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Year 2025, Volume: 29 Issue: 5, 1890 - 1895, 01.09.2025
https://doi.org/10.12991/jrespharm.1763535

Abstract

References

  • Kunstel K. Calcium requirements for the athlete. Curr Sports Med Rep. 2005;4(4):203-206. https://doi.org/10.1097/01.csmr.0000306208.56939.01
  • Reid IR, Birstow SM, Bolland MJ. Calcium and Cardiovascular Disease. Endocrinol Metab (Seoul). 2017;32(3):339- 349. https://doi.org/10.3803/enm.2017.32.3.339
  • Eisner DA, Caldwell JL, Kistamás K, Trafford AW. Calcium and Excitation-Contraction Coupling in the Heart. Circ Res. 2017;121(2):181-195. https://doi.org/10.1161/circresaha.117.310230
  • Sweeney HL, Brito RM, Rosevear PR, Putkey JA. The low-affinity Ca2(+)-binding sites in cardiac/slow skeletal muscle troponin C perform distinct functions: site I alone cannot trigger contraction. Proc Natl Acad Sci U S A. 1990;87(24):9538-9542. https://doi.org/10.1073/pnas.87.24.9538
  • Kozinski M, Krintus M, Kubica J, Sypniewska G. High-sensitivity cardiac troponin assays: From improved analytical performance to enhanced risk stratification. Crit Rev Clin Lab Sci. 2017;54(3):143-172. https://doi.org/10.1080/10408363.2017.1285268
  • Tobacman LS. Troponin Revealed: Uncovering the Structure of the Thin Filament On-Off Switch in Striated Muscle. Biophys J. 2021;120(1):1-9. https://doi.org/10.1016/j.bpj.2020.11.014
  • Lazar DR, Lazar FL, Homorodean C, Cainap C, Focsan M, Cainap S, Olinic DM. High-Sensitivity Troponin: A Review on Characteristics, Assessment, and Clinical Implications. Dis Markers. 2022;2022:9713326. https://doi.org/10.1155/2022/9713326
  • Jarari AM, Farag AMMM, Abdulamir HA, Pathak RM. Ferritin Levels and Erythrocyte Lipid Peroxidation in Acute Myocardial Infarction in Diabetic Patients. Jamahiriya Med J. 2010;10(2):101-105.
  • Al-Shammari AH, Abbood ZA, Lateef HF. Assessing the impacts of L-carnitine and modafinil on fatigue in Iraqi multiple sclerosis patients. J Adv Pharm Technol Res. 2023;14(3):226-228. https://doi.org/10.4103%2FJAPTR.JAPTR_225_23
  • Parmacek MS, Solaro RJ. Biology of the troponin complex in cardiac myocytes. Prog Cardiovasc Dis. 2004;47(3):159- 176. https://doi.org/10.1016/j.pcad.2004.07.003
  • Kuo IY, Ehrlich BE. Signaling in muscle contraction. Cold Spring Harb Perspect Biol. 2015;7(2):a006023. https://doi.org/10.1101/cshperspect.a006023
  • AL-SHAMMARI AH, SHANDOOKH QJ. Efficacy of statin therapy on achieving target goal of LDL among Iraqi patients. Acta Pharm Sci. 2024;62(2):278-287. http://dx.doi.org/10.23893/1307-2080.APS6218
  • Saunders RK, Kilroe KM, Joseph TV, Caksa S, Bouxsein ML, Misra M, Mitchell DM. Total Calcium Intake Is Associated With Trabecular Bone Density in Adolescent Girls With Type 1 Diabetes. JBMR Plus. 2023;7(11):e10813. https://doi.org/10.1002/jbm4.10813
