Calcium in diet

Definition

Calcium is the most plentiful mineral found in the human body. The teeth and bones contain the most calcium. Nerve cells, body tissues, blood, and other body fluids contain the rest of the calcium.

Alternative Names

Diet - calcium

Function

Calcium is one of the most important minerals for the human body. It helps form and maintain healthy teeth and bones. A proper level of calcium in the body over a lifetime can help prevent osteoporosis.

Calcium helps your body with:

Food Sources

CALCIUM AND DAIRY PRODUCTS

Many foods contain calcium, but dairy products are the best source. Milk and dairy products such as yogurt, cheeses, and buttermilk contain a form of calcium that your body can easily absorb.

Whole milk (4% fat) is recommended for children ages 1 to 2. Adults and children over age 2 should drink low-fat (2% or 1%) milk or skim milk and other dairy products. Removing the fat will not lower the amount of calcium in a dairy product.

OTHER SOURCES OF CALCIUM

Other sources of calcium that can help meet your body's calcium needs include:

Calcium is often added to food products. These include foods such as orange juice, soy milk, tofu, ready-to-eat cereals, and breads. These are a very good source of calcium for people who do not eat a lot of dairy products.

Ways to make sure you get enough calcium in your diet:

DIETARY SUPPLEMENTS

Calcium is also found in many multivitamin-mineral supplements. The amount varies, depending on the supplement. Dietary supplements may contain only calcium, or calcium with other nutrients such as vitamin D. Check the label on the Supplement Facts panel of the package to determine the amount of calcium in the supplement. Calcium absorption is best when taken in amounts of no more than 500 mg at a time.

Two commonly available forms of calcium dietary supplements include calcium citrate and calcium carbonate.

Other types of calcium in supplements and foods include calcium lactate, calcium gluconate, and calcium phosphate.

Side Effects

Increased calcium for a limited period of time does not normally cause side effects. However, receiving higher amounts of calcium over a long period of time raises the risk of kidney stones in some people.

Those who do not receive enough calcium over a long period of time can develop osteoporosis (thinning of bone tissue and loss of bone density over time). Other disorders are also possible.

People with lactose intolerance have trouble digesting lactose, the sugar in milk. Over-the-counter products are available that make it easier to digest lactose. You can also buy lactose-free milk at most grocery stores. Most people who do not suffer from severe lactose-intolerance are still able to digest hard cheeses and yogurt.

Tell your health care provider about any dietary supplements and medicines you take. Your provider can tell you if those dietary supplements might interact or interfere with your prescription or over-the-counter medicines. In addition, some medicines might interfere with how your body absorbs calcium.

Recommendations

The preferred source of calcium is calcium-rich foods such as dairy products. Some people will need to take a calcium supplement. How much calcium you need depends on your age and gender. Other factors, such as pregnancy and illnesses, are also important.

Recommendations for calcium, as well as other nutrients, are provided in the Dietary Reference Intakes (DRIs) developed by the Food and Nutrition Board at the Institute of Medicine. DRI is a term for a set of reference intakes that are used to plan and assess the nutrient intakes of healthy people. These values, which vary by age and gender, include:

The preferred source of calcium is calcium-rich foods such as dairy products. Some people will need to take a calcium supplement if they do not get enough calcium from the foods they eat.

Infants (AI)

Children and Adolescents (RDA)

Adults (RDA)

Pregnancy and breast-feeding (RDA)

Up to 2,500 to 3,000 mg a day of calcium from dietary sources and supplements appears to be safe for children and adolescents, and 2,000 to 2,500 mg a day appears to be safe for adults.

The following list can help you determine how much calcium you are getting from food:

Vitamin D is needed to help the body absorb calcium. When choosing a calcium supplement, look for one that also contains vitamin D.

References

Institute of Medicine, Food and Nutrition Board. Dietary Reference Intakes for Calcium and Vitamin D. National Academy Press, Washington, DC. 2011. PMID: 21796828 www.ncbi.nlm.nih.gov/pubmed/21796828.

Mason JB. Vitamins, trace minerals, and other micronutrients. In: Goldman L, Schafer AI, eds. Goldman's Cecil Medicine. 24th ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 225.

National Institutes of Health, Office of Dietary Supplements. Dietary Supplement Fact Sheet: Calcium. Accessed March 16, 2015, 2013. ods.od.nih.gov/factsheets/Calcium-HealthProfessional/.

Salwen MJ. Vitamins and trace elements. In: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis and Management by Laboratory Methods. 22nd ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 26.



Review Date: 2/2/2015
Reviewed By: Emily Wax, RD, The Brooklyn Hospital Center, Brooklyn, NY. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
adam.com
A.D.A.M. content is best viewed in IE9 or above, Firefox and Google Chrome browser.