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Nutritional Guidelines and Information

Calcium is a well-known nutrient that plays an important role in a variety of essential functions, including bone and teeth formation, as well as the healing of broken bones. The Recommended Daily Allowance (RDA) is 800 to 1200 mg. Foods high in calcium milk, broccoli, turnip greens and cheese to name a few. Supplements are derived from a variety of sources, including dolomite, oyster shells, and bone meal. It is also produced in different chemical forms with calcium citrate and calcium carbonate noted to be highly absorbable. Calcium is often combined with magnesium and Vitamin D to mention a few.

Alcohol, caffeine and smoking can significant cause increase loss of calcium and delay the speedy healing of broken bones. Probably the most insidious cause of calcium depletion is an obsession with fast foods. Too much protein (or too little) and too much, fat, salt and sugars actually rob the body of calcium. Soft Drinks contain a large amount of phosphorus that can deplete calcium reserves and reduce the body’s ability to use additional supplements.

Vitamin D is valued for its ability to increase the amount of calcium deposited in the bones. In fact without Vitamin D our bodies would be unable to absorb calcium. In adults a lack of vitamin D can lead to osteomalacia, a progressive softening of the bones, which can make them highly susceptible to fractures. The best source of Vitamin D is sunshine. Food sources such as fish liver oils, salmon, tuna; egg yolk and sardines are a good source as well. If you have to use a supplement choose one with 400 IU/day.

Magnesium is an extremely important mineral that works like a partner with calcium, helping the body to absorb Vitamin D and changing calcium to its soluble state. Some common foods that contain magnesium include vegetables, nuts, beans, legumes, whole grains, seafood’s, dairy product, lemons and grapefruits. RDA is 280 – 350 mg for adults.

Vitamin C also plays a role in healing broken bones. It aids in strengthening of bones and connective tissue. The Recommended Daily Allowance for Vitamn C for adults is 60 – 95 mg. Smokers should take 100 mg per day Food sources citrus fruit such as oranges and lemons.

Dietary suggestion is for a diet high in quality proteins and complex carbohydrates and raw foods. It’s also recommended to sip 2 – 3 oz of distilled or filtered water every 30 minutes while you are awake instead of fluoridated water to increase calcium absorption for bone formation.

Good Eating and Good Health!

Written by: Cheryl Body, RD, LD

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  • NutritionOnline.com has all of your top quality nutritional supplements at great low prices. They can guide you to the right supplements for your needs, answer your questions about their use and offer a discount program for repeat customers.
  • pcrm.org is the site of the Physicians' Committee for Responsible Medicine. This site debunks many of the myths perpetrated by the food industry with up-to-date research in the medical field that will clear up many misconceptions concerning the foods we need to facilitate the healing and rebuilding of broken bones.

Broken Beauties recommends Cal-Matrix™ to help fortify and heal your broken bone.

Calcium and Broken Bones

If you think your kids need milk to grow strong bones and reduce the risk of broken bones, it's time for a second opinion! A major research study published in Pediatrics in 2000 showed that getting extra calcium—from milk or anything else—doesn't make any difference at all in bone density. And evidence shows that dairy product consumption contributes to obesity, ear infections, constipation, respiratory problems, heart disease, and some cancers.

For strong bones, kids need exercise, sunlight, and a diet rich in fruits and vegetables. And there's healthy calcium in fortified juices, soymilk, greens, beans, and many other foods that avoid milk's problems.

When your child suffers a broken bone injury, it is essential that their diet includes the foods mentioned above, especially since your child's bones are still growing. Think of these bones as being a tree that needs fertilizer. These healthy foods are your bones' fertilizer and will promote their healthy re-growth. Please see the article below for more information.


Calcium and Strong Bones

Protecting Your Bones

The bone-thinning condition called osteoporosis can lead to small and not-so-small fractures. Although many people think of calcium in the diet as good protection for their bones, this is not at all the whole story. In fact, in a 12-year Harvard study of 78,000 women, those who drank milk three times a day actually broke more bones than women who rarely drank milk.1 Similarly, a 1994 study of elderly men and women in Sydney, Australia, showed that higher dairy product consumption was associated with increased fracture risk. Those with the highest dairy product consumption had approximately double the risk of broken bones compared to those with the lowest consumption.2

To protect your bones you do need calcium in your diet, but you also need to keep calcium in your bones.

