The effect of short-term calcium supplementation on biochemical markers of bone metabolism in healthy young adults

Br J Nutr. 1998 Nov;80(5):437-43.

Abstract

The influence of Ca supplementation of the usual diet for 14 d on biochemical markers of bone turnover was investigated in healthy young adults aged 21-26 years. In a crossover study, eighteen subjects (five male and thirteen female) were randomly assigned to their self-selected diet (about 22 mmol Ca/d) or their self-selected diet with a 20 mmol/d Ca supplement (about 40 mmol Ca/d) for 14 d followed by crossover to the alternative diet for a further 14 d. During each dietary period fasting morning first void urine samples (last 3 d) and fasting blood serum samples (morning of twelfth day) were collected. Ca supplementation reduced urinary excretion of pyridinoline (14%) and deoxypyridinoline (16%) (biochemical markers of bone resorption) but had no effect on biochemical markers of bone formation (serum osteocalcin and bone-specific alkaline phosphatase; EC 3.1.3.1). It is concluded that Ca supplementation of the usual diet in young adults suppresses bone resorption over a 2-week period. If sustained, this could result in suppression of the bone remodelling rate and an increase in bone mass over time. The findings of this short-term study with a relatively small number of young adults highlight the need for a longer-term intervention study of the effect of increased Ca intake on bone mass in this age group.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Alkaline Phosphatase / blood
  • Amino Acids / urine*
  • Biomarkers / blood
  • Biomarkers / urine
  • Bone Resorption
  • Bone and Bones / metabolism*
  • Calcium / administration & dosage*
  • Cross-Over Studies
  • Female
  • Humans
  • Male
  • Osteocalcin / blood

Substances

  • Amino Acids
  • Biomarkers
  • Osteocalcin
  • pyridinoline
  • deoxypyridinoline
  • Alkaline Phosphatase
  • Calcium