Cálcio na regulação da adiposidade corporal de adolescentes e adultos: revisão sistemática
DOI:
https://doi.org/10.47320/rasbran.2021.1916Abstract
Objective: Describe the results of the influence of calcium, supplemented or dietary, derived or not from dairy products, in the regulation of weight and body fat in adolescents (13 to 17 years old) and adults (18 to 64 years old). Method: Systematic review of the literature performed by the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) method on the databases LILACS, PubMed, SciELO e Google Scholar, using the descriptors: (adolescents OR adults) AND (calcium OR dairy products OR calcium supplement OR dietary calcium) AND (body weight OR body composition OR overweight OR obesity ORadiposity), on October 2019, without restrictions on language, date or publication status. The review protocol was registered on the International Prospective Register of Systematic Reviews (PROSPERO) platform (CRD42020150838). Results: Twenty-two studies were selected, which met the criteria for inclusion in the review, published between 2003 and 2017. The majority had a low risk of bias, following the procedures of the National Heart, Lung, and Blood Institute (NHLBI). All nine cross-sectional studies and four of the 13 longitudinal showed results suggestive of an inverse relationship between calcium consumption in weight regulation and some anthropometric indicator of obesity and/or a constituent of body composition. Conclusion: Calcium intake can facilitate significant weight loss/ body fat in adolescents and adults. Sufficient food consumption of this micronutrient should be encouraged to help minimize the impact of overweight/ obesity.
Downloads
References
NCD Risk Factor Collaboration (NCD-RisC). Ezzati, M, Bentham, J, Di Cesare, M, Bilano, V, Bixby, H, Zhou, B, et al. Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128·9 million children, adolescents, and adults. Lancet. 2017;390(10113):2627-42.
Brasil. Ministério da Saúde. Vigitel Brasil 2018: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico: estimativas sobre frequência e distribuição sociodemográfica de fatores de risco e proteção para doenças crônicas nas capitais dos 26 estados brasileiros e no Distrito Federal em 2018. Brasília: MS; 2019. DOI: https://doi.org/10.5123/S1679-49742017000400003
Silva VS, Souza I, Silva DAS, Petroski EL, Fonseca MJM. Correspondence between overweight and socioeconomic and demographic indicators in the adult Brazilian population. Rev Bras Epidemiol. 2015;18(2):476-89. Disponível em: https://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2015000200476&lng=en&nrm=iso&tlng=pt DOI: https://doi.org/10.1590/1980-5497201500020015
Silva VS, Souza I, Silva DAS, Barbosa AR, Fonseca MJM. Trends and association of BMI between sociodemographic and living conditions variables in the Brazilian elderly: 2002/03-2008/09. Cien Saude Colet. 2018;23(3):891-901. Disponível em: https://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-81232018000300891&lng=pt&tlng=pt DOI: https://doi.org/10.1590/1413-81232018233.12532016
Anjos LA. Obesidade e saúde pública. Rio de Janeiro: Fiocruz; 2006. DOI: https://doi.org/10.7476/9788575413449
Kac G, Velásquez-Meléndez G. A transição nutricional e a epidemiologia da obesidade na América Latina. Cad Saude Publica. 2003;19(Suppl 1):S4-S5. Disponível em: https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2003000700001&lng=pt&tlng=pt DOI: https://doi.org/10.1590/S0102-311X2003000700001
Monteiro CA, Conde WL. A tendência secular da obesidade segundo estratos sociais: nordeste e sudeste do Brasil, 1975-1989-1997. Arq Bras Endocrinol Metabol. 1999;43(3):186-94. Disponível em: https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27301999000300004&lng=pt&tlng=pt DOI: https://doi.org/10.1590/S0004-27301999000300004
Pereira LO, Francischi RP, Lancha Jr AH. Obesidade: hábitos nutricionais, sedentarismo e resistência à insulina. Arq Bras Endocrinol Metab. 2003;47(2):111-27. Disponível em: https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27302003000200003&lng=pt&tlng=pt DOI: https://doi.org/10.1590/S0004-27302003000200003
World Health Organization (WHO). Obesity: preventing and managing the global epidemic. Report of a WHO Consultation. World Health Organ Tech Rep Ser. 2000;894(i-xii):1-253.
