The effect of oral calcium on cholesterol metabolism

W.D. Mitchell, T. Fyfe, D.A. Smith
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引用次数: 24

Abstract

The effects of calcium on cholesterol metabolism have been examined in 6 patients. The age of the subjects ranged from 61–73 years. Five of the patients were osteoporotic. The calcium was administered as organic salts (calcium glycerophosphate or calcium gluconogalactogluconate) and as dried skimmed milk.

The results show that increased calcium in the organic form caused increased excretion of faecal bile acids and faecal total fat. There was no change in faecal neutral steroid output; increased faecal cholesterol was compensated by decreased coprostanol excretion. When the calcium was given in the form of skimmed milk, faecal bile acids and faecal fat remained elevated. Faecal excretion of cholesterol continued to rise and was accompanied by the return of faecal coprostanol output almost to the basal level, resulting in increased total neutral steroid excretion.

The serum cholesterol and triglyceride levels showed little change from the basal levels during the calcium supplementation periods.

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口服钙对胆固醇代谢的影响
在6例患者中研究了钙对胆固醇代谢的影响。受试者年龄在61-73岁之间。其中5例患有骨质疏松症。钙作为有机盐(甘油磷酸钙或葡萄糖半乳糖葡萄糖酸钙)和干脱脂牛奶施用。结果表明,有机形式钙的增加导致粪便胆汁酸和粪便总脂肪的排泄量增加。粪便中性类固醇分泌量没有变化;增加的粪便胆固醇被减少的粪前列醇排泄所补偿。当以脱脂牛奶的形式给予钙时,粪便胆汁酸和粪便脂肪仍然升高。粪便中胆固醇的排泄量继续上升,同时粪前列醇的排泄量几乎恢复到基础水平,导致中性类固醇的总排泄量增加。在补钙期间,血清胆固醇和甘油三酯水平与基础水平相比变化不大。
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