Karen Schroeder Kassel, MS, RD, MEd
Calcium is the most prevalent mineral in the human body. About 99% of the body's calcium resides in the bones and teeth, and the remaining 1% is found in other body fluids and cells.
Calcium's functions include:
The Institute of Medicine offers these recommendations:
In childhood, not getting enough calcium may interfere with growth. A severe deficiency may keep children from reaching their potential adult height. Even a mild deficiency over a lifetime can affect bone density and bone loss, which increases the risk for osteoporosis as an adult.
If you do not consume enough calcium, your body will draw from the storage in your bones in order to supply enough calcium for its other functions: nerve transmission, muscle contraction, heartbeat, and blood clotting.
Symptoms of a calcium deficiency include:
Very large doses over a prolonged period of time may cause kidney stones and poor kidney function. Your body may not absorb other minerals, such as
zinc, properly. These problems could occur from consuming too much through a calcium supplement, not from milk or other calcium-rich foods. The tolerable upper intake level (UL) depends on age.
Dairy foods—milk, yogurt, and some cheeses—are the best dietary sources of calcium. These foods are also rich in vitamin D, which helps the body absorb calcium.
Absorption of calcium from some other dietary sources is not as great as that from dairy foods. Specifically, dark green vegetables contain oxalates, and grains contain phytates, which can bind with calcium and decrease their absorption.
Read food labels to determine the specific calcium levels of these foods.
Calcium is essential to build and maintain strong bones at all stages of life. Bone growth begins at conception, and bones grow longer and wider until well into the 20s. After this type of growth is complete, bones gain in strength and density as they continue to build up to peak bone mass by about age 30. From this point on, as a natural part of the aging process, bones slowly lose mass. Calcium is essential to slow this natural loss and stave off the onset of osteoporosis—a disease in which bones become fragile and more likely to break.
If you are unable to meet your calcium needs through dietary sources, consider a calcium supplement. Some points to remember when choosing and using a calcium supplement include:
Department of Agriculture
Eat Right—Academy of Nutrition and Dietetics
Dietitians of Canada
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Calcium. Office of Dietary Supplements website. Available at: https://ods.od.nih.gov/factsheets/Calcium-HealthProfessional. Updated February 11, 2016. Accessed April 29, 2016.
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Dietary reference intakes for calcium and vitamin D. Institute of Medicine website. Available at: http://www.nationalacademies.org/hmd/Reports/2010/Dietary-Reference-Intakes-for-Calcium-and-Vitamin-D/Report-Brief.aspx?page=1. Accessed April 29, 2016.
Hypocalcemia. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated June 2, 2014. Accessed April 29, 2016.
Last reviewed April 2016 by Michael Woods, MD
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