Perspectives on the systematic review for the 2020 Dietary Reference Intakes for Koreans for calcium
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An accurate assessment of the recommended calcium (Ca) intake may contribute to reducing the risk of fractures and chronic diseases, ultimately improving quality of life. This review was performed to summarize key findings of Ca studies, investigate the effect of Ca intake on health outcomes, and determine the adequacy of evidence to revise the 2015 Dietary Reference Intakes for Koreans (KDRIs) for Ca in 2020. Databases were searched for intervention studies that assessed health outcomes by providing Ca in diets or as supplements. The framework of the systematic review comprised conducting literature searches, data extraction, quality assessment of the literature, and summarizing key findings relevant to set the Estimated Average Requirement (EAR) and Tolerable Upper Intake Level (UL) for Ca for the 2020 KDRI. The final search was performed in June 2019. A total of 13,309 studies were identified through databases and manual search. Sixtyfive studies were included in the final quality assessment and were summarized according to health indicators. As bone health was used as an indicator of the EAR for Ca, literature reports on bone health were further categorized by the life-cycle stage of the participants. This systematic review did not find new evidence that could be applied to the general Korean adult population, including postmenopausal women, for defining a new EAR for Ca in the 2020 KDRIs. Evidence in most of the reviewed literature was considered weak; however, some evidence was found that could improve the criteria on how the EAR for Ca was determined in children and adolescents. A review of the literature for the 2020 KDRIs for Ca did not find strong evidence in order to change the recommended values of the 2015 KDRIs. More clinical interventions are required among Koreans to strengthen the body of evidence to warrant the revision of the KDRIs.
Abstract
An accurate assessment of the recommended calcium (Ca) intake may contribute to reducing the risk of fractures and chronic diseases, ultimately improving quality of life. This review was performed to summarize key findings of Ca studies, investigate the effect of Ca intake on health outcomes, and determine the adequacy of evidence to revise the 2015 Dietary Reference Intakes for Koreans (KDRIs) for Ca in 2020. Databases were searched for intervention studies that assessed health outcomes by providing Ca in diets or as supplements. The framework of the systematic review comprised conducting literature searches, data extraction, quality assessment of the literature, and summarizing key findings relevant to set the Estimated Average Requirement (EAR) and Tolerable Upper Intake Level (UL) for Ca for the 2020 KDRI. The final search was performed in June 2019. A total of 13,309 studies were identified through databases and manual search. Sixtyfive studies were included in the final quality assessment and were summarized according to health indicators. As bone health was used as an indicator of the EAR for Ca, literature reports on bone health were further categorized by the life-cycle stage of the participants. This systematic review did not find new evidence that could be applied to the general Korean adult population, including postmenopausal women, for defining a new EAR for Ca in the 2020 KDRIs. Evidence in most of the reviewed literature was considered weak; however, some evidence was found that could improve the criteria on how the EAR for Ca was determined in children and adolescents. A review of the literature for the 2020 KDRIs for Ca did not find strong evidence in order to change the recommended values of the 2015 KDRIs. More clinical interventions are required among Koreans to strengthen the body of evidence to warrant the revision of the KDRIs.
