Evidence map›Paper›PMID 33499250›Full record

SynthesisNutrients2021

Effect of Calcium Fortified Foods on Health Outcomes: A Systematic Review and Meta-Analysis.

Gabriela Cormick, Ana Pilar Betran, Iris Beatriz Romero, Maria Sol Cormick, José M Belizán, Ariel Bardach, Agustín Ciapponi

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Calcium supplementation for prevention of primary hypertension.The Cochrane database of systematic reviews · 2022
    Pooled it
  4. Calcium supplementation for prevention of primary hypertension.The Cochrane database of systematic reviews · 2021
    Pooled it
  5. Trial
  6. Trial
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  8. Observational
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  11. Review
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  18. Idiopathic infantile hypercalcemia with aClinical pediatric endocrinology : case reports and clinical investigations : official journal of the Japanese Society for Pediatric Endocrinology · 2025
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Gabriela CormickDepartment of Mother and Child Health Research, Institute for Clinical Effectiveness and Health Policy (IECS-CONICET), Ciudad de Buenos Aires 1414, Argentina.ORCID 0000-0001-7958-7358
Ana Pilar BetranUNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Sexual and Reproductive Health and Research, World Health Organization, 1211 Geneva 27, Switzerland.ORCID 0000-0002-5631-5883
Iris Beatriz RomeroDepartament de Salud, Universidad Nacional de La Matanza (UNLAM), San Justo 1903, Argentina.
Maria Sol CormickDepartament de Diagnóstico por Imágenes, Fleni, Montañeses 2325, Ciudad de Buenos Aires C1428, Argentina.
José M BelizánDepartment of Mother and Child Health Research, Institute for Clinical Effectiveness and Health Policy (IECS-CONICET), Ciudad de Buenos Aires 1414, Argentina.
Ariel BardachCentro de Investigaciones Epidemiolóicas y Salud Púlica (CIESP-IECS). CONICET, Ciudad de Buenos Aires 1414, Argentina.
Agustín CiapponiCentro de Investigaciones Epidemiolóicas y Salud Púlica (CIESP-IECS). CONICET, Ciudad de Buenos Aires 1414, Argentina.ORCID 0000-0001-5142-6122

Funding

Bill and Melinda Gates Foundation OPP1190821World Health Organization 001
6 · The paper itself

Abstract

Calcium supplementation and fortification are strategies widely used to prevent adverse outcome in population with low-calcium intake which is highly frequent in low-income settings. We aimed to determine the effectiveness and cost-effectiveness of calcium fortified foods on calcium intake and related health, or economic outcomes. We performed a systematic review and meta-analysis involving participants of any age or gender, drawn from the general population. We searched PubMed, Agricola, EMBASE, CINAHL, Global Health, EconLit, the FAO website and Google until June 2019, without language restrictions. Pair of reviewers independently selected, extracted data and assessed the risk of bias of included studies using Covidence software. Disagreements were resolved by consensus. We performed meta-analyses using RevMan 5.4 and subgroup analyses by study design, age group, and fortification levels. We included 20 studies of which 15 were randomized controlled trials (RCTs), three were non-randomised studies and two were economic evaluations. Most RCTs had high risk of bias on randomization or blinding. Most represented groups were women and children from 1 to 72 months, most common intervention vehicles were milk and bakery products with a fortification levels between 96 and 1200 mg per 100 g of food. Calcium intake increased in the intervention groups between 460 mg (children) and 1200 mg (postmenopausal women). Most marked effects were seen in children. Compared to controls, height increased 0.83 cm (95% CI 0.00; 1.65), plasma parathyroid hormone decreased -1.51 pmol/L, (-2.37; -0.65), urine:calcium creatinine ratio decreased -0.05, (-0.07; -0.03), femoral neck and hip bone mineral density increased 0.02 g/cm

Indexed as

Calcium, DietaryFood, FortifiedAgedBone DensityCalciumChildChild, PreschoolFemaleHip FracturesHumansInfantMaleCalciumCalcium, Dietarycalciumcommonly consumed foodsfortificationstaple foodssystematic review

Identifiers

PMID33499250
PMCPMC7911363

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.