Abstract
Involutional bone loss, and the fracture syndromes that are designated 'osteoporosis', are multifactorial phenomena. Gonadal hormone deficiency, inadequate exercise, and a multitude of lifestyle factors are involved in their pathogenesis. Calcium is important during growth, and probably up to about age 35, when peak bone mass is finally achieved. Recent controversy concerning the role of calcium in the middle-aged and elderly, arising out of population studies showing sometimes only weak calcium effects, can be resolved by recognizing the multifactorial character of involutional bone loss, and by careful attention to such details as national differences in habitual calcium intakes. Thus interpreted, metabolic, epidemiologic, and intervention studies are internally condidtent, and indicate that inadequate calcium intake also makes an important contribution to involutional bone loss.
Original language | English |
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Pages (from-to) | 36-46 |
Number of pages | 11 |
Journal | Public Health Reports |
Volume | 104 |
Issue number | 5 SUPPL. |
State | Published - 1989 |
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All Science Journal Classification (ASJC) codes
- Public Health, Environmental and Occupational Health
Cite this
The calcium controversy : Finding a middle ground between the extremes. / Heaney, R. P.
In: Public Health Reports, Vol. 104, No. 5 SUPPL., 1989, p. 36-46.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The calcium controversy
T2 - Finding a middle ground between the extremes
AU - Heaney, R. P.
PY - 1989
Y1 - 1989
N2 - Involutional bone loss, and the fracture syndromes that are designated 'osteoporosis', are multifactorial phenomena. Gonadal hormone deficiency, inadequate exercise, and a multitude of lifestyle factors are involved in their pathogenesis. Calcium is important during growth, and probably up to about age 35, when peak bone mass is finally achieved. Recent controversy concerning the role of calcium in the middle-aged and elderly, arising out of population studies showing sometimes only weak calcium effects, can be resolved by recognizing the multifactorial character of involutional bone loss, and by careful attention to such details as national differences in habitual calcium intakes. Thus interpreted, metabolic, epidemiologic, and intervention studies are internally condidtent, and indicate that inadequate calcium intake also makes an important contribution to involutional bone loss.
AB - Involutional bone loss, and the fracture syndromes that are designated 'osteoporosis', are multifactorial phenomena. Gonadal hormone deficiency, inadequate exercise, and a multitude of lifestyle factors are involved in their pathogenesis. Calcium is important during growth, and probably up to about age 35, when peak bone mass is finally achieved. Recent controversy concerning the role of calcium in the middle-aged and elderly, arising out of population studies showing sometimes only weak calcium effects, can be resolved by recognizing the multifactorial character of involutional bone loss, and by careful attention to such details as national differences in habitual calcium intakes. Thus interpreted, metabolic, epidemiologic, and intervention studies are internally condidtent, and indicate that inadequate calcium intake also makes an important contribution to involutional bone loss.
UR - http://www.scopus.com/inward/record.url?scp=0024958322&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0024958322&partnerID=8YFLogxK
M3 - Article
C2 - 2517699
AN - SCOPUS:0024958322
VL - 104
SP - 36
EP - 46
JO - Public Health Reports
JF - Public Health Reports
SN - 0033-3549
IS - 5 SUPPL.
ER -