  • Morelli MB, Santulli G, Gambardella J. Calcium supplements: Good for the bone, bad for the heart? A systematic updated appraisal. Atherosclerosis. 2020;296:68-73. https://doi.org/10.1016/j.atherosclerosis.2020.01.008
  • Reid IR, Bristow SM, Bolland MJ. Cardiovascular complications of calcium supplements. J Cell Biochem. 2015;116(4):494-501. https://doi.org/10.1002/jcb.25028
  • Malczewska-Lenczowska J, Surała O, Granda D, Szczepańska B, Czaplicki A, Kubacki R. The Relationship between Bone Health Parameters, Vitamin D and Iron Status, and Dietary Calcium Intake in Young Males. Nutrients. 2024;16(2):215. https://doi.org/10.3390/nu16020215
  • Shin CS, Kim KM. The risks and benefits of calcium supplementation. Endocrinol Metab (Seoul). 2015;30(1):27-34. https://doi.org/10.3803/enm.2015.30.1.27
  • Reid IR. Cardiovascular effects of calcium supplements. Nutrients. 2013;5(7):2522-2529. https://doi.org/10.3390/nu5072522
  • Myung SK, Kim HB, Lee YJ, Choi YJ, Oh SW. Calcium Supplements and Risk of Cardiovascular Disease: A Meta- Analysis of Clinical Trials. Nutrients. 2021;13(2):368. https://doi.org/10.3390/nu13020368
  • Bolland MJ, Grey A, Avenell A, Gamble GD, Reid IR. Calcium supplements with or without vitamin D and risk of cardiovascular events: reanalysis of the Women's Health Initiative limited access dataset and meta-analysis. Bmj. 2011;342:d2040. https://doi.org/10.1136/bmj.d2040
  • liu Y, Le S, Liu Y, Jiang H, Ruan B, Huang Y, Ao X, Shi X, Fu X, Wang S. The effect of calcium supplementation in people under 35 years old: A systematic review and meta-analysis of randomized controlled trials. Elife. 2022;11:e79002. https://doi.org/10.7554/eLife.79002
  • Li K, Wang XF, Li DY, Chen YC, Zhao LJ, Liu XG, Guo YF, Shen J, Lin X, Deng J, Zhou R, Deng HW. The good, the bad, and the ugly of calcium supplementation: a review of calcium intake on human health. Clin Interv Aging. 2018;13:2443-2452. https://doi.org/10.2147/cia.s157523
  • Tankeu AT, Ndip Agbor V, Noubiap JJ. Calcium supplementation and cardiovascular risk: A rising concern. J Clin Hypertens (Greenwich). 2017;19(6):640-646. https://doi.org/10.1111/jch.13010
  • Larsson SC, Butterworth AS, Burgess S. Mendelian randomization for cardiovascular diseases: principles and applications. Eur Heart J. 2023;44(47):4913-4924. https://doi.org/10.1093/eurheartj/ehad736
  • Manna MJ, Jabur MS, Mohammad HR, Abdulamir HA. The potential effect of topical aminophylline on acute glaucoma model. Res J Pharm Technol. 2022; 15(1):197-200. http://dx.doi.org/10.52711/0974-360X.2022.00032
  • Aldafaay AAA, Abdulamir HA, Abdulhussain HA, Badry AS, Abdulsada AK. The use of Urinary α-amylase level in a diagnosis of chronic renal failure. Res J Pharm Technol. 2021; 14(3):1597-1600. http://dx.doi.org/10.5958/0974- 360X.2021.00283.3

