# Your Guide to a Bone Healthy Diet

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1 Your Guide to a Bone Healthy Diet

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4 CALCIUM RECOMMENDATIONS Women Under age 50 need a total of 1,000 milligrams (mg) of calcium* every day. Women age 50 and older (or any women who is not menstruating) need a total of 1,200 mg of calcium* every day. Men Under age 71 need a total of 1,000 mg of calcium* every day. Age 71 and older need a total of 1,200 mg of calcium* every day. ESTIMATE YOUR CALCIUM INTAKE Step 1: Estimate the number of servings you have on a typical day for each type of food. One serving is equal to approximately: 8 oz. or one cup of low-fat or fat-free milk 6 oz. of low-fat or fat-free yogurt 1.5 oz. of low-fat cheese The amount of calcium in fortified foods and juices ranges from 80-1,000 mg. Read the label to find out how much calcium is in each serving. Examples are juices, soy milk, almond milk and cereals. Step 2: List the estimated number of servings of each food item under the Calcium Calculator s Servings per Day column. Step 3: Multiply the number of Servings per Day by the number of milligrams (mg) under Calcium. So, if you have about two servings of milk per day, multiply 2 x 300 to get a total of 600 mg of calcium from milk. Step 4: After you have calculated the total amount of calcium for each product, add these totals in the right-hand column to get your Total Daily Calcium Intake. Make sure to include 250 mg for estimated total from other foods. If you know you re getting more than 250 mg of calcium from other foods each day, increase this number. See the calcium-rich vegetables list. Step 5: To find out how much additional calcium you need, subtract your Total Daily Calcium Intake from the amount of calcium recommended for your gender and age. This number is the remainder of the total calcium you need for the day. You can get this amount by having another serving of a calcium-rich food or by taking a calcium supplement for the shortfall. *This includes the total amount of calcium you get from both food and supplements. Note: According to the Institute of Medicine (IOM), the safe upper limit for calcium is 2,000-2,500mg for most adults.

5 Calcium Calculator Product Servings per Day Calcium (mg) Total (mg) Milk 8 oz. x 300 Yogurt 6 oz. x 300 Cheese 1.5 oz. x 300 Fortified foods & juices x (80-1,000) Estimated Total from Other Foods mg Total Daily Calcium Intake Note: Most people get about 250 mg of calcium from fruits, vegetables and other foods. Add this amount when calculating your total daily calcium intake. CALCIUM-RICH VEGETABLES Estimated calcium per cup (cooked) Collard greens Brocolli Rabe Turnip Greens Kale Soy beans (mature) Bok choy Dandelion Greens Okra Mustard greens Brocolli 256 mg 200 mg 200 mg 175 mg 175 mg 160 mg 150 mg 120 mg 120 mg 60 mg

7 Studies have also shown that a moderate intake of certain alcoholic and non-alcoholic beverages like wine, beer and tea may also be good for your bones. More research is also needed to help us to better understand the relationship between these drinks and bone health. MORE TIPS FOR EATING FOR GOOD BONE HEALTH Beans (legumes): While beans contain calcium, magnesium, fiber and other nutrients, they are also high in substances called phytates. Phytates interfere with your body s ability to absorb the calcium that is contained in beans. You can reduce the phytate level by soaking beans in water for several hours and then cooking them in fresh water. Meat and other high protein foods: It s important to get enough, but not too much protein for bone health and overall health. Many older adults do not get enough protein in their diets and this may be harmful to muscles and bones. However, special high protein diets that contain multiple servings of meat and protein with each meal can also cause the body to lose calcium. You can make up for this loss by getting enough calcium for your body s needs. For example dairy products, although high in protein, also contain calcium that is important for healthy bones. Salty foods: Eating foods that have a lot of salt (sodium) causes your body to lose calcium and can lead to bone loss. Try to limit the amount of processed foods and salt added to the foods you eat each day. To learn if a food is high in sodium, look at the Nutrition Facts label. If it lists 20% or more for the % Daily Value, it is high in sodium. Aim to get 2,400 mg or less of sodium per day. Spinach and other foods with oxalates: Your body doesn t absorb calcium well from foods that are high in oxalates (oxalic acid) such as spinach. Other foods with oxalates are rhubarb, beet greens and certain beans. These

8 foods contain other healthy nutrients, but they just shouldn t be counted as sources of calcium. Wheat bran: Like beans, wheat bran contains high levels of phytates which can prevent your body from absorbing calcium. However, unlike beans, 100% wheat bran is the only food that appears to reduce the absorption of calcium in other foods eaten at the same time. For example, when you have milk and 100% wheat bran cereal together, your body can absorb some, but not all, of the calcium from the milk. The wheat bran in other foods like breads is much less concentrated and not likely to have a noticeable impact on calcium absorption. If you take calcium supplements, you may want to take them two or more hours before or after eating 100% wheat bran. Alcohol: Drinking heavily can lead to bone loss. Limit alcohol to no more than 2-3 drinks per day. Caffeine: Coffee, tea and soft drinks (sodas) contain caffeine, which may decrease calcium absorption and contribute to bone loss. Choose these drinks in moderation. Coffee/tea: Drinking more than three cups of coffee every day may interfere with calcium absorption and cause bone loss. Soft drinks: Some studies suggest that colas, but not other soft drinks, are associated with bone loss. While more research will help us to better understand the link between soft drinks and bone health, here is what we know - the carbonation in soft drinks does not cause any harm to bone. The caffeine and phosphorous commonly found in colas may contribute to bone loss. Like calcium, phosphorous is a part of the bones. It is listed as an ingredient in colas, some other soft drinks and processed foods as phosphate or phosphoric acid. Some experts say that Americans get too much phosphorous, while others believe that it is not a problem as long as people get enough calcium. The harm to bone may actually be caused when people choose soft drinks over milk and calcium-fortified beverages. Luckily you can help make up for any calcium lost from these beverages by getting enough calcium to meet your body s needs.

9 In addition to calcium and vitamin D, there are other nutrients that appear to be important for bone health. Our bodies do best when provided nutrients throughout the day. Try to have some with each meal or snack. Some examples are: Vitamin K. Sources include dried plums (prunes) and certain dark green leafy vegetables like kale, collard greens, spinach, mustard greens, turnip greens and Brussels sprouts. Potassium. Sources include dried plums (prunes), tomato products, raisins, potatoes, spinach, sweet potatoes, papaya, oranges, orange juice, bananas and plantains. Magnesium. Sources include spinach, beet greens, okra, tomato products, artichokes, plantains, potatoes, sweet potatoes, collard greens and raisins. Vitamin C. Sources include red peppers, green peppers, oranges, grapefruits, broccoli, strawberries, Brussels sprouts, papaya and pineapples. Try to eat 1.5 cups of fruit and 2 cups of vegetables every day for bone and overall health.

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