The connection between calcium intake and body weight was first described by McCarron et al.,1 who found an inverse relationship between these two variables in the National Health and Nutrition Examination Survey (NHANES) data. This observation was largely ignored for the next 16 years, until Zemel et al.2 described the weight-loss effect of calcium supplementation in a hypertension trial and suggested a cell biologic basis for the action of calcium in adipocytes. Since that time, there have been well over 100 reports of both experimental and observational studies evaluating the role of calcium intake in energy balance and body composition in humans. As summarized in 2009 in this journal,3 most of these studies found that increased calcium intake augmented the weight loss of energy-restricted diets, protected lean body mass, and reduced age-related weight gain, or that it had null effect. A very few reported negative findings (i.e., high calcium intakes were associated with weight gain), but the preponderance of the evidence tilted clearly toward the side of calcium intake favoring weight loss. In the present issue of this journal, Onakpoya et al.4 present yet another meta-analysis of this topic, with the results also favoring calcium. They report a highly significant, positive effect of calcium supplementation on total body weight loss and a somewhat larger effect on fat loss (suggesting some protection of lean tissue mass, which is a frequent casualty … [↵][1] RP Heaney , Creighton University, 2500 California Plaza, Omaha, NE 68178, USA. E-mail: rheaney{at}creighton.edu [1]: #xref-corresp-1-1
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