참고문헌 (92)
- O’Dell BL, "Handbook of Nutritionally Essential Mineral Elements" (1997), CRC Press
- Institute of Medicine, "Dietary Reference Intakes for Calcium and Vitamin D" (2011), National Academies Press
- Page MJ, "The PRISMA 2020 statement : an updated guideline for reporting systematic reviews", BMJ, 372, pp.n71~ (2021)
- Vandenbroucke JP, "Strengthening the reporting of observational studies in epidemiology(STROBE) : explanation and elaboration", Gac Sanit, 23, pp.158~ (2009)
- "The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses" (2018)[URL]
- Jadad AR, "Assessing the quality of reports of randomized clinical trials : is blinding necessary?", Control Clin Trials, 17, pp.1~12 (1996)
- Rooze S, "Effect of calcium and vitamin D on growth, rickets and Kashin-Beck disease in 0-to 5-year-old children in a rural area of central Tibet", Trop Med Int Health, 21, pp.768~775 (2016)
- Ward KA, "The effect of prepubertal calcium carbonate supplementation on skeletal development in Gambian boys-a 12-year follow-up study", J Clin Endocrinol Metab, 99, pp.3169~3176 (2014)
- Palacios C, "Dietary calcium requirements do not differ between Mexican-American boys and girls", J Nutr, 144, pp.1167~1173 (2014)
- Ma XM, "Calcium supplementation and bone mineral accretion in Chinese adolescents aged 12-14 years : a 12-month, dose-response, randomised intervention trial", Br J Nutr, 112, pp.1510~1520 (2014)
- Vogel KA, "The effect of dairy intake on bone mass and body composition in early pubertal girls and boys : a randomized controlled trial", Am J Clin Nutr, 105, pp.1214~1229 (2017)
- Dietary Reference Intakes for Koreans 2015, "Ministry of Health and Welfare (KR)", Ministry of Health and Welfare, ~ (2015)
- Silk LN, "Tibial bone responses to 6-month calcium and vitamin D supplementation in young male jockeys : a randomised controlled trial", Bone, 81, pp.554~561 (2015)
- Aloia J, "The relative influence of calcium intake and vitamin D status on serum parathyroid hormone and bone turnover biomarkers in a double-blind, placebo-controlled parallel group, longitudinal factorial design", J Clin Endocrinol Metab, 95, pp.3216~3224 (2010)
- Reid IR, "Randomized controlled trial of calcium supplementation in healthy, nonosteoporotic, older men", Arch Intern Med, 168, pp.2276~2282 (2008)
- Mathis S, "Effects of a calcium supplement on bone mineral density in male cyclists", J Sports Med Phys Fitness, 55, pp.940~945 (2015)
- Gaffney-Stomberg E, "Calcium and vitamin D supplementation maintains parathyroid hormone and improves bone density during initial military training : a randomized, double-blind, placebo controlled trial", Bone, 68, pp.46~56 (2014)
- Silk LN, "The effect of calcium and vitamin D supplementation on bone health of male Jockeys", J Sci Med Sport, 20, pp.225~229 (2017)
- Liu BX, "The effect of the modified eighth section of eight-section brocade on osteoporosis in postmenopausal women: a prospective randomized trial", Medicine (Baltimore), 94, pp.e991~ (2015)
- Slevin MM, "Supplementation with calcium and short-chain fructo-oligosaccharides affects markers of bone turnover but not bone mineral density in postmenopausal women", J Nutr, 144, pp.297~304 (2014)
- Aloia JF, "Calcium and vitamin d supplementation in postmenopausal women", J Clin Endocrinol Metab, 98, pp.E1702~E1709 (2013)
- Rajatanavin R, "The efficacy of calcium supplementation alone in elderly Thai women over a 2-year period : a randomized controlled trial", Osteoporos Int, 24, pp.2871~2877 (2013)
- Nakamura K, "Effect of low-dose calcium supplements on bone loss in perimenopausal and postmenopausal Asian women : a randomized controlled trial", J Bone Miner Res, 27, pp.2264~2270 (2012)
- John L. Zenk, "Effect of Calcium Derived from Lithothamnion sp. on Markers of Calcium Metabolism in Premenopausal Women", Journal of Medicinal Food, 21(2), pp.154~158 (2018), 한국식품영양과학회[DOI]
