Research from the Dairy Research Institute
Numerous studies in adults have shown that dairy and calcium intakes are associated with increased fat excretion and oxidation of body fat, which helps contribute to a healthy body weight. This randomized, controlled feeding study aimed to evaluate these potential mechanisms in adolescent boys and girls who were supplemented with calcium from calcium carbonate or dairy foods. Results showed that increasing calcium through supplements or dairy foods as part of a calorie-controlled diet did not influence energy balance under controlled conditions that encouraged weight maintenance.
Forty-two overweight, adolescents participated in two, three-week treatment periods, with a three-week break between treatments. Participants consumed a low-calcium control diet providing about 750 milligrams of calcium per day and either a diet supplemented with 650 mg of calcium from calcium carbonate or from dairy for a total of about 1400 mg of calcium per day. Both intervention diets provided roughly the amount of calcium recommended for adolescents. Diets were strictly controlled and matched for macronutrient content, and energy intakes were calculated to maintain body weight.
Regardless of calcium source, calcium balance (e.g., intake minus excretion or retention) was significantly improved with increased calcium intake. However, calcium treatment did not affect energy or fat balance (intake minus excretion) in overweight adolescents. Although calcium from either dairy or calcium carbonate increased fecal and urinary calcium excretion and retention, the amount remaining in the gut available to bind with dietary fat may not have been enough to increase fat excretion. However, when the data from both calcium sources was pooled, calcium excretion was associated with fecal fat excretion.
An accompanying editorial states that the relationship between calcium intake and fat excretion in adolescents seen in this study actually is consistent with a previous meta-analysis in adults – and indicates a causal relationship. The data in adults and adolescents together “suggests that dietary calcium binds fat and can increase fecal excretion” of energy.
While the results of this study do not support previous findings in adults, aspects of the study design may have precluded the authors from observing a beneficial effect of dairy or calcium on energy metabolism. For example, the authors speculated that high calcium absorption during adolescent growth may reduce the amount of calcium that passes through the gut, which reduces the opportunity for fat excretion. It is possible that increased dairy or calcium may increase fecal fat excretion and assist in weight loss in younger or older subjects who are in a period of slower growth.
Results from observational and clinical studies show that dairy food and dietary calcium consumption have either a beneficial or neutral effect on body weight or body composition in children and adolescents. Overall, the body of scientific literature continues to demonstrate that the consumption of three servings of milk and milk products as part of a nutrient-rich, balanced diet may help maintain a healthy weight and body composition in children and adolescents.
Weaver CM, Campbell WW, Teegarden D, et al. Calcium, dairy products, and energy balance in overweight adolescents: a controlled trial. Am J Clin Nutr. [Epub ahead of print]. 2011 Sep 14.
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Editorial: Astrup A. Calcium for prevention of weight gain, cardiovascular disease, and cancer. Am J Clin Nutr. [Epub ahead of print]. 2011 Oct 12.
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