Wanderley EM, Ferreira VA. Obesidade: uma perspectiva plural. Cien Saude Colet. 2010;15(1):185-94. Disponível em: https://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-81232010000100024&lng=pt&tlng=pt DOI: https://doi.org/10.1590/S1413-81232010000100024
Heymsfield SB, Thomas D, Nguyen AM, Peng JZ, Martin C, Shen W, Strauss, B, Bosy-Westphal A, Muller MJ. Voluntary weight loss: systematic review of early phase body composition changes. Obes Rev. 2011;12(5):e348-61. Disponível em: https://onlinelibrary.wiley.com/doi/full/10.1111/j.1467-789X.2010.00767.x DOI: https://doi.org/10.1111/j.1467-789X.2010.00767.x
Garcia AC, Roschel H, Del-Favero SM, Benatti FB. Cálcio e a regulação da adiposidade e do peso corporal. Nutrire (Online). 2014;39(1):144-53. DOI: https://doi.org/10.4322/nutrire.2014.012
Barba G, Russo P. Dairy foods, dietary calcium and obesity: a short review of the evidence. Nutr Metab Cardiovasc Dis. 2006;16(6):445-51. DOI: https://doi.org/10.1016/j.numecd.2006.04.004
Cichosz G, Czeczot H. Calcium--essential for everybody. Pol Merkur Lekarski. 2014;36(216):407-11.
Heaney RP. Calcium intake and disease prevention. Arq Bras Endocrinol Metabol. 2006;50(4):685-93. Disponível em: https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27302006000400014&lng=en&tlng=en DOI: https://doi.org/10.1590/S0004-27302006000400014
Major GC, Chaput JP, Ledoux M, St-Pierre S, Anderson GH, Zemel MB, Tremblay A. Recent developments in calcium-related obesity research. Obes Rev. 2008;9(5):428-45. DOI: https://doi.org/10.1111/j.1467-789X.2007.00465.x
Pilvi TK, Storvik M, Louhelainen M, Merasto S, Korpela R, Mervaala EM. Effect of dietary calcium and dairy proteins on the adipose tissue gene expression profile in diet-induced obesity. J Nutrigenet Nutrigenomics. 2008;1(5):240-51. DOI: https://doi.org/10.1159/000151238
Van Loan M. The role of dairy foods and dietary calcium in weight management. J Am Coll Nutr. 2009;28(Suppl 1):S120-S9. DOI: https://doi.org/10.1080/07315724.2009.10719805
Zemel MB. The role of dairy foods in weight management. J Am Coll Nutr. 2005;24(SupPl 6):S537-S46. DOI: https://doi.org/10.1080/07315724.2005.10719502
Zemel MB. Proposed role of calcium and dairy food components in weight management and metabolic health. Phys Sportsmed. 2009;37(2):29-39. DOI: https://doi.org/10.3810/psm.2009.06.1707
Astrup A. Yogurt and dairy product consumption to prevent cardiometabolic diseases: epidemiologic and experimental studies. Am J Clin Nutr. 2014;99(5):1235-42. DOI: https://doi.org/10.3945/ajcn.113.073015
Cunha KA, Magalhães EIS, Loureiro LMR, Sant’Ana LFR, Ribeiro AQ, Novaes JF. Ingestão de cálcio, níveis séricos de vitamina D e obesidade infantil: existe associação? Rev Paul Pediatr. 2015;33(2):222-9. DOI: https://doi.org/10.1016/j.rpped.2015.03.001
Morris KL, Zemel MB. 1,25-dihydroxyvitamin D3 modulation of adipocyte glucocorticoid function. Obes Res. 2005;13(4):670-7. DOI: https://doi.org/10.1038/oby.2005.75
Moher D, Liberati A, Tetzlaff J, Altman DG. PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6(7):e1000097. DOI: https://doi.org/10.1371/journal.pmed.1000097
Macaskill P, Gatsonis C, Deeks JJ, Harbord R, Takwoingi Y. Chapter 10: analyzing and presenting results. In: Deeks JJ, Bossuyt PM, Gatsonis C. (editors). Cochrane handbook for systematic reviews of diagnostic test accuracy version 1.0. The Cochrane Collaboration; 2010. [citado 15 set 2019]. Disponível em: http://srdta.cochrane.org/
Centre for Reviews and Dissemination (CRD). Systematic reviews: CRD’s guidance for undertaking reviews in health care [Internet]. [York: University of York]; 2008. [citado 14 jul 2019]. Disponível em: https://www.york.ac.uk/media/crd/Systematic_Reviews.pdf
National Heart, Lung, and Blood Institute (NHLBI). Study quality assessment tools [Internet]. [Bethesda: NHLBI]; 2014. [citado 15 set 2019]. Disponível em: https://www.nhlbi.nih.gov/health-topics/study-quality-assessment-tools