The effect of calcium supplements on troponin variables in athletes and their association with bone diseases : Implications for myocardial health

Year 2025, Volume: 29 Issue: 5, 1890 - 1895, 01.09.2025
https://doi.org/10.12991/jrespharm.1763535

Abstract

Calcium supplements are commonly used by athletes, and they are also used to treat certain bone ailments,
however their cardiovascular safety is still debated. This study was designed to investigate the effect of calcium
supplements on troponin variables in athletes as well as those with bone diseases. The current study is case control
research included 180 participants (60 patients with bone problems, 60 athletes who use calcium supplements, and 60
healthy control subjects who do not take calcium supplements) and the levels of calcium and troponin measured for all
subjected group. The results showed that serum calcium levels in athlete's participants were significantly higher than
patients with bone diseases and healthy control subjects respectively (10.13 ± 1.2 vs 9.62 ± 0.92 and 8.57± 0.64,
respectively). Also, the calcium levels in patients with bone diseases was significantly higher than healthy control
subjects P< 0.001). Serum Troponine concentrations in patients with bone diseasesi and athletes participants were
significantly higher than controls (0.22 ± 0.07 and 0.21 ± 0.07 vs 0.06 ± 0.01, respectively, P>0.001). Results showed that
the Troponin levels correlate directly with serum calcium among study group which might be referred to that this
condition enhances production of Troponin in relation to serum calcium which in turn affected by the calcium
supplement administered that linked to a higher risk of myocardial infarction which lead to conclude that it is important
to utilize calcium supplements sparingly and aim to get the majority of the necessary daily intake of calcium from food
sources.

