now.? These safety factors include kidney stones, gut and abdominal symptoms.
They also commented that even though prior research had indicated that calcium
supplements may cut risk factors for cardiovascular disease (type 2 diabetes,
blood pressure), those findings didn?t necessarily mean less risk of heart
attack or stroke.
The problem is that getting calcium from your food is much different from
getting calcium from supplements. Dietary calcium is taken in smaller amounts
throughout the day so it is absorbed more slowly. Taking 1200 mg at a time in
a supplement causes calcium flooding in the blood. Apparently, it is soaring
calcium blood spikes that present the problem as supplemental calcium does not
give the same metabolic effect as dietary calcium. The researchers conclusion
was: ?calcium supplements were neither safe or effective and should be
discouraged.?
So there you have it. You may wonder, as I did, if calcium flooding is the
problem from taking the calcium all at once, would it be safer to divide the
1200 mg into smaller doses throughout the day? Also, did the type of calcium
supplement matter? What about the smaller amounts of calcium contained in
multivitamin and mineral supplements? What about people with medical conditions
who rely on supplements? For sure, these studies pose a lot more questions.
My Recommendations to You
As I always like to err on the side of safety and caution, I am now
recommending the following to my patients and readers:
If you are a postmenopausal woman, or man over 60, of normal health, and were
using individual calcium supplements as prevention against osteoporosis, you
can get your calcium needs from your food alone. The National Institute of
Health recommends 1200 mg of calcium a day for this age group. I also
recommend that you get baseline calcium (and Vitamin D) levels done and repeat
these levels periodically. Recent research shows that Vitamin D and magnesium
deficiencies, and perhaps too high vitamin A levels, may be the real culprits
behind osteoporosis. Your body needs magnesium and Vitamin D to absorb calcium
correctly. Also, adequate vitamin K levels can prevent fractures as well.
If you have parathyroid hormone issues, osteoporosis, or some other calcium-
dependent condition, talk to your doctor about the latest research findings and
what level of calcium supplementation is safest for you.
Remember, dairy is not the only good dietary source of calcium. Almond milk
contains just slightly less calcium than cow?s milk. Vegetables like kale,
spinach, broccoli contain good levels of calcium, as do other foods like salmon
and enriched cereals.
If you take a multiple vitamin or mineral supplement for nutritional
insurance, balance the amount of calcium in it (not more than 35% of your daily
needs) with foods you eat.
As it stands, I feel that several different pieces of research now point to
the risk of taking individual calcium supplements ? especially in older women.
Until we have more answers to all the questions that these studies pose, it may
be safer to stay away from calcium supplements. I also encourage you to
explore this subject and your concerns with your doctor.
Stay Well,
Mark Rosenberg, M.D.
Natural Health News
Calcium supplements may increase heart attack risk in older women, http://www.
sciencedaily.com/releases/2008/01/080116193102.htm
Calcium supplements linked to significantly increased heart attack risk, http:
//www.sciencedaily.com/releases/2012/05/120523200752.htm
Calcium supplements limked to heart attack risk, http://abcnews.go.
com/Health/HeartHealth/calcium-supplements-linked-heart-attack-risk/story?
id=16413252
Source: healthyanswers.com
News
In evidenza
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Per coloro che hanno problemi di salute si consiglia di consultare sempre il proprio medico curante.
Informazioni utili
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Ricette a zona
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Tabelle nutrizionali
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Tabella composizione corporea
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ABC della nutrizione