How to Get Calcium into Your Bones

  1. Get calcium from greens, beans, or fortified foods.

    The most healthful calcium sources are green leafy vegetables and legumes, or "greens and beans" for short. Broccoli, Brussels sprouts, collards, kale, mustard greens, Swiss chard, and other greens are loaded with highly absorbable calcium and a host of other healthful nutrients. The exception is spinach, which contains a large amount of calcium but tends to hold onto it very tenaciously, so that you will absorb less of it.

    Beans are humble foods, and you might not know that they are loaded with calcium. There is more than 100 milligrams of calcium in a plate of baked beans. If you prefer chickpeas, tofu, or other bean or bean products, you will find plenty of calcium there, as well. These foods also contain magnesium, which your body uses along with calcium to build bones.

    If you are looking for a very concentrated calcium source, calcium-fortified orange or apple juices contain 300 milligrams or more of calcium per cup in a highly absorbable form. Many people prefer calcium supplements, which are now widely available.

    Dairy products do contain calcium, but it is accompanied by animal proteins, lactose sugar, animal growth factors, occasional drugs and contaminants, and a substantial amount of fat and cholesterol in all but the defatted versions.
  2. Exercise, so calcium has somewhere to go.

    Exercise is important for many reasons, including keeping bones strong. Active people tend to keep calcium in their bones, while sedentary people lose calcium.
  3. Get vitamin D from the sun, or supplements if you need them.

    Vitamin D controls your body's use of calcium. About 15 minutes of sunlight on your skin each day normally produces all the vitamin D you need. If you get little or no sun exposure, you can get vitamin D from any multiple vitamin. The Recommended Dietary Allowance is 200 IU (5 micrograms) per day. Vitamin D is often added to milk, but the amount added is not always well controlled.

How to Keep It There

It's not enough to get calcium into your bones. What is really critical is keeping it there. Here's how:

  1. Reduce calcium losses by avoiding excess salt.

    Calcium in bones tends to dissolve into the bloodstream, then pass through the kidneys into the urine. Sodium (salt) in the foods you eat can greatly increase calcium loss through the kidneys.3 If you reduce your sodium intake to one to two grams per day, you will hold onto calcium better. To do that, avoid salty snack foods and canned goods with added sodium, and keep salt use low on the stove and at the table.
  2. Get your protein from plants, not animal products.

    Animal protein—in fish, poultry, red meat, eggs, and dairy products—tends to leach calcium from the bones and encourages its passage into the urine. Plant protein—in beans, grains, and vegetables—does not appear to have this effect.4
  3. Don't smoke.

    Smokers lose calcium, too. A study of identical twins showed that, if one twin had been a long-term smoker and the other had not, the smoker had more than a 40 percent higher risk of a fracture.5

    American recommendations for calcium intake are high, partly because the meat, salt, tobacco, and physical inactivity of American life leads to overly rapid and unnatural loss of calcium through the kidneys. By controlling these basic factors, you can have an enormous influence on whether calcium stays in your bones or drains out of your body.

Hormone Supplements Have Serious Risks

Some doctors recommend estrogen supplements for women after menopause as a way to slow osteoporosis and avoid broken bones, although the effect is not very great over the long run, and they are rarely able to stop or reverse bone loss.

Many women find these hormones distasteful because the most commonly prescribed brand, Premarin, is made from pregnant mares' urine, as its name suggests. What has many physicians worried is the fact that estrogens increase the risk of breast cancer. The Harvard Nurses' Health Study found that women taking estrogens have 30 to 80 percent more breast cancer, compared to other women.6

Moreover, Premarin may aggravate heart problems. In a study of 2,763 postmenopausal women with coronary disease followed for an average of four years, there were as many heart attacks and related deaths in women treated with the combined regimen of estrogens and a progesterone derivative, as with placebo, but the coronary problems occurred sooner in women taking hormones. Hormone-treated women were also more likely to develop dangerous blood clots and gallbladder disease.7 Controlling calcium losses is a much safer strategy.

Reversing Osteoporosis

If you already have osteoporosis, you will want to speak with your doctor about exercises and perhaps even medications that can reverse it.