References

  • Kunstel K. Calcium requirements for the athlete. Curr Sports Med Rep. 2005;4(4):203-206. https://doi.org/10.1097/01.csmr.0000306208.56939.01
  • Reid IR, Birstow SM, Bolland MJ. Calcium and Cardiovascular Disease. Endocrinol Metab (Seoul). 2017;32(3):339- 349. https://doi.org/10.3803/enm.2017.32.3.339
  • Eisner DA, Caldwell JL, Kistamás K, Trafford AW. Calcium and Excitation-Contraction Coupling in the Heart. Circ Res. 2017;121(2):181-195. https://doi.org/10.1161/circresaha.117.310230
  • Sweeney HL, Brito RM, Rosevear PR, Putkey JA. The low-affinity Ca2(+)-binding sites in cardiac/slow skeletal muscle troponin C perform distinct functions: site I alone cannot trigger contraction. Proc Natl Acad Sci U S A. 1990;87(24):9538-9542. https://doi.org/10.1073/pnas.87.24.9538
  • Kozinski M, Krintus M, Kubica J, Sypniewska G. High-sensitivity cardiac troponin assays: From improved analytical performance to enhanced risk stratification. Crit Rev Clin Lab Sci. 2017;54(3):143-172. https://doi.org/10.1080/10408363.2017.1285268
  • Tobacman LS. Troponin Revealed: Uncovering the Structure of the Thin Filament On-Off Switch in Striated Muscle. Biophys J. 2021;120(1):1-9. https://doi.org/10.1016/j.bpj.2020.11.014
  • Lazar DR, Lazar FL, Homorodean C, Cainap C, Focsan M, Cainap S, Olinic DM. High-Sensitivity Troponin: A Review on Characteristics, Assessment, and Clinical Implications. Dis Markers. 2022;2022:9713326. https://doi.org/10.1155/2022/9713326
  • Jarari AM, Farag AMMM, Abdulamir HA, Pathak RM. Ferritin Levels and Erythrocyte Lipid Peroxidation in Acute Myocardial Infarction in Diabetic Patients. Jamahiriya Med J. 2010;10(2):101-105.
  • Al-Shammari AH, Abbood ZA, Lateef HF. Assessing the impacts of L-carnitine and modafinil on fatigue in Iraqi multiple sclerosis patients. J Adv Pharm Technol Res. 2023;14(3):226-228. https://doi.org/10.4103%2FJAPTR.JAPTR_225_23
  • Parmacek MS, Solaro RJ. Biology of the troponin complex in cardiac myocytes. Prog Cardiovasc Dis. 2004;47(3):159- 176. https://doi.org/10.1016/j.pcad.2004.07.003
  • Kuo IY, Ehrlich BE. Signaling in muscle contraction. Cold Spring Harb Perspect Biol. 2015;7(2):a006023. https://doi.org/10.1101/cshperspect.a006023
  • AL-SHAMMARI AH, SHANDOOKH QJ. Efficacy of statin therapy on achieving target goal of LDL among Iraqi patients. Acta Pharm Sci. 2024;62(2):278-287. http://dx.doi.org/10.23893/1307-2080.APS6218
  • Saunders RK, Kilroe KM, Joseph TV, Caksa S, Bouxsein ML, Misra M, Mitchell DM. Total Calcium Intake Is Associated With Trabecular Bone Density in Adolescent Girls With Type 1 Diabetes. JBMR Plus. 2023;7(11):e10813. https://doi.org/10.1002/jbm4.10813
  • Morelli MB, Santulli G, Gambardella J. Calcium supplements: Good for the bone, bad for the heart? A systematic updated appraisal. Atherosclerosis. 2020;296:68-73. https://doi.org/10.1016/j.atherosclerosis.2020.01.008
  • Reid IR, Bristow SM, Bolland MJ. Cardiovascular complications of calcium supplements. J Cell Biochem. 2015;116(4):494-501. https://doi.org/10.1002/jcb.25028
  • Malczewska-Lenczowska J, Surała O, Granda D, Szczepańska B, Czaplicki A, Kubacki R. The Relationship between Bone Health Parameters, Vitamin D and Iron Status, and Dietary Calcium Intake in Young Males. Nutrients. 2024;16(2):215. https://doi.org/10.3390/nu16020215
  • Shin CS, Kim KM. The risks and benefits of calcium supplementation. Endocrinol Metab (Seoul). 2015;30(1):27-34. https://doi.org/10.3803/enm.2015.30.1.27
  • Reid IR. Cardiovascular effects of calcium supplements. Nutrients. 2013;5(7):2522-2529. https://doi.org/10.3390/nu5072522
  • Myung SK, Kim HB, Lee YJ, Choi YJ, Oh SW. Calcium Supplements and Risk of Cardiovascular Disease: A Meta- Analysis of Clinical Trials. Nutrients. 2021;13(2):368. https://doi.org/10.3390/nu13020368
  • Bolland MJ, Grey A, Avenell A, Gamble GD, Reid IR. Calcium supplements with or without vitamin D and risk of cardiovascular events: reanalysis of the Women's Health Initiative limited access dataset and meta-analysis. Bmj. 2011;342:d2040. https://doi.org/10.1136/bmj.d2040
  • liu Y, Le S, Liu Y, Jiang H, Ruan B, Huang Y, Ao X, Shi X, Fu X, Wang S. The effect of calcium supplementation in people under 35 years old: A systematic review and meta-analysis of randomized controlled trials. Elife. 2022;11:e79002. https://doi.org/10.7554/eLife.79002
  • Li K, Wang XF, Li DY, Chen YC, Zhao LJ, Liu XG, Guo YF, Shen J, Lin X, Deng J, Zhou R, Deng HW. The good, the bad, and the ugly of calcium supplementation: a review of calcium intake on human health. Clin Interv Aging. 2018;13:2443-2452. https://doi.org/10.2147/cia.s157523
  • Tankeu AT, Ndip Agbor V, Noubiap JJ. Calcium supplementation and cardiovascular risk: A rising concern. J Clin Hypertens (Greenwich). 2017;19(6):640-646. https://doi.org/10.1111/jch.13010
  • Larsson SC, Butterworth AS, Burgess S. Mendelian randomization for cardiovascular diseases: principles and applications. Eur Heart J. 2023;44(47):4913-4924. https://doi.org/10.1093/eurheartj/ehad736
  • Manna MJ, Jabur MS, Mohammad HR, Abdulamir HA. The potential effect of topical aminophylline on acute glaucoma model. Res J Pharm Technol. 2022; 15(1):197-200. http://dx.doi.org/10.52711/0974-360X.2022.00032
  • Aldafaay AAA, Abdulamir HA, Abdulhussain HA, Badry AS, Abdulsada AK. The use of Urinary α-amylase level in a diagnosis of chronic renal failure. Res J Pharm Technol. 2021; 14(3):1597-1600. http://dx.doi.org/10.5958/0974- 360X.2021.00283.3
There are 26 citations in total.

