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. 2023 Aug 2;34(11):1917–1926. doi: 10.1007/s00198-023-06867-8

Table 1.

Characteristics of PPI users and non-PPI users according to calcium supplement use

Calcium supplement users Non-calcium supplement users
PPI users (n = 671) Non-PPI users (n = 950) p value* PPI users (n = 892) Non-PPI users (n = 1626) p value*
General
  Age (mean ± SD years) 76.2 ± 0.3 73.9 ± 0.3  < 0.001 73.9 ± 0.25 72.3 ± 1.19  < 0.001
  Sex (% female) 77.8 83.3 0.006 58.8 63.3 0.008
  BMI (mean ± SD kg/m2) 27.4 ± 0.2 26.27 ± 0.2  < 0.001 29.6 ± 0.2 28.7 ± 0.1  < 0.001
Comorbidities
  Vascular disease (%) b 38.2 23.2  < 0.001 45.6 29.1  < 0.001
  Type 2 diabetes mellitus (%) c 14.1 7.6  < 0.001 22.5 16.8  < 0.001
  Hypertension (%) 65.0 52.8  < 0.001 83.9 82.5 0.377
  Heart failure (%) 8.4 4.1  < 0.001 7.4 3.1  < 0.001
Biophysical and cognitive function
  MMSE (median (IQR)) a 28 (26–29) 28 (26–29)  < 0.001 28 (26–29) 28 (26–29)  < 0.001
  TUG (median (IQR) seconds) a 15 (9–23) 10 (8–17)  < 0.001 11.6 (8.6–18) 9.7 (8–14)  < 0.001
Dietary and lifestyle
  Dairy intake (mean ± SD portion/day) 1.31 ± 0.03 1.22 ± 0.03 0.037 1.10 1.09 0.63
  Vitamin D supplementation (%) 97.5 97.7 0.781 17.9 20.6 0.11
  Current smoking (%) 10.9 12.6 0.281 12.6 10.9 0.218
  Current alcohol consumption (%) 54.8 62.0 0.003 54.1 59.4 0.010
Medications
  Bisphosphonate use (%) 46.9 43.2 0.136 7.5 5.0 0.010
  Current oral glucocorticoid use (%) 8.1 2.8  < 0.001 1.3 0.9 0.338
  Thiazide diuretic (%) 13.0 14.1 0.510 24.9 29.8 0.008
  Loop diuretic (%) 21.2 9.2  < 0.001 17.2 9.4  < 0.001
Blood results
  Calcium (mean ± SD mmol/l) 2.29 ± 0.00 2.31 ± 0.00  < 0.001 2.29 ± 0.00 2.30 ± 0.00 0.011
  Phosphate (mean ± SD mmol/l) 1.01 ± 0.01 1.01 ± 0.01 0.680 1.02 ± 0.01 1.02 ± 0.00 0.776
  PTH (median (IQR) pg/ml) a 39.1 (29.8–52.5) 33.6 (52.5–45.5)  < 0.001 44.7 (34.0–60.8) 40.1 (30.9–52.6)  < 0.001
  PTH > 65 pg/ml (%) 13.9 7.1  < 0.001 20.7 13.4  < 0.001
  25(OH)D (mean ± SD nmol/l) 75.5 ± 1.1 77.6 ± 0.9 0.150 45.2 ± 0.8 47.6 ± 0.6 0.021
    < 30 nmol/l (%) 6.7 5.7 0.257 31.7 25.6 0.002
    30–50 nmol/l (%) 12.3 12.3 32.2 35.3
    51–75 nmol/l (%) 30.2 26.6 24.9 24.3
    > 75 nmol/l (%) 50.8 55.3 11.1 14.7
  eGFR (mean ± SD ml/min) 62.4 ± 0.8 67.6 ± 0.7  < 0.001 69.3 ± 0.8 74.2 ± 0.6  < 0.001

IQR, interquartile range; SD, standard deviation

*p value calculated χ2 for categorical variables, t-test for normally distributed continuous variables, Wilcoxon rank for non-normally distributed continuous variables. aNon-normally distributed continuous variable—other continuous variables are normally distributed. aComposite of ischaemic heart disease, previous stroke or TIA, peripheral artery disease. bComposite of self-report, consumption of diabetic medications, HBA1c ≥ 48 mmol/l