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Calcium supplements: Finding a balance

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Updated: 2/25 3:56 pm
More than half of women in their 60s take calcium and Vitamin D to boost their bone health and prevent fractures, but now the U.S. Preventive Services Task Force says the popular practice may do nothing at all.

"For many average patients additional vitamin D and calcium may not reduce the risk for an osteoporotic fracture in their lifetime," explains Dr. Glenn Wera.

The task force could not find enough evidence to recommend for or against pre-menopausal women using calcium and Vitamin D or postmenopausal women taking high doses of the supplements.

They did find that postmenopausal women should not take low doses of the pills.

Studies showed no benefit and an increased risk for kidney stones.

"The exception to that are individuals with known osteoporosis or previous fractures with trauma," points out Dr. Thomas Weber.

The Council for Responsible Nutrition, the supplement trade association, responded to the new guidelines, saying they "represent a limited review of the literature leading to controversial conclusions".

"A study like this is an analysis of other analysis and therefore the decision is still not cut in stone and as clear as we might like," notes Dr. Wera.

Doctors agree that the best source of calcium is from your diet; milk, yogurt and leafy greens pack a high calcium punch.

Getting 15 minutes of sun a day and eating fish a few times a week boosts levels of Vitamin D.

But for women whose diets are not adequate, some doctors say they will still recommend the supplements to their patients while they wait for more conclusive research.

Doctors say the most important thing women can do is talk to their doctor about their diet and whether a supplement may be needed.

The U.S. Preventive Services Task Force is made up of a group of independent experts.

They are not affiliated with the government.

-- Erika Edwards reports

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ka146200 - 2/26/2013 7:10 AM
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The Natural Products Association (NPA) is the leading representative of the dietary supplement industry with more than 1,900 members, including suppliers and retailers of vitamins and other dietary supplements. Dr. Cara Welch, senior vice president of scientific and regulatory affairs, comments on vitamin D and calcium supplementation for postmenopausal women: “The Natural Products Association believes that dietary supplementation is both safe and effective for anyone who isn’t getting enough calcium and vitamin D from their diet. These nutrients have been shown to support bone health and it’s important that consumers get the recommended levels of both. If diet alone isn’t enough, then dietary supplements can help with getting these vital nutrients. The U.S. Preventive Services Task Force has issued a final recommendation against doses of vitamin D and calcium to prevent fractures in postmenopausal women. They stated that supplementation has not been proven beneficial and carries a small risk. This conflicts with the recommendation of the Institute of Medicine, which took into account nearly 1,000 published studies that confirm the role of calcium and vitamin D supplements in promoting bone health. The statement by the task force is contradicted by current research and may prove harmful to women at risk of fractures. Studies continue to show the beneficial effects of calcium and vitamin D supplements. As always, NPA recommends that consumers discuss their nutritional needs with their health care professional.” For more information about dietary supplements, visit www.NPAinfo.org/consumers.


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