Details

Primary Language English
Subjects Pharmacology and Pharmaceutical Sciences (Other)
Journal Section Articles
Authors

Muntadher Jaber 0000-0001-6597-5675

Sada Ghalib Taher This is me 0000-0002-1685-6175

Riyadh Rashid Hameed This is me 0009-0001-8021-3545

Sajjad Mohammed Zorah This is me 0009-0006-3083-290X

Doha Jehad Mohammad This is me 0009-0003-2518-9110

Adyan Nafea Abbas This is me 0009-0002-9730-626X

Falah Herez Madhloom Alrabea This is me 0000-0002-5224-2963

Samer Kareem Hanoon This is me 0009-0005-5011-6217

Publication Date September 1, 2025
Submission Date December 11, 2024
Acceptance Date January 31, 2025
Published in Issue Year 2025 Volume: 29 Issue: 5

Cite

APA Jaber, M., Taher, S. G., Hameed, R. R., … Zorah, S. M. (2025). The effect of calcium supplements on troponin variables in athletes and their association with bone diseases : Implications for myocardial health. Journal of Research in Pharmacy, 29(5), 1890-1895. https://doi.org/10.12991/jrespharm.1763535
AMA Jaber M, Taher SG, Hameed RR, et al. The effect of calcium supplements on troponin variables in athletes and their association with bone diseases : Implications for myocardial health. J. Res. Pharm. September 2025;29(5):1890-1895. doi:10.12991/jrespharm.1763535
Chicago Jaber, Muntadher, Sada Ghalib Taher, Riyadh Rashid Hameed, Sajjad Mohammed Zorah, Doha Jehad Mohammad, Adyan Nafea Abbas, Falah Herez Madhloom Alrabea, and Samer Kareem Hanoon. “The Effect of Calcium Supplements on Troponin Variables in Athletes and Their Association With Bone Diseases : Implications for Myocardial Health”. Journal of Research in Pharmacy 29, no. 5 (September 2025): 1890-95. https://doi.org/10.12991/jrespharm.1763535.
EndNote Jaber M, Taher SG, Hameed RR, Zorah SM, Mohammad DJ, Abbas AN, Alrabea FHM, Hanoon SK (September 1, 2025) The effect of calcium supplements on troponin variables in athletes and their association with bone diseases : Implications for myocardial health. Journal of Research in Pharmacy 29 5 1890–1895.
IEEE M. Jaber, S. G. Taher, R. R. Hameed, S. M. Zorah, D. J. Mohammad, A. N. Abbas, F. H. M. Alrabea, and S. K. Hanoon, “The effect of calcium supplements on troponin variables in athletes and their association with bone diseases : Implications for myocardial health”, J. Res. Pharm., vol. 29, no. 5, pp. 1890–1895, 2025, doi: 10.12991/jrespharm.1763535.
ISNAD Jaber, Muntadher et al. “The Effect of Calcium Supplements on Troponin Variables in Athletes and Their Association With Bone Diseases : Implications for Myocardial Health”. Journal of Research in Pharmacy 29/5 (September2025), 1890-1895. https://doi.org/10.12991/jrespharm.1763535.
JAMA Jaber M, Taher SG, Hameed RR, Zorah SM, Mohammad DJ, Abbas AN, Alrabea FHM, Hanoon SK. The effect of calcium supplements on troponin variables in athletes and their association with bone diseases : Implications for myocardial health. J. Res. Pharm. 2025;29:1890–1895.
MLA Jaber, Muntadher et al. “The Effect of Calcium Supplements on Troponin Variables in Athletes and Their Association With Bone Diseases : Implications for Myocardial Health”. Journal of Research in Pharmacy, vol. 29, no. 5, 2025, pp. 1890-5, doi:10.12991/jrespharm.1763535.
Vancouver Jaber M, Taher SG, Hameed RR, Zorah SM, Mohammad DJ, Abbas AN, et al. The effect of calcium supplements on troponin variables in athletes and their association with bone diseases : Implications for myocardial health. J. Res. Pharm. 2025;29(5):1890-5.