Skip to main content

Table 1 Meta-analyses for calcium concentration (mg/L)

From: Calcium, zinc, and vitamin D in breast milk: a systematic review and meta-analysis

Group

N

n

Mean (95% CI)

pa

pb

All studies

154

22,307

261 (238, 284)

NA

NA

Studies without outlier

153

22,227

262 (243, 282)

Key studiesc

23

2766

249 (232, 266)

Infant age

     

0–5.9 months

121

14,999

270 (241, 300)

< 0.001

0.001

6–11.9 months

32

2375

214 (163, 266)

12–35.9 months

13

769

197 (177, 218)

Unspecified

24

1881

252 (175, 329)

 

Infant age, key studies c

     

0–5.9 months, healthy, term, exclusively breastfed

16

1386

271 (256, 286)

< 0.001

NA

6–11.9 months, healthy, term

11

975

218 (189, 248)

12–35.9 months, healthy, term

4

200

183 (162, 204)

Lactation stage

     

Colostrum

33

2024

269 (252, 286)

0.678

0.781

Colostrum/transitional milk

11

293

281 (258, 304)

Transitional milk

37

2257

270 (261, 279)

Transitional/mature milk

7

402

232 (88, 376)

Mature milk

120

15,513

257 (234, 280)

Unspecified/Mixed

17

1774

265 (242, 288)

 

Maternal/infant health

     

Healthy

91

13,985

257 (232, 281)

0.008

0.012

With condition

8

949

203 (171, 234)

Unspecified/Mixed

63

7373

266 (227, 306)

 

Maternal age

  

Adults

78

11,909

268 (249, 286)

0.665

0.689

Adolescents

5

337

254 (196, 313)

Unspecified/Mixed

73

10,061

253 (224, 283)

 

Gestation

  

Term

66

7155

261 (217, 305)

0.867

0.940

Preterm

19

1196

265 (249, 281)

Unspecified/Mixed

85

13,929

260 (231, 288)

 

Breastfeeding practice

     

Exclusive

32

3132

260 (193, 328)

0.365

0.077

Mixed

15

2056

228 (207, 249)

Unspecified

115

17,158

264 (240, 288)

 

Calcium supplementation

  

Supplemented

5

571

251 (214, 289)

0.275

0.413

Not supplemented

19

3742

275 (255, 294)

Unspecified/Mixed

133

17,543

258 (234, 282)

 

Nutritional status

  

Good

14

2292

261 (243, 280)

0.082

0.178

Poor

5

708

321 (256, 385)

Unspecified/Mixed

138

19,342

256 (232, 280)

 

Country income category

  

Low

7

1280

282 (161, 403)

0.902

< 0.001

Lower-middle

22

2259

246 (171, 321)

Upper-middle

49

7436

257 (235, 279)

High

85

9446

264 (256, 272)

Unspecified/Mixed

1

1442

290 (287, 293)

 

Continent

  

Africa

19

2274

240 (198, 283)

0.618

NA

Asia

47

8487

255 (233, 277)

Australasia/Oceania

6

778

271 (217, 324)

Europe

33

4108

270 (260, 280)

North America

37

4334

261 (250, 272)

South America

22

1882

270 (248, 292)

Measurement method

     

AAS

54

6964

263 (227, 299)

0.561

0.408

FAAS

17

1922

277 (247, 307)

ICP-AES

25

3957

272 (259, 286)

ICP-MSd

27

5682

261 (250, 272)

Other

31

3782

241 (207, 275)

 
  1. a P-value for difference between groups without ‘Unspecified/Mixed’ group. b P-value for difference between groups for all groups. c Key studies include only studies conducted in healthy women, healthy and term infants, and exclusively breastfed if aged 0-5.9 months. d Method recommended for determination of calcium (14). NA: Not applicable, N: number of studies, n: number of participants