Division of Nutritional Epidemiology, Karolinska Institutet, Stockholm, Sweden.
Am J Epidemiol. 2010 Apr 1;171(7):801-7. doi: 10.1093/aje/kwp467. Epub 2010 Feb 19.
The authors examined the association of dietary calcium and magnesium intake with all-cause, cardiovascular disease (CVD), and cancer mortality among 23,366 Swedish men, aged 45-79 years, who did not use dietary supplements. Cox proportional hazards regression models were used to estimate the multivariate hazard ratios and 95% confidence intervals of mortality. From baseline 1998 through December 2007, 2,358 deaths from all causes were recorded in the Swedish population registry; through December 2006, 819 CVD and 738 cancer deaths were recorded in the Swedish cause-of-death registry. Dietary calcium was associated with a statistically significant lower rate of all-cause mortality (hazard ratio (HR) = 0.75, 95% confidence interval (CI): 0.63, 0.88; P(trend) < 0.001) and a nonsignificantly lower rate of CVD (HR = 0.77, 95% CI: 0.58, 1.01; P(trend) = 0.064) but not cancer mortality (HR = 0.87, 95% CI: 0.65, 1.17; P(trend) = 0.362) when the highest intake tertile (mean = 1,953 mg/day; standard deviation (SD), 334) was compared with the lowest (990 mg/day; SD, 187). Dietary magnesium intake (means of tertiles ranged from 387 mg/day (SD, 31) to 523 mg/day (SD, 38) was not associated with all-cause, CVD, or cancer mortality. This population-based, prospective study of men with relatively high intakes of dietary calcium and magnesium showed that intake of calcium above that recommended daily may reduce all-cause mortality.
作者研究了在 23366 名年龄在 45-79 岁、未使用膳食补充剂的瑞典男性中,膳食钙和镁的摄入量与全因、心血管疾病 (CVD) 和癌症死亡率之间的关联。使用 Cox 比例风险回归模型来估计死亡率的多变量风险比和 95%置信区间。从 1998 年基线到 2007 年 12 月,在瑞典人口登记处记录了 2358 例全因死亡;截至 2006 年 12 月,在瑞典死因登记处记录了 819 例 CVD 和 738 例癌症死亡。膳食钙与全因死亡率呈统计学显著降低相关(风险比 (HR) = 0.75,95%置信区间 (CI):0.63,0.88;P(trend) < 0.001)和 CVD 死亡率呈非显著降低相关(HR = 0.77,95% CI:0.58,1.01;P(trend) = 0.064),但癌症死亡率没有降低(HR = 0.87,95% CI:0.65,1.17;P(trend) = 0.362),当最高摄入量 tertile(平均值 = 1953mg/天;标准差 (SD),334)与最低摄入量(990mg/天;SD,187)相比。膳食镁摄入量( tertiles 的平均值范围为 387mg/天(SD,31)至 523mg/天(SD,38))与全因、CVD 或癌症死亡率无关。这项基于人群的前瞻性研究表明,男性摄入高于推荐的每日钙量可能会降低全因死亡率。