- Lee KS, "Serum ferritin levels are positively associated with bone mineral density in elderly Korean men : the 2008-2010Korea National Health and Nutrition Examination Surveys", J Bone Miner Metab, 32, pp.683~690 (2014)
- Chinda D, "Lifestyle factors rather than Helicobacter pylori infection or estradiol level are associated with osteopenia in Japanese men", Am J Men Health, 13, pp.1557988319848219~ (2019)
- Lee KM, "Gender-and body-site-specific factors associated with bone mineral density in a non-institutionalized Korean population aged ≥50 years", J Bone Miner Metab, 33, pp.401~409 (2015)
- Lee KJ, "Association between dietary calcium and phosphorus intakes, dietary calcium", phosphorus ratio and bone mass in the Korean population, 2014, pp.13, 114~
- Yang YJ, "Factors in relation to bone mineral density in Korean middle-aged and older men : 2008-2010 Korea National Health and Nutrition Examination Survey", Ann Nutr Metab, 64, pp.50~59 (2014)
- 이재욱, "여대생의 영양섭취 및 식습관과 골밀도", OSTEOPOROSIS, 11(2), pp.81~88 (2013), 대한골다공증학회
- Samozai MN, "Do calcium supplements increase serum and urine calcium levels in postmenopausal women?", J Nutr Health Aging, 19, pp.537~541 (2015)
- Kim MK, "Associations of dietary calcium intake with metabolic syndrome and bone mineral density among the Korean population : KNHANES 2008-2011", Osteoporos Int, 28, pp.299~308 (2017)
- Kim KM, "Interactions between dietary calcium intake and bone mineral density or bone geometry in a low calcium intake population(KNHANES IV 2008-2010)", J Clin Endocrinol Metab, 99, pp.2409~2417 (2014)
- Alghadir AH, "Physical activity and lifestyle effects on bone mineral density among young adults : sociodemographic and biochemical analysis", J Phys Ther Sci, 27, pp.2261~2270 (2015)
- 김경민, "Calcium and Vitamin D Supplementations: 2015 Position Statement of the Korean Society for Bone and Mineral Research", 대한골대사학회지, 22(4), pp.143~149 (2015), 대한골대사학회
- Joo NS, "Impact of calcium and vitamin D insufficiencies on serum parathyroid hormone and bone mineral density : analysis of the fourth and fifth Korea National Health and Nutrition Examination Survey(KNHANES IV-3, 2009 and KNHANES V-1, 2010)", J Bone Miner Res, 28, pp.764~770 (2013)
- Uenishi K, "Calcium requirement estimated by balance study in elderly Japanese people", Osteoporos Int, 12, pp.858~863 (2001)
- Diogenes ME, "Calcium plus vitamin D supplementation during the third trimester of pregnancy in adolescents accustomed to low calcium diets does not affect infant bone mass at early lactation in a randomized controlled trial", J Nutr, 145, pp.1515~1523 (2015)
- Normando P, "Calcium plus vitamin D supplementation during pregnancy interacts with polymorphisms in the promoter region of the VDR gene to affect postpartum bone mass of Brazilian adolescent mothers : a randomized controlled trial", Nutrition, 32, pp.1068~1074 (2016)
- Ettinger AS, "Effect of calcium supplementation on bone resorption in pregnancy and the early postpartum : a randomized controlled trial in Mexican women", Nutr J, 13, pp.116~ (2014)
- Cullers A, "Effect of prenatal calcium supplementation on bone during pregnancy and 1 y postpartum", Am J Clin Nutr, 109, pp.197~206 (2019)
- Zhang ZQ, "The effects of different levels of calcium supplementation on the bone mineral status of postpartum lactating Chinese women : a 12-month randomised, double-blinded, controlled trial", Br J Nutr, 115, pp.24~31 (2016)
- Asemi Z, "Calcium-vitamin D co-supplementation affects metabolic profiles, but not pregnancy outcomes, in healthy pregnant women", Int J Prev Med, 7, pp.49~ (2016)
- Khadilkar AV, "Effect of micronutrient supplementation on height velocity of underprivileged girls in comparison with un-supplemented healthy controls", J Pediatr Endocrinol Metab, 27, pp.245~252 (2014)
- Tuokkola J, "Eliminating cows’ milk, but not wheat, barley or rye, increases the risk of growth deceleration and nutritional inadequacies", Acta Paediatr, 106, pp.1142~1149 (2017)
