Description
WHAT
IS CALCIUM AND WHY MIGHT I NEED MORE?
Calcium
is an essential mineral that your body needs every day.
Calcium plays a number of important roles in the body
and if deficient, can cause numerous health issues. First,
calcium is the major constituent of bones and teeth. Over
98% of body calcium resides in those structures. In the
rest of the body calcium supports heart function, circulation,
nerve function and muscle tone.
If
insufficient calcium results from a poor dietary intake
of this nutrient, the body can "rob" calcium
from the bones to make up the shortage. When this happens,
low peak bone mass can result which is a low amount of
bone mass present at maturity. Low peak bone mass can
be a contributing factor to the development of a potentially
crippling disease of weak, thin and fragile bones called
osteoporosis. In excess of 25 million people in the United
States have this disease which is a multifactorial disease,
also affected by race, sex, heredity, body stature, diet,
exercise level, and life style. Excess alcohol consumption
and smoking are also considered risk factors in osteoporosis.
Building
and maintaining good bone health through adequate calcium
intake throughout life is linked to a reduced risk of
osteoporosis by optimizing bone mass.
Calcium intake exceeding 200% of the recommended daily
intake (2000 mg.) has no further known benefit.
AT WHAT AGE IS CALCIUM INTAKE IMPORTANT?
Very
simply, at all ages. Calcium is important to infant development,
childhood development when bones are growing, during childbearing
and during adulthood to keep bones healthy and strong.
CAN'T I GET ENOUGH CALCIUM FROM MY DIET?
Infant
formulas and some baby foods are rich in calcium as is
mother's milk, so babies and infants probably get enough.
Once off of those sources, getting enough calcium becomes
more difficult. It is generally recognized by the National
Academy of Sciences Institute of Medicine, that from ages
four through adulthood, calcium Dietary Reference Intakes
optimum for good health range from 800 mg. daily to 1200
mg. daily. To get that from the diet requires an individual
to get two to three servings of dairy products per day
plus several servings of protein, vegetables, grains and
fruits. This is difficult for many people.
Many
individuals are sensitive to dairy products, casein, lactose,
or other dairy proteins. These individuals find it very
challanging to obtain enough dietary calcium.
WHAT AFFECTS CALCIUM ABSORPTION FROM MY DIET?
Fiber-rich
foods and plant foods containing phytic acid can negatively
affect the absorption of calcium as can caffeine. Excess
fat, salt and soft drinks also have a negative effect.
It
is better to spread calcium intakes out over the day as
opposed to taking it all at once. Studies show that when
too much calcium is in the body at once, absorption is
diminished.
Vitamin
D increases the absorption of calcium so it is important
to make sure your diet contains sufficient amounts of
that nutrient. Vitamin D is stored in the body so it is
not necessary to consume the vitamin D at the same time
as the calcium, however many calcium supplements contain
small amounts of vitamin D as a precautionary measure.
Since milk and cereals are usually fortified with vitamin
D and sunlight also contributes, older adults without
sunlight exposure and with poor diets are most at risk
to be deficient in vitamin D.
WHAT
KIND OF CALCIUM SUPPLEMENT SHOULD I TAKE?
There
are many excellent calcium supplements available on the
market. Calcium Carbonate and Calcium Citrate are the
most popular sources with calcium carbonate being by far
the most abundant. Both calcium carbonate and calcium
citrate are excellent sources and are well absorbed. The
New England Journal of Medicine (1987) reported that these
forms of calcium had similar absorption profiles to the
calcium found in milk and these results have been confirmed
in subsequent studies.
Calcium
carbonate is best absorbed when taken with food. Individuals
with the condition achlorhydria (missing stomach acid)
seem to absorb calcium citrate better, though the difference
is minimized when calcium carbonate is taken with food.
There
is one form of calcium which has shown some advantages
in absorption properties. The form is known as Calcium
bis-glycinate chelate produced by Albion Laboratories
Inc. of Clearfield, Utah. See a discussion of this form
of calcium under Kirkman's Bio-Max calcium product later
in this article.
WHAT
OTHER QUALITY ISSUES DO I NEED TO BE CONCERNED ABOUT WHEN
CHOOSING CALCIUM SUPPLEMENTS?
Poor
quality calcium supplements may contain a higher lead
content than is desirable. The United States Pharmacopoeia
(USP) and the Food Chemicals Codex are considered standards
for quality materials used in supplements and the lead
tolerance in these publications is three parts per million
(ppm), an acceptable level to the Food and Drug Administration.
Most reputable companies have adopted these standards.
It can also be pointed out that several high quality pharmaceutical
grades of calcium are also available which have lead levels
far below the 3 ppm accepted standard.
Another
issue in quality calcium supplements is disintegration
and dissolution standards of the dosage form. A product
must dissolve in the body to do any good. Check with your
manufacturer to insure that its calcium products meet
USP standards.
Finally,
look carefully at the label of the calcium supplement
you are contemplating buying. The requirements for calcium
intake are referring to elemental calcium. Your supplement
should be supplying the total amount of the mineral calcium,
not an amount of the calcium salt. For example, a supplement
should be supplying 600 mg. of elemental calcium, not
600 mg. of calcium carbonate. If a supplement supplied
600 mg. of calcium carbonate, it would only be providing
216 mg. of elemental calcium. If in doubt, call the manufacturer.
Calcium is too important to come up short.
CAN
I TAKE TOO MUCH CALCIUM?
The
National Institute of Health and the Journal of the American
Medical Association seem to agree that calcium can be
safely consumed up to 2000 mg. per day by most people.
KIRKMAN
CALCIUM SUPPLEMENTS
All
of the following Kirkman calcium products are manufactured
with pharmaceutical grade, low lead containing, calcium
raw materials and are formulated to meet USP specifications
for disintegration and/or dissolution for calcium supplements.
KIRKMAN
CALCIUM-MAGNESIUM LIQUID WITH VITAMIN D
Kirkman
customers have been asking for a liquid calcium/magnesium
product for two years. We did not want to come out with
one until our product development group perfected a good
tasting, non-gritty, stable product which would be more
desirable than other products in the marketplace. We have
finally accomplished those goals and are pleased to introduce
Kirkman Calcium-Magnesium Liquid with Vitamin D.
The
product may be administered by teaspoon or mixed with
the beverage of your choice. Be careful in carbonated
beverages! It will "fizz" a lot.