Online Program

281080
Calcium intake associated with risk factors for cardiovascular disease among obese adults


Tuesday, November 5, 2013 : 12:50 p.m. - 1:10 p.m.

Yang Chen, MS, MPH, Department of Biostatistics and Epidemiology, East Tennessee State University - College of Public Health, Johnson City, TN
Katie Callahan, MPH CHES, Department of Biostatistics and Epidemiology, East Tennessee State University - College of Public Health, Johnson City, TN
David Blackley, MPH, Department of Biostatistics and Epidemiology, East Tennessee State University - College of Public Health, Johnson City, TN
Yan Cao, PhD, Department of Biostatistics and Epidemiology, East Tennessee State University - College of Public Health, Johnson City, TN
Shimin Zheng, PhD, Department of Biostatistics and Epidemiology, East Tennessee State University College of Public Health, Johnson City, TN
Background: The incidence of cardiovascular disease (CVD) is high in obese people. The potential effects of inadequate calcium intake on CVD are receiving increased attention. We assessed the association between several risk factors for CVD and calcium intake among obese adults. Methods: We investigated 14,856 obese subjects age 20 years or older from the National Health and Nutrition Examination Survey, 1999-2010. ANOVA and Pearson correlation analyses were used to examine if any relationships existed. Simple and multiple linear and logistic regression analyses were conducted to determine the association between risk factors for CVD and calcium intake. Results: After adjusting for energy intake and other potential confounders, systolic blood pressure, diastolic blood pressure, C-reactive protein, glycosylated hemoglobin, and albuminuria were negatively associated with calcium intake at á=0.05 level in both linear and logistic regression analyses. Adjusted regression coefficients and ORs did not show a significant relationship between high-density lipoprotein (HDL) and calcium intake. Total cholesterol was negatively associated with calcium intake in continuous form, but no relationshipwas seen between total cholesterol and the calcium intake quartiles form. When comparing low quartile to high quartile, total cholesterol had a weak negative association with calcium intake at á =0.1 level. Conclusion: Our study provides evidence that adequate calcium intake could decrease the risks of CVD, such as high blood pressure and high glycosylated hemoglobin, among obese adults. However, calcium intake was not associated with HDL levels. More research is needed to assess the effect of total cholesterol by calcium intake.

Learning Areas:

Chronic disease management and prevention
Epidemiology
Public health or related research
Social and behavioral sciences

Learning Objectives:
Assess the association between calcium intake and risk factors for cardiovascular disease including systolic blood pressure, diastolic blood pressure, high-density lipoprotein, total cholesterol, C-reactive protein, glycosylated hemoglobin and albuminuria, among obese adults.

Keyword(s): Heart Disease, Nutrition

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the co-principal of research group on nutrition and chronic disease in department of Biostatistics and Epidemiology, East Tennessee State University. Among my scientific interests has been the development of strategies for preventing cardiovascular disease in nutrition.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.