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American Journal of Clinical Nutrition, Vol 53, 741-744, Copyright © 1991 by The American Society for Clinical Nutrition, Inc


ORIGINAL RESEARCH COMMUNICATIONS

Calcium intake: covariates and confounders

TL Holbrook and E Barrett-Connor
Department of Community and Family Medicine, University of California, San Diego, La Jolla 92093-0607.

One common nutrient postulated to be protective against osteoporosis, hypertension, and colon cancer is dietary calcium. We report here nutrient patterns by calcium intake in older adult residents of a geographically defined community in Southern California. The analysis included all 426 men and 531 women aged 50-79 y with complete 24-h diet data. Nutrient-density-adjusted calcium intake was divided into tertiles: low intake (less than 284 mg/1000 kcal), mid intake (284-440 mg/1000 kcal), and high intake (greater than 440 mg/1000 kcal). The distribution of the reported 24-h nutrient density of protein, fat, fiber, caffeine, trace minerals, vitamin D, and vitamin C was examined in relation to the calcium-intake tertiles. In both men and women, the adjusted intakes of protein, saturated fatty acids, vitamin D, magnesium, and phosphorus were significantly higher in the high-calcium- intake group than in the low- and mid-calcium-intake groups. In both men and women, alcohol intake was significantly lower in the high- calcium-intake group. Studies postulating a protective role for calcium will need to consider the multicolinearity in the Western diet.


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