We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Editorial |

Lead in Calcium Supplements Cause for Alarm or Celebration?

Robert P. Heaney, MD
JAMA. 2000;284(11):1432-1433. doi:10.1001/jama.284.11.1432.
Text Size: A A A
Published online


Lead is an element that everyone can safely be against. Lead causes anemia, hypertension, and brain and kidney damage, and in children stunts growth and causes permanent cognitive impairment and increased aggressive behavior. For human health, lead clearly causes harm and does no good.

Ironically, virtually all the lead in the environment is there as a result of human activity. Under premetallurgical conditions, lead in the earth's crust was locked safely away in deep ore deposits or in marine calcareous beds. As technology advanced, lead was mined and smelted and was a workable and useful metal, finding its way into such diverse applications as Roman water conduits, medieval cathedral roof sheathing, fine crystal, paints with a superior covering characteristic, solders, antiknock compounds for automotive fuels, and, of course, ammunition—ammunition by the countless ton over the last several hundred years. All that lead was transferred through human activity, from deep ore deposits to the superficial layers of the earth's crust in which food is grown.



Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

8 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections
PubMed Articles