Increased calcium intake is associated lower serum 25-hydroxyvitamin D levels in subjects with adequate vitamin D intake: a population-based observational study

Abstract Background There are indications that an increased intake of calcium has a vitamin D sparing effect, which might be explained by a decreased catabolism of 25-hydroxyvitamin D (25(OH)D). However, there are only a few studies where this has been examined. Method In the seventh survey of the T...

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Bibliographic Details
Published in:BMC Nutrition
Main Authors: Jorde, Rolf, Grimnes, Guri
Other Authors: Helse Nord RHF, UiT The Arctic University of Norway
Format: Article in Journal/Newspaper
Language:English
Published: Springer Science and Business Media LLC 2020
Subjects:
Public Health, Environmental and Occupational Health
Nutrition and Dietetics
Endocrinology, Diabetes and Metabolism
Medicine (miscellaneous)
Tromsø
Online Access:http://dx.doi.org/10.1186/s40795-020-00381-4
http://link.springer.com/content/pdf/10.1186/s40795-020-00381-4.pdf
http://link.springer.com/article/10.1186/s40795-020-00381-4/fulltext.html
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Summary:Abstract Background There are indications that an increased intake of calcium has a vitamin D sparing effect, which might be explained by a decreased catabolism of 25-hydroxyvitamin D (25(OH)D). However, there are only a few studies where this has been examined. Method In the seventh survey of the Tromsø study, serum 25(OH)D and parathyroid hormone were measured, and questionnaires on calcium and vitamin D intakes filled in. Results There were significant interactions between sex, calcium and vitamin D intakes regarding serum 25(OH)D level. The analyses were therefore done stratified. In males there was, regardless of vitamin D intake, a significant decrease in serum 25(OH)D with increasing calcium intake. The difference in serum 25(OH)D between those with the highest and lowest calcium intakes was approximately 10%. In the females, there was in subjects with low vitamin D intake (< 7 μg/d) a significant increase in serum 25(OH)D with increasing calcium intake, which could not be explained by secondary hyperparathyroidism. In females with higher vitamin D intakes, increasing calcium intake was associated with lower serum 25(OH)D levels. Conclusions There is, at least in subjects with an adequate vitamin D intake, a negative association between calcium intake and serum 25(OH)D.

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