Vitamin D Alone Doesn't Better Postmenopausal Bone Health
However, vitamin D in combination with calcium, or calcium alone, reduces bone turnover markers
MONDAY, Sept. 30 (HealthDay News) -- Vitamin D supplementation alone does not improve bone health in postmenopausal women, but calcium alone or in combination with vitamin D does appear to reduce bone turnover, according to a study published online Sept. 24 in the Journal of Clinical Endocrinology & Metabolism.
John F. Aloia, M.D., from Winthrop University Hospital in Mineola, N.Y., and colleagues randomly assigned 159 postmenopausal healthy, white women to receive double placebo; calcium (1,200 mg daily) plus placebo; vitamin D3 (100 µg) plus placebo; or vitamin D3 and calcium. At baseline and at three and six months, serum and urine were collected fasting and two hours after a calcium load.
The researchers found that, before study medication, a calcium load resulted in a decline in parathyroid hormone (PTH) and C-telopeptide (CTX) and an increase in urinary calcium excretion. With calcium supplementation, serum CTX and procollagen type I N-terminal propeptide declined over time, but did not change with increased vitamin D intake. In the vitamin D groups there was a decline in PTH in the fasting state, compared with placebo. After a calcium load in the vitamin D groups, suppression of PTH was greater. Urinary calcium was raised and PTH and CTX were decreased with a calcium load.
"Supplementation of the diet with 1200 mg calcium/d reduces bone turnover markers, whereas supplementation with up to 100 µg vitamin D3/d does not," the authors write.
The study was partially funded by Merck.
Abstract (http://jcem.endojournals.org/content/early/2013/09/23/jc.2013-2121.abstract?rss=1 )Full Text (subscription or payment may be required) (http://jcem.endojournals.org/content/early/2013/09/23/jc.2013-2121.full.pdf+html )