- Scholl TO, "Maternal calcium metabolic stress and fetal growth", Am J Clin Nutr, 99, pp.918~925 (2014)
- Schnatz PF, "Calcium", vitamin D supplementation, serum 25-hydroxyvitamin D concentrations, and cholesterol profiles in the Women’s Health Initiative calcium, Menopause, pp.2014, 21[DOI]
- 최성진, "Dietary Calcium and Framingham Risk Score in Vitamin D Deficient Male (KNHANES 2009–2011)", Yonsei Medical Journal, 56(3), pp.845~852 (2015), 연세대학교의과대학[DOI]
- Soerensen KV, "Effect of dairy calcium from cheese and milk on fecal fat excretion, blood lipids, and appetite in young men", Am J Clin Nutr, 99, pp.984~991 (2014)
- Song S, "Dyslipidemia patterns are differentially associated with dietary factors", Clin Nutr, 35, pp.885~891 (2016)
- Gong W, "Effect of rope skipping combining calcium pyruvate on fat metabolism of female college students", Biomed Res (Aligarh), pp.S333~S336 (2018)
- Bell KE, "A whey protein-based multi-ingredient nutritional supplement stimulates gains in lean body mass and strength in healthy older men : a randomized controlled trial", PLoS One, 12, pp.e0181387~ (2017)
- Cronin BE, "Effects of supplementation with a calcium-rich marine-derived multi-mineral supplement and short-chain fructooligosaccharides on serum lipids in postmenopausal women", Br J Nutr, 115, pp.658~665 (2016)
- Kato T, "Randomized, double-blind, crossover clinical trial of the effect of calcium alginate in noodles on postprandial blood glucose level", Biol Pharm Bull, 41, pp.1367~1371 (2018)
- Hjerpsted JB, "Cheese intake lowers plasma cholesterol concentrations without increasing bile acid excretion", J Nutr Intermed Metab, 3, pp.12~17 (2016)
- Khanam F, "The association between daily 500 mg calcium supplementation and lower pregnancy-induced hypertension risk in Bangladesh", BMC Pregnancy Childbirth, 18, pp.406~ (2018)
- Liu Z, "Association of habitually low intake of dietary calcium with blood pressure and hypertension in a population with predominantly plant-based diets", Nutrients, 10, pp.603~ (2018)
- Gopinath B, "Dairy food consumption, blood pressure and retinal microcirculation in adolescents", Nutr Metab Cardiovasc Dis, 24, pp.1221~1227 (2014)
- Wu X, "Association of serum calcium and insulin resistance with hypertension risk : a prospective population-based study", J Am Heart Assoc, 8, pp.e009585~ (2019)
- Marabujo T, "Dairy products and total calcium intake at 13 years of age and its association with obesity at 21 years of age", Eur J Clin Nutr, 72, pp.541~547 (2018)
- Larsen SC, "Interaction between genetic predisposition to obesity and dietary calcium in relation to subsequent change in body weight and waist circumference", Am J Clin Nutr, 99, pp.957~965 (2014)
- Oh C, "Body composition changes were related to nutrient intakes in elderly men but elderly women had a higher prevalence of sarcopenic obesity in a population of Korean adults", Nutr Res, 35, pp.1~6 (2015)
- Schwab S, "Intake of vitamin and mineral supplements and longitudinal association with HbA1c levels in the general nondiabetic population--results from the MONICA", KORA S3, PLoS One, pp.2015, 10[DOI]
- Gonzalez JT, "The influence of calcium supplementation on substrate metabolism during exercise in humans : a randomized controlled trial", Eur J Clin Nutr, 68, pp.712~718 (2014)
- Lorenzo C, "Calcium and phosphate concentrations and future development of type 2 diabetes : the Insulin Resistance Atherosclerosis Study", Diabetologia, 57, pp.1366~1374 (2014)
- Talaei M, "Dairy intake and risk of type 2 diabetes", Clin Nutr, 37, pp.712~718 (2018)
- Jeon J, "Effects of consuming calcium-rich foods on the incidence of type 2 diabetes mellitus", Nutrients, 11, pp.31~ (2018)
- Report Presentation of the Korea National Health and Nutrition Examination Survey (KNHANES) VI: 2013–2015, "Korea Centers for Disease Control and Prevention", Korea Centers for Disease Control and Prevention, ~ (2015)
