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Strategies for Osteoporosis

Optimal Calcium Intake

In June, 1994, NIH held a Consensus Development Conference on Optimal Calcium Intake. For two days, experts presented their research to a panel of doctors, nutritionists, and scientists. Results from several studies indicated that an increased calcium intake is beneficial for bone health in people of all ages. Research studies also found that the majority of Americans do not consume adequate amounts of calcium. Following the presentations, consensus panel members reviewed the scientific evidence and presented their conclusions. The panel concluded that Americans need to increase their intake of calcium.

This article suggests ways to achieve optimal calcium intake using the Food Guide Pyramid. Calcium is essential for life. It helps regulate your heart beat, sends nerve impulses, helps clot blood, stimulates hormone secretions, and activates enzymes. Calcium is also essential for building denser, stronger bones in early life and for slowing the rate of bone loss in later life.

Sources of Calcium

According to the experts, foods remain the best sources of calcium. Calcium-fortified foods and calcium supplements are helpful for people who are unable to get enough in their diets. Currently, there are calcium-fortified juices, cereals, and breads as well as calcium-rich, lactose-free products and lactase enzyme pills for those unable to consume dairy products.

If you don't get all the calcium you need from your diet, calcium-fortified foods and calcium supplements can fill the gap so that you reach your calcium requirement for each day.

When choosing a calcium supplement, stick to brand names with proven reliability. It is best to avoid calcium from bone meal, dolomite, or unrefined oyster shells as these may contain lead or other toxic metals. If the product has AUSP@ on the label, this means that it has met voluntary quality standards of purity and dissolution established by the United States Pharmacopeia (USP). These products are less likely to contain harmful contaminants and are more likely to disintegrate in the stomach.

How to Take Calcium

Your body can best handle about 500 mg of calcium at any one time, whether from food or supplements. Therefore, consume your calcium-rich foods and/or supplements in smaller doses throughout the day, preferably with a meal. Because the body requires calcium 24 hours a day, some experts suggest consuming a calcium-rich food such as yogurt or a calcium supplement at bedtime to provide a calcium source during the night.

Calcium Interactions

There are several substances which can interfere with the body's ability to use calcium. Some of the most common offenders are foods high in oxalates, phytates, protein and sodium. Foods high in oxalates include spinach, rhubarb, beet greens, and almonds. The calcium in spinach or rhubarb is almost completely unavailable. Legumes, such as pinto beans, navy beans, and peas, are high in phytates. The calcium in legumes is only half as available as the calcium in milk. You can reduce the phytate level in beans or legumes by soaking them in water for several hours, discarding the water, and then cooking them in fresh water. Wheat bran is also high in phytates. Wheat bran is the only fiber-rich food that appears to reduce calcium absorption. The fiber in fruits, vegetables, and common cereals does not significantly interfere with calcium absorption. To derive the maximum benefit from your calcium-rich foods, do not eat them at the same time as foods high in oxalates and phytates. If you wish to eat foods from these categories, eat them one hour before or two hours after calcium-rich foods.

Excessive protein and sodium intake can increase calcium loss through the kidneys. In fact, an individual's daily calcium requirement increases in direct proportion to the amount of protein and sodium in his/her diet. Refer to the Food Guide Pyramid to determine the number of servings and proper serving sizes of the foods you should eat each day to achieve proper nutrition.

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