Dietary Calcium Intake and Calcium Supplementation in Hungarian Patients with Osteoporosis

Purpose. Adequate calcium intake is the basis of osteoporosis therapy—when this proves insufficient, even specific antiosteoporotic agents cannot exert their actions properly. Methods. Our representative survey analyzed the dietary intake and supplementation of calcium in 8033 Hungarian female and m...

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Main Authors: Gábor Speer, Pál Szamosujvári, Péter Dombai, Katalin Csóré, Kinga Mikófalvi, Tímea Steindl, Ildikó Streicher, Júlia Tarsoly, Gergely Zajzon, Péter Somogyi, Pál Szamosújvári, Péter Lakatos
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:International Journal of Endocrinology
Online Access:http://dx.doi.org/10.1155/2013/754328
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author Gábor Speer
Pál Szamosujvári
Péter Dombai
Katalin Csóré
Kinga Mikófalvi
Tímea Steindl
Ildikó Streicher
Júlia Tarsoly
Gergely Zajzon
Péter Somogyi
Pál Szamosújvári
Péter Lakatos
author_facet Gábor Speer
Pál Szamosujvári
Péter Dombai
Katalin Csóré
Kinga Mikófalvi
Tímea Steindl
Ildikó Streicher
Júlia Tarsoly
Gergely Zajzon
Péter Somogyi
Pál Szamosújvári
Péter Lakatos
author_sort Gábor Speer
collection DOAJ
description Purpose. Adequate calcium intake is the basis of osteoporosis therapy—when this proves insufficient, even specific antiosteoporotic agents cannot exert their actions properly. Methods. Our representative survey analyzed the dietary intake and supplementation of calcium in 8033 Hungarian female and male (mean age: 68 years) (68.01 (CI95: 67.81–68.21)) patients with osteoporosis. Results. Mean intake from dietary sources was 665±7.9 mg (68.01 (CI95: 67.81–68.21)) daily. A significant positive relationship could be detected between total dietary calcium intake and lumbar spine BMD (P=0.045), whereas such correlation could not be demonstrated with femoral T-score. Milk consumption positively correlated with femur (P=0.041), but not with lumbar BMD. The ingestion of one liter of milk daily increased the T-score by 0.133. Average intake from supplementation was 558±6.2 mg (68.01 (CI95: 67.81–68.21)) daily. The cumulative dose of calcium—from both dietary intake and supplementation—was significantly associated with lumbar (r=0.024, P=0.049), but not with femur BMD (r=0.021, P=0.107). The currently recommended 1000–1500 mg total daily calcium intake was achieved in 34.5% of patients only. It was lower than recommended in 47.8% of the cases and substantially higher in 17.7% of subjects. Conclusions. We conclude that calcium intake in Hungarian osteoporotic patients is much lower than the current recommendation, while routinely applied calcium supplementation will result in inappropriately high calcium intake in numerous patients.
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spelling doaj-art-8da431662fc44aec90d9b7e8649b8c312025-02-03T06:10:58ZengWileyInternational Journal of Endocrinology1687-83371687-83452013-01-01201310.1155/2013/754328754328Dietary Calcium Intake and Calcium Supplementation in Hungarian Patients with OsteoporosisGábor Speer0Pál Szamosujvári1Péter Dombai2Katalin Csóré3Kinga Mikófalvi4Tímea Steindl5Ildikó Streicher6Júlia Tarsoly7Gergely Zajzon8Péter Somogyi9Pál Szamosújvári10Péter Lakatos11Semmelweis University, 1st Department of Medicine, 1083 Budapest, HungaryPharma Patent Ltd, 1138 Budapest, HungarySoldra International Ltd, 1024 Budapest, HungaryPharma Patent Ltd, 1138 Budapest, HungaryPharma Patent Ltd, 1138 Budapest, HungaryPharma Patent Ltd, 1138 Budapest, HungaryPharma Patent Ltd, 1138 Budapest, HungaryPharma Patent Ltd, 1138 Budapest, HungarySemmelweis University, Institute of Health Informatics Development and Further Training, 1082 Budapest, HungaryNational Institute for Sport Medicine, 1123 Budapest, HungaryPharma Patent Ltd, 1138 Budapest, HungarySemmelweis University, 1st Department of Medicine, 1083 Budapest, HungaryPurpose. Adequate calcium intake is the basis of osteoporosis therapy—when this proves insufficient, even specific antiosteoporotic agents cannot exert their actions properly. Methods. Our representative survey analyzed the dietary intake and supplementation of calcium in 8033 Hungarian female and male (mean age: 68 years) (68.01 (CI95: 67.81–68.21)) patients with osteoporosis. Results. Mean intake from dietary sources was 665±7.9 mg (68.01 (CI95: 67.81–68.21)) daily. A significant positive relationship could be detected between total dietary calcium intake and lumbar spine BMD (P=0.045), whereas such correlation could not be demonstrated with femoral T-score. Milk consumption positively correlated with femur (P=0.041), but not with lumbar BMD. The ingestion of one liter of milk daily increased the T-score by 0.133. Average intake from supplementation was 558±6.2 mg (68.01 (CI95: 67.81–68.21)) daily. The cumulative dose of calcium—from both dietary intake and supplementation—was significantly associated with lumbar (r=0.024, P=0.049), but not with femur BMD (r=0.021, P=0.107). The currently recommended 1000–1500 mg total daily calcium intake was achieved in 34.5% of patients only. It was lower than recommended in 47.8% of the cases and substantially higher in 17.7% of subjects. Conclusions. We conclude that calcium intake in Hungarian osteoporotic patients is much lower than the current recommendation, while routinely applied calcium supplementation will result in inappropriately high calcium intake in numerous patients.http://dx.doi.org/10.1155/2013/754328
spellingShingle Gábor Speer
Pál Szamosujvári
Péter Dombai
Katalin Csóré
Kinga Mikófalvi
Tímea Steindl
Ildikó Streicher
Júlia Tarsoly
Gergely Zajzon
Péter Somogyi
Pál Szamosújvári
Péter Lakatos
Dietary Calcium Intake and Calcium Supplementation in Hungarian Patients with Osteoporosis
International Journal of Endocrinology
title Dietary Calcium Intake and Calcium Supplementation in Hungarian Patients with Osteoporosis
title_full Dietary Calcium Intake and Calcium Supplementation in Hungarian Patients with Osteoporosis
title_fullStr Dietary Calcium Intake and Calcium Supplementation in Hungarian Patients with Osteoporosis
title_full_unstemmed Dietary Calcium Intake and Calcium Supplementation in Hungarian Patients with Osteoporosis
title_short Dietary Calcium Intake and Calcium Supplementation in Hungarian Patients with Osteoporosis
title_sort dietary calcium intake and calcium supplementation in hungarian patients with osteoporosis
url http://dx.doi.org/10.1155/2013/754328
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