- Report Presentation of the Korea National Health and Nutrition Examination Survey (KNHANES) VII: 2016–2017, "Korea Centers for Disease Control and Prevention", Korea Centers for Disease Control and Prevention, ~ (2017)
- Calvo MS, "Assessing the health impact of phosphorus in the food supply : issues and considerations", Adv Nutr, 5, pp.104~113 (2014)
- 김미영, "한국 청소년의 일상 섭취량 추정 및 영양소 섭취량 평가: 국민건강영양조사 제5기(2010-2012) 분석", Human Ecology Research, 55(4), pp.385~397 (2017), 대한가정학회[DOI]
- Park JH, "Vitamin D status in South Korean population: seven-year trend from the KNHANES", Medicine(Baltimore), 97, pp.e11032~ (2018)
- Vatanparast H, "Calcium requirements for bone growth in Canadian boys and girls during adolescence", Br J Nutr, 103, pp.575~580 (2010)
- Wu L, "Calcium requirements and metabolism in Chinese-American boys and girls", J Bone Miner Res, 25, pp.1842~1849 (2010)
- Diogenes ME, "Effect of calcium plus vitamin D supplementation during pregnancy in Brazilian adolescent mothers : a randomized, placebocontrolled trial", Am J Clin Nutr, 98, pp.82~91 (2013)
- Ward KA, "Long-term effects of maternal calcium supplementation on childhood growth differ between males and females in a population accustomed to a low calcium intake", Bone, 103, pp.31~38 (2017)
- Abdel-Aleem H, "The effect of calcium supplementation during pregnancy on fetal and infant growth : a nested randomized controlled trial within WHO calcium supplementation trial", J Matern Fetal Neonatal Med, 22, pp.94~100 (2009)
- Koo WW, "Maternal calcium supplementation and fetal bone mineralization", Obstet Gynecol, 94, pp.577~582 (1999)
- Young BE, "Maternal vitamin D status and calcium intake interact to affect fetal skeletal growth in utero in pregnant adolescents", Am J Clin Nutr, 95, pp.1103~1112 (2012)
- Hwang IR, "Association between prolonged breastfeeding and bone mineral density and osteoporosis in postmenopausal women : KNHANES 2010-2011", Osteoporos Int, 27, pp.257~265 (2016)
- Jarjou LM, "Effect of calcium supplementation in pregnancy on maternal bone outcomes in women with a low calcium intake", Am J Clin Nutr, 92, pp.450~457 (2010)
- Jarjou LM, "Unexpected long-term effects of calcium supplementation in pregnancy on maternal bone outcomes in women with a low calcium intake : a follow-up study", Am J Clin Nutr, 98, pp.723~730 (2013)
- Liu Z, "Effect of milk and calcium supplementation on bone density and bone turnover in pregnant Chinese women : a randomized controlled trail", Arch Gynecol Obstet, 283, pp.205~211 (2011)
- Bjørnerem Å, "Irreversible deterioration of cortical and trabecular microstructure associated with breastfeeding", J Bone Miner Res, 32, pp.681~687 (2017)
- "All of Us Research Program" (2021)[URL]
- Lee KH, "A study on intake", excretion of sodium and calcium in Korean children, 1995, pp.28, 749~758
- Park CY, "Daily supplementation with 25 μg cholecalciferol does not increase calcium absorption or skeletal retention in adolescent girls with low serum 25-hydroxyvitamin D", J Nutr, 140, pp.2139~2144 (2010)
- 신정희, "청소년 임신에 따른 임산부와 신생아의 주산기 문제점", Neonatal medicine, 17(1), pp.94~101 (2010), 대한신생아학회
- Aloia JF, "Safety of calcium and vitamin D supplements, a randomized controlled trial", Clin Endocrinol(Oxf), 89, pp.742~749 (2018)
- Bristow SM, "Acute and 3-month effects of calcium carbonate on the calcification propensity of serum and regulators of vascular calcification : secondary analysis of a randomized controlled trial", Osteoporos Int, 27, pp.1209~1216 (2016)
- Harris SS, "Effects of hydration and calcium supplementation on urine calcium concentration in healthy postmenopausal women", J Am Coll Nutr, 34, pp.340~346 (2015)
- Vaidya A, "Physical activity and the risk of primary hyperparathyroidism", J Clin Endocrinol Metab, 101, pp.1590~1597 (2016)