Osteoporosis in Men

Osteoporosis is less common in men than in women, and its causes are somewhat different. In about half the cases, a specific cause can be identified and addressed:8

Steroid medications, such as prednisone, are a common cause of bone loss and increased occurences of broken bones. If you are receiving steroids, you will want to work with your doctor to minimize the dose and to explore other treatments.

Alcohol can weaken your bones, apparently by reducing the body's ability to make new bone to replace normal losses. The effect is probably only significant if you have more than two drinks per day of spirits, beer, or wine.

A lower than normal amount of testosterone can encourage osteoporosis. About 40 percent of men over 70 years of age have decreased levels of testosterone.

In many of the remaining cases, the causes are excessive calcium losses and inadequate vitamin D. The first part of the solution is to avoid animal protein, excess salt and caffeine, and tobacco, and to stay physically active in order to reduce calcium losses. Second, take vitamin D supplements as prescribed by your physician. The usual amount is 200 IU (5 micrograms) per day, but it may be doubled if you get no sun exposure at all. If you have trouble absorbing calcium due to reduced stomach acid, your doctor can recommend hydrochloric acid supplements.

Calcium and Magnesium in Foods

Food Source

Calcium

Magnesium

Collards (1 cup, boiled)

358

52

Orange juice, calcium-fortified (1 cup)

350*

--

Oatmeal, instant (2 packets)

326

70

Figs, dried (10 medium)

269

111

Tofu, calcium-set (1/2 cup)

258

118

Spinach (1 cup, boiled)

244

158

Soybeans (1 cup, boiled)

175

148

White beans (1 cup, boiled)

161

113

Mustard greens (1 cup, boiled)

150

20

Navy beans (1 cup, boiled)

128

107

Vegetarian baked beans (1 cup)

128

82

Great northern beans (1 cup, boiled)

121

88

Black turtle beans (1 cup, boiled)

103

91

Swiss chard (1 cup, boiled)

102

152

Broccoli (1 cup, boiled)

94

38

Kale (1 cup boiled)

94

24

English muffin

92

11

Butternut squash (1 cup, boiled)

84

60

Pinto beans (1 cup, boiled)

82

95

Chick peas (1 cup, canned)

80

78

Sweet potato (1 cup, boiled)

70

32

Green beans (1 cup, boiled)

58

32

Barley (1 cup)

57

158

Brussels sprouts (8 sprouts)

56

32

Navel orange (1 medium)

56

15

Raisins (2/3 cup)

53

35

Source: J.A.T. Pennington, Bowes and Church's Food Values of Portions Commonly Used. (Philadelphia: J.B. Lippincott, 1994.)

*Information from manufacturer

References

1. Feskanich D, Willett WC, Stampfer MJ, Colditz GA. Milk, dietary calcium, and bone fractures in women: a 12-year prospective study. Am J Publ Health 1997;87:992-7.
2. Cumming RG, Klineberg RJ. Case-control study of risk factors for hip fractures in the elderly. Am J Epidemiol 1994;139:493-503.
3. Nordin BEC, Need AG, Morris HA, Horowitz M. The nature and significance of the relationship between urinary sodium and urinary calcium in women. J Nutr 1993;123:1615-22.
4. Remer T, Manz F. Estimation of the renal net acid excretion by adults consuming diets containing variable amounts of protein. Am J Clin Nutr 1994;59:1356-61.
5. Hopper JL, Seeman E. The bone density of female twins discordant for tobacco use. N Engl J Med 1994;330:387-92.
6. Colditz GA, Stampfer MJ, Willett WC, et al. Type of postmenopausal hormone use and risk of breast cancer: 12-year follow-up from the Nurses' Health Study. Cancer Causes and Control 1992;3:433-9.
7. Hulley S, Grady D, Bush T, et al. Randomized trial of estrogen plus progestin for secondary prevention of coronary heart disease in postmenopausal women. JAMA 1998;280:605-13.
8. Peris P, Guanabens N, Monegal A, et al. Aetiology and presenting symptoms in male osteoporosis. Br J Rheumatol 1995;34:936-41.

Reprinted with kind permission from The Physicians' Committee for Responsible Medicine - www.pcrm.org

Last updated 23 April 2004