Global dietary calcium intake among adults: a systematic review.
Global dietary calcium intake among adults: a systematic review.
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DOI：
10.1007/s00198-017-4230-x
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发表时间：
2017-12
期刊：
影响因子：
--
通讯作者：
International Osteoporosis Foundation Calcium Steering Committee
中科院分区：
文献类型：
--
作者：
Balk EM;Adam GP;Langberg VN;Earley A;Clark P;Ebeling PR;Mithal A;Rizzoli R;Zerbini CAF;Pierroz DD;Dawson-Hughes B;International Osteoporosis Foundation Calcium Steering Committee
钙摄入量低可能会对成年人的骨骼健康产生不利影响。认识到低钙摄入量的存在对于制定国家战略以优化摄入量是必要的。为了突出应该改善钙摄入量的地区，我们系统地搜索了所有国家普通人群中成人最具代表性的国家膳食钙摄入量数据。我们搜索了13个电子数据库，并向领域专家请求数据。对研究的合格性进行了双重筛选。数据被提取成标准格式。我们开发了一个交互式全球地图，根据平均钙摄入量对国家进行分类，并根据性别，年龄和社会经济地位总结了摄入量的差异。1997年，共发表了9780篇论文。在有数据的74个国家中，全国平均膳食钙摄入量为175至1233毫克/天。亚洲许多国家的平均膳食钙摄入量低于500毫克/天。非洲和南美洲的国家大多数钙摄入量低，约为400至700毫克/天。只有北方欧洲国家的全国钙摄入量大于1000毫克/天。四分之三现有国家的调查数据不具有国家代表性。女性的平均钙摄入量通常低于男性，但各国在年龄、性别或社会经济地位方面的相对钙摄入量没有明确的模式。全球钙地图显示，许多国家的平均钙摄入量较低。但最近，全国代表性的数据大多缺乏。这篇评论提请注意增加钙摄入量的措施可能对骨骼有益的地区。本文的在线版本（10.1007/s 00198 -017-4230-x）包含补充材料，可供授权用户使用。
Low calcium intake may adversely affect bone health in adults. Recognizing the presence of low calcium intake is necessary to develop national strategies to optimize intake. To highlight regions where calcium intake should be improved, we systematically searched for the most representative national dietary calcium intake data in adults from the general population in all countries. We searched 13 electronic databases and requested data from domain experts. Studies were double-screened for eligibility. Data were extracted into a standard form. We developed an interactive global map, categorizing countries based on average calcium intake and summarized differences in intake based on sex, age, and socioeconomic status. Searches yielded 9780 abstracts. Across the 74 countries with data, average national dietary calcium intake ranges from 175 to 1233 mg/day. Many countries in Asia have average dietary calcium intake less than 500 mg/day. Countries in Africa and South America mostly have low calcium intake between about 400 and 700 mg/day. Only Northern European countries have national calcium intake greater than 1000 mg/day. Survey data for three quarters of available countries were not nationally representative. Average calcium intake is generally lower in women than men, but there are no clear patterns across countries regarding relative calcium intake by age, sex, or socioeconomic status. The global calcium map reveals that many countries have low average calcium intake. But recent, nationally representative data are mostly lacking. This review draws attention to regions where measures to increase calcium intake are likely to have skeletal benefits. The online version of this article (10.1007/s00198-017-4230-x) contains supplementary material, which is available to authorized users.
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