Loos RJF, Rankinen T, Leon AS, Skinner JS, Wilmore JH, Rao DC, Bouchard C. Calcium intake is associated with adiposity in black and white men and white women of the HERITAGE family study. J Nutr. 2004;134(7):1772-8. DOI: https://doi.org/10.1093/jn/134.7.1772
Zemel MB, Thompson W, Milstead A, Morris K, Campbell P. Calcium and dairy acceleration of weight and fat loss during energy restriction in obese adults. Obes Res. 2004;12(4):582-90. DOI: https://doi.org/10.1038/oby.2004.67
Gunther CW, Legowski PA, Lyle RM, McCabe GP, Eagan MS, Peacock M, Teegarden D. Dairy products do not lead to alterations in body weight or fat mass in young women in a 1-y intervention. Am J Clin Nutr. 2005;81(4):751-6. DOI: https://doi.org/10.1093/ajcn/81.4.754
Harvey-Berino J, Gold BC, Lauber R, Starinski A. The impact of calcium and dairy product consumption on weight loss. Obes Res. 2005;13(10):1720-6. DOI: https://doi.org/10.1038/oby.2005.210
Thompson WG, Holdman NR, Janzow DJ, Slezak JM, Morris KL, Zemel MB. Effect of energy-reduced diets high in dairy products and fiber on weight loss in obese adults. Obes Res. 2005;13(8):1344-53. DOI: https://doi.org/10.1038/oby.2005.163
Zemel MB, Richards J, Milstead A, Campbell P. Effects of calcium and dairy on body composition and weight loss in African‐American adults. Obes Res. 2005;13(7):1218-25. DOI: https://doi.org/10.1038/oby.2005.144
Brooks BM, Rajeshwari R, Nicklas TA, Yang SJ, Berenson GS. Association of calcium intake, dairy product consumption with overweight status in young adults (1995-1996): the Bogalusa Heart Study. J Am Coll Nutr. 2006;25(6):523-32. DOI: https://doi.org/10.1080/07315724.2006.10719568
Eagan MS, Lyle RM, Gunther CW, Peacock M, Teegarden D. Effect of 1‐year dairy product intervention on fat mass in young women: 6‐month follow‐up. Obes Res. 2006;14(12):2242-8. DOI: https://doi.org/10.1038/oby.2006.263
Zemel MB, Teegarden D, Van Loan M, Schoeller DA, Matkovic V, Lyle RM, Craig BA. Dairy-rich diets augment fat loss on an energy-restricted diet: a multicenter trial. Nutrients. 2009;1(1):83-100. DOI: https://doi.org/10.3390/nu1010083
Palacios C, Bertrán JJ, Rios RE, Soltero S. No effects of low and high consumption of dairy products and calcium supplements on body composition and serum lipids in Puerto Rican obese adults. Nutrition. 2011;27(5):520-5. DOI: https://doi.org/10.1016/j.nut.2010.02.011
Stancliffe RA, Thorpe T, Zemel MB. Dairy attentuates oxidative and inflammatory stress in metabolic syndrome. Am J Clin Nutr. 2011; 94(2):422-30. DOI: https://doi.org/10.3945/ajcn.111.013342
Lappe JM, McMahon DJ, Laughlin A, Hanson C, Desmangles JC, Begley M, Schwartz. The effect of increasing dairy calcium intake of adolescent girls on changes in body fat and weight. Am J Clin Nutr. 2017;105(5):1046-53. DOI: https://doi.org/10.3945/ajcn.116.138941
Bowen J, Noakes M, Clifton PM. Effect of calcium and dairy foods in high protein, energy-estricted diets on weight loss and metabolic parameters in overweight adults. Int J Obes. 2005;29:957-65. DOI: https://doi.org/10.1038/sj.ijo.0802895
Murphy KJ, Crichton GE, Dyer KA, Coates AM, Pettman TL, Milte C, Thorp AA, Berry NM, Buckley JD, Noakes M, Howe PRC. Dairy foods and dairy protein consumption is inversely related to markers of adiposity in obese men and women. Nutrients. 2013;5(11):4665-84. DOI: https://doi.org/10.3390/nu5114665
Pereira DC, Lima RPA, de Lima RT, Gonçalves MCR, de Morais LCSL, Franceschini SCC, Filizola RG, de Moraes RM, Asciutti LSR, Costa MJC. Association between obesity and calcium: phosphorus ratio in the habitual diets of adults in a city of Northeastern Brazil: an epidemiological study. Nutr J. 2013;12(90):1-11. DOI: https://doi.org/10.1186/1475-2891-12-90
Cembranel F, Hallal ALC, González-Chica DA, d’Orsi E. Relationship between dietary consumption of vitamins and minerals, body mass index, and waist circumference: a population-based study of adults in southern Brazil. Cad Saude Publica. 2017;33(12):e00136616. Disponível em: https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2017001205012&lng=pt&tlng=pt
