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. 2019 Jan 16;109(1):197–206. doi: 10.1093/ajcn/nqy233

TABLE 3.

Absolute change from baseline to 12 mo postpartum in tibial and radial bone variables assessed by peripheral quantitative computed tomography in women receiving calcium supplementation or placebo during pregnancy1

Time of study P
Dependent variable and supplement group Visit 3 (36 wk of pregnancy; n = 53) Visit 4 (4 mo postpartum; n = 45) Visit 5 (12 mo postpartum; n = 30) Group Time Group × time2
Tibial distal metaphyseal site (3%), g/cm3
 Total vBMD 0.087 NS NS
  Calcium −0.66 ± 2.13 −2.34 ± 1.53 −1.42 ± 2.19
  Placebo −3.30 ± 1.26 −6.48 ± 1.87 −6.61 ± 2.53
 Trabecular vBMD 0.067 NS 0.058
  Calcium −1.41 ± 0.83 −1.05 ± 1.18 0.26 ± 2.07
  Placebo −2.58 ± 1.28 −5.41 ± 1.77 −6.71 ± 2.34
Tibial proximal diaphyseal site (38%), g/cm3
 Total vBMD NS NS 0.062
  Calcium −3.78 ± 1.84 −4.01 ± 6.07 −0.71 ± 2.04
  Placebo 1.15 ± 1.58 1.81 ± 1.54 −1.51 ± 1.67
 Cortical vBMD NS 0.021 0.034
  Calcium −1.33 ± 2.02 4.33 ± 1.49 2.27 ± 1.75
  Placebo 0.39 ± 1.36 1.51 ± 1.46 −3.55 ± 2.06
Radial distal metaphyseal site (4%), g/cm3
 Total vBMD NS NS NS
  Calcium −5.33 ± 6.38 −2.82 ± 6.62 −10.67 ± 6.34
  Placebo −0.49 ± 4.89 −3.43 ± 6.71 0.77 ± 6.51
 Trabecular vBMD NS 0.087 NS
  Calcium −2.10 ± 1.35 −1.86 ± 1.32 −5.32 ± 1.74
  Placebo −0.62 ± 1.02 −1.20 ± 1.06 −3.42 ± 2.45
Radial proximal diaphyseal site (50%), g/cm3
 Total vBMD NS NS 0.018
  Calcium −7.01 ± 3.75 −1.74 ± 2.97 6.74 ± 4.89
  Placebo 1.04 ± 2.19 0.48 ± 2.85 −4.23 ± 3.69
 Cortical vBMD NS NS 0.053
  Calcium −6.75 ± 4.60 −0.83 ± 3.12 6.69 ± 5.74
  Placebo −0.52 ± 3.08 0.09 ± 2.73 −7.47 ± 5.01
1

Values are adjusted means ± SEs. Baseline values are not included in the table because they were adjusted for in the statistical models: values shown represent the change from baseline. Calcium: 1000-mg Ca supplement/d from 16 wk of gestation to delivery. Placebo: placebo daily from 16 wk of gestation to delivery. vBMD, volumetric bone mineral density.

2

Linear mixed models for longitudinal data were used to derive the P values after adjusting for baseline bone values, serum 25-hydroxyvitamin D, length of breastfeeding (in months), and BMI (in kg/m2).