| Calcium pills 'double heart attack risk'
 By Stephen Adams   Calcium supplements taken by millions people every day can 
double the risk of heart attacks, according to a study, while researchers say 
they do little to protect bones against fractures.  Despite the link to heart 
problems, calcium pills are important for those at risk of osteoperosis. 
Recommended by government advisors as a safe way to help fight osteoporosis, 
they are taken by up to 5m people in Britain. But researchers say a new study 
adds to mounting evidence that the supplements are "not safe or particularly 
effective". The latest study, which followed 24,000 middle-aged and elderly 
Germans for 11 years, found taking calcium pills roughly doubled the risk of 
having a heart attack. Writing today in the journal Heart, German and Swiss 
academics find that heart attack risk "might be substantially increased by 
taking calcium supplements". They conclude the pills "should be taken with 
caution" because they raise the annual risk of a heart attack from about one in 
700 people to one in 350. The scientists' findings are at odds with Department 
of Health advice, published on the NHS Choices website, that "taking 1,500mg or 
less of calcium supplements is unlikely to cause any harm". It only warns: 
"Taking high doses of calcium could lead to stomach pain and diarrhoea." The 
National Institute of Health and Clinical Excellence (Nice) also recommends 
them for women who need treatment for osteoporosis, unless they already get 
enough calcium from their diet. Calcium is essential for healthy bones and 
adults need about 700mg a day.  Clinicians agree it is best to get it through 
food but some people find this difficult. Taking it in pill form has become 
very popular - either alone, in combination with magnesium or vitamin D, or as 
part of a multi-vitamin. Pills often contain 500mg calcium or more. According 
to Mintel, the market research firm, 11 per cent of British adults - equivalent 
to 5m people - took calcium supplements in the last year. However, commenting 
on the new research by the University of Zurich and the German Cancer Reserch 
Centre in Heidelberg, published in Heart, two leading researchers warn: "The 
safety of calcium supplements is now coming under considerable scrutiny." They 
say there is strong evidence that taking pill calcium floods the blood with the 
mineral, leading to hardening of the arteries and raising heart attack risk. Dr 
Mark Bolland and Professor Ian Reid of Auckland University in New Zealand say 
today's study "reinforce the conclusions" of previous research. A 2010 BMJ 
review covering 12,000 people found supplements raised the risk by a third, 
they say, while a 2011 study of 28,000 people found they increased heart 
attacks by more than a quarter. A recent Australian study was even more 
"sobering", according to pair.  That report, published earlier this year, found 
"elderly and frail" people who took 600mg daily pills were 76 per cent more 
likely to die from cardiovascular disease over three years than those not on 
them. "The evidence is steadily mounting for a real cardiovascular adverse 
effect from the use of calcium supplements," they write. Evidence also 
suggested that "the anti-fracture effects of calcium [supplements] are modest". 
They conclude: "The consistent evidence is that calcium supplements do more 
harm than good and that other interventions are preferable for reducing the 
risk of osteoporosis fractures... "It is now becoming clear that taking this 
micronutrient in one or two daily boluses [pills] is not natural, in that it 
does not reproduce the same metabolic effcts as calcium in food. "The evidence 
is also becoming steadily stronger that it is not safe, nor is it particularly 
effective." Dr Claire Bowring of the National Osteoporosis Society said "care" 
was needed with calcium supplements. "If you get all of the calcium that you 
need from your diet then a supplement will not be necessary," she said. 
"Supplementation may be warranted if you are unable to get enough calcium in 
your diet, but it needs to be done with consideration. "If you have a heart 
condition or if you feel you may be at risk of a heart attack it is important 
to talk to your GP." Dr Carrie Ruxton, of the Health Supplements Information 
Service, said it was "irresponsible" to advise women with osteoporosis not to 
take supplements "on the basis of one flawed study". It lacked information on 
calcium doses and results could have been skewed by differences between 
participants underlying health, she claimed. She said: "Osteoporosis is a real 
issue for women and it is irresponsible for scientists to advise that women cut 
out calcium supplements on the basis of one flawed survey, particularly when 
the link between calcium, vitamin D and /bone health is endorsed by the 
European Food Safety Authority." *MORE people now understand the need to get a 
few minutes' of direct sunlight exposure to help build strong bones, according 
to the National Osteoporosis Society. It found a third now know the importance 
of getting a few minutes daily sun exposure without sunscreen, to help the body 
manufacture enough vitamin D, which is essential for healthy bones. Three years 
ago only six per cent understood the importance of daily direct sunlight, 
according to spokesman Siobhan Hallmark. The charity launches its annual 
Sunlight Campaign today. It advises people to get 10 minutes of direct sun 
exposure on bare skin, once or twice a day, between May and September. A 
Department of Health spokesperson said: "We will consider the study carefully 
once the complete article has been published. "The majority of people do not 
need to take a calcium supplement.  A healthy balanced diet will provide all 
the nutrients, including calcium, that they need. Good sources of calcium 
include milk and dairy foods, fortified dairy food alternatives, e.g. soya 
drink and green leafy vegetables." |

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