Jacqmain M, Doucet E, Després JP, Bouchard C, Tremblay A. Calcium intake, body composition, and lipoprotein-lipid concentrations in adults. Am J Clin Nutr. 2003;77(6):1448-52. DOI: https://doi.org/10.1093/ajcn/77.6.1448
Jones KW, Eller LK, Parnell JA, Doyle-Baker PK, Edwards AL, Reimer RA. Effect of a dairy- and calcium-rich diet on weight loss and appetite during energy restriction in overweight and obese adults: a randomized trial. Eur J Clin Nutr. 2013;67(4):371-6. DOI: https://doi.org/10.1038/ejcn.2013.52
Lee HJ, Cho J, Lee HSH, Kim C, Cho E. Intakes of dairy products and calcium and obesity in Korean adults: Korean National Health and Nutrition Examination Surveys (KNHANES) 2007-2009. PLoS ONE. 2014;9(6):e99085. DOI: https://doi.org/10.1371/journal.pone.0099085
Shalileh M, Shidfar F, Haghani H, Eghtesadi S, Heydari I. The influence of calcium supplement on body composition, weight loss and insulin resistance in obese adults receiving low calorie diet. J Res Med Sci. 2010;15(4):191-201.
Ponce AMG, Campos-Nonato IR, Hernández-Barrera L, Flores-Aldana ME. Asociación entre la ingesta de calcio dietético y el índice de masa corporal elevado en adultos mexicanos de 20 a 59 años de edad: estudio de corte transversal. Medwave. 2013;13(2):e5635.
Palacios C, Benedetti P, Fonseca S. Impact of calcium intake on body mass index in Venezuelan adolescents. P R Health Sci J. 2007;26(3):199-204.
Rinaldi DB, von Frankenberg DE. Efeito do cálcio na perda de peso e na composição corporal: uma revisão de ensaios clínicos randomizados. RASBRAN. 2016;7(2):66-78.
Ilich JZ, Kelly OJ, Liu PY, Shin H, Kim Y, Chi Y, Wickrama KKAS, Colic-Baric I. Role of calcium and low-fat dairy foods in weight-loss outcomes revisited: results from the randomized trial of effects on bone and body composition in overweight/obese postmenopausal women. Nutrients. 2019;11(5):1157. DOI: https://doi.org/10.3390/nu11051157
Li P, Fan C, Lu Y, Qi K. Effects of calcium supplementation on body weight: a meta-analysis. Am J Clin Nutr. 2016;104(5):1263-73. DOI: https://doi.org/10.3945/ajcn.116.136242
Stonehouse W, Wycherley T, Luscombe-Marsh N, Taylor P, Brinkworth, Riley M. Dairy intake enhances body weight and composition changes during energy restriction in 18-50-year-old adults-a meta-analysis of randomized controlled trials. Nutrients. 2016;8(7):394. DOI: https://doi.org/10.3390/nu8070394
Astrup A. The role of calcium in energy balance and obesity: the search for mechanisms. Am J Clin Nutr. 2008;88(4): 873-4. DOI: https://doi.org/10.1093/ajcn/88.4.873
Buyukinan M, Ozen S, Saz EU. The relation of vitamin D deficiency with puberty and insulin resistance in obese children and adolescents. J Pediatr Endocrinol Metab. 2012;25(1-2):83-7. DOI: https://doi.org/10.1515/jpem-2011-0426
Silva VS, Vieira MFS. International Society for the Advancement of Kinanthropometry (ISAK) Global: international accreditation scheme of the competent anthropometrist. Rev Bras Cineantropom Desempenho Hum. 2020;22(1):e70517. Disponível em: https://www.scielo.br/scielo.php?script=sci_arttext&pid=S1980-00372020000100602&tlng=en DOI: https://doi.org/10.1590/1980-0037.2020v22e70517
Downloads
Published
How to Cite
Issue
Section
License
A Revista se reserva no direito de efetuar, se necessário, alterações de ordem normativa, ortográfica e gramatical, com vistas a manter o padrão culto da língua, respeitando, porém, o estilo dos autores.
Ao encaminhar os originais, os autores cedem os direitos de primeira publicação para a Revista da Associação Brasileira de Nutrição e aceitam que seu trabalho seja publicado de acordo com nossa Declaração de Direito Autoral.
Os documentos publicados serão atribuídos a licença
Este trabalho está licenciado com uma Licença Creative Commons - Atribuição 4.0 Internacional.