Potassium (chloride vs citrate vs gluconate) and bones & joints

What 3 graded rows on potassium (chloride vs citrate vs gluconate) agree on for bones & joints, and where they differ. Counted side by side, never averaged.

What the rows agree on

Each block and row is one graded row from the Potassium (chloride vs citrate vs gluconate) page, with its PubMed record.

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Potassium (chloride vs citrate vs gluconate) and bones & joints

3 rows · 954 people

Mostly an improvement: 2 of 3 rows, and most of the people. 1 found no difference.

No difference
Improved
Each block is one evidence row, sized by how many people it enrolled, with its grade inside.
  • Grade C× 3
Rows
3
Trials
3
At least: a review without a trial count
People
954
Pooled reviews may count some twice

Where they differ

From the rows
Study designWho was studiedWhen published

The best-graded row, grade C, is a systematic review of 477 people (2015) and found an improvement.

Only the 2 rows that found an improvement include pooled reviews of several trials (1 of 2); the row that found no difference is a single study.

Only the 2 rows that found an improvement name men and older adults in their population.

The 2 rows that found an improvement are newer (2013 to 2015) than the row that found no difference (2008).

The rows

2 improved · 1 no difference
  1. Grade CNew calcium-containing urinary stones with citrate salts · Improved

    Systematic review · n 477 · 2015 · Adults with calcium-containing (mostly oxalate) stones in 7 studies

    Varied across trials · Varied across trials

    New stone formation was lower with citrate therapy (RR 0.26; 95% CI 0.10 to 0.68; 7 studies, 324 participants) and stone size was more often reduced. GI side effects were more common but not significantly.

    Row on the Potassium (chloride vs citrate vs gluconate) page · PubMed 26439475 (opens PubMed)

  2. Grade CBone density in healthy adults over 65 · Improved

    RCT · n 201 · 2013 · Healthy men and women older than 65 without osteoporosis

    60 mEq potassium citrate daily · 24 months

    Lumbar spine bone density rose 1.7% net of placebo, with gains in trabecular density and microarchitecture at the tibia and radius.

    Row on the Potassium (chloride vs citrate vs gluconate) page · PubMed 23162100 (opens PubMed)

  3. Grade CBone turnover and density in postmenopausal women · No difference

    RCT · n 276 · 2008 · Healthy postmenopausal women aged 55-65

    18.5 or 55.5 mEq/d potassium citrate · 2 years

    No reduction in bone turnover markers and no difference in spine or hip bone loss vs placebo.

    Row on the Potassium (chloride vs citrate vs gluconate) page · PubMed 18689384 (opens PubMed)

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