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. 2022 Jan 11;2022(1):CD010037. doi: 10.1002/14651858.CD010037.pub4

Van Beresteyn 1986.

Study characteristics
Methods Double‐blind, placebo‐controlled trial
Participants were assigned to 2 groups according to a randomised block design that accounted for habitual calcium intake and BMI.
The trial was conducted in the Netherlands.
Participants 58 normotensive healthy female dietetic students, not receiving any medical treatment at the time of recruitment
Age: 20‐23 years
Weight: 49‐76 kg
Interventions Intervention group: Daily lemonade or apple juice with powder containing 1500 mg calcium ‐ calcium carbonate (1.251 g), citric acid (2.168 g), sodium‐hydrogen carbonate (0.5 g), and dextrose (2.88 g)
Control group: Daily lemonade or apple juice placebo powder with citric acid (0.85 g), sodium‐hydrogen carbonate (0.5 g), dextrose (4.5 g), and corn‐flour (0. 1 g)
Both groups received a low‐calcium diet (500 mg calcium a day) restricting intake of dairy products.
Trial duration: 6 weeks
Outcomes Difference for each individual between baseline blood pressure and final blood pressure
Individual change in blood pressure during the experiment as indicated by the regression coefficient (slope) obtained from linear regression analysis of blood pressure versus time during the experimental period
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Participants were assigned to 2 groups according to a randomised block design that accounted for habitual calcium intake and body mass index.
Allocation concealment (selection bias) Unclear risk Not described
Blinding of participants and personnel (performance bias)
All outcomes Unclear risk Double‐blind, placebo‐controlled trial but methods not described
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk Not described
Incomplete outcome data (attrition bias)
All outcomes Low risk All participants were reported in the results.
Selective reporting (reporting bias) Low risk All outcomes were reported.
Other bias Low risk Baseline characteristics were similar between the 2 groups.