Advice on calcium – how much is needed for healthy bones?

Written by: Dr Taher Mahmud
Published:
Edited by: Emily Lawrenson

Just how much calcium should I be getting? Dr Taher Mahmud of the London Osteoporosis Clinic discusses nutrition, and how calcium intake can help build healthy bones, especially while we are young. 

Calcium is an essential nutrient. In fact, it is the most abundant mineral in the human body, and plays an important role in its functions. 99% of the calcium in our bodies is found in the teeth and bones, forming an integral part of their structure. In a healthy structure, the body removes small quantities of calcium from the bones and replaces it with new calcium. If the bones receive less calcium than they have taken away, this leads to a deficit and causes bones to become weak, making them more prone to fractures and breaks.

If our diet is calcium-rich, it allows the body to deposit the calcium it gets from food and drink into our bones, meaning our bones stay strong and healthy. When you are younger, building healthy bones is essential, and children and young adults who eat calcium-rich diets can build up stores in their bones, ensuring they have the best start in life.

We can often think of calcium deposits and our bones like a bank – build up a healthy saving in order to be well-off, and have less risk, later in life. It is also important to note that calcium is just one part in the process of building bones. We can put money into the bank, but we also need something to help facilitate that. In the case of the bones, this means other nutrients, like vitamin D, vitamin K, and magnesium.

How much calcium do I need?

The UK government have set recommendations on the level of calcium we should be consuming, which is as follows:

Age

Recommended calcium intake

0-12 months (non-breast fed infants)

525mg

1-3 years

350mg

4-6 years

450mg

11-18 years (boys/girls)

1000mg/800mg

19+ years

700mg

Pregnant women

700mg

Breastfeeding women

700mg + 550mg

 

Calcium intake around the age of 11-18 is essential, and should be at its highest level during that period. After 19, the average intake should be around 700mg.

Through famous slogans and campaigns, we all know that milk is a good source of calcium – but is it the only one?

A third of a pint of whole milk contains 224mg of calcium, so that’s four glasses of milk a day for growing girls. But we should be eating a varied diet, and there are many other foods which are calcium-rich, not to mention full of other good nutrients.

Sources of food rich in calcium include:

  • Leafy greens, especially dark ones, such as kale (kale contains 150mg of calcium per 100g), or collards
  • Nuts and seeds
  • Beans/legumes (tofu, black beans, black-eyed peas)
  • Vegetables such as bok choy, broccoli, and cabbage
  • Fish, including sardines, salmon, shrimp, whitebait
  • Wholeweat products

To calculate your daily calcium intake, you can use this tool.

By Dr Taher Mahmud
Rheumatology

Dr Taher Mahmud is a distinguished consultant rheumatologist based in central London and Tunbridge Wells. He is renowned for his expertise in osteoporosis, osteopenia, osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, and inflammatory arthritis.

Dr Mahmud qualified in medicine from King's College London before undertaking training at various esteemed institutions including St Thomas', and Pembury Hospitals. He also completed an esteemed research fellowship at King’s College Hospital, also gaining an MD and a Master’s in biochemistry. He further honed his skills in rheumatology through specialist training at King's College, the Lupus Unit at St Thomas', and Guy's Hospital Rheumatology Units. Dr Mahmud has served as a consultant rheumatologist since 2000, and was awarded fellowship of the Royal College of Physicians in 2014. Boasting more than 30 years of experience, Dr Mahmud has held various prominent roles throughout his career, including as cofounder and clinical lead for osteoporosis at the London Osteoporosis Clinic, and has also received a Clinical Excellence Award in recognition of his excellence and dedication to his practice. He currently sees private patients at HCA UK, The Shard and 25 Harley Street.

Additional to his clinical practice, Dr Mahmud has held a number of esteemed positions in public associations throughout his career, with a particular focus on improving patient experience and outcomes, including as a member of the MTW Patient Experience Committee and as an organiser and chair of conferences on patient experience at the Royal Society of Medicine. In recognition of his commitment to drive improvement in this area, he was awarded an NHS Innovations award for patient feedback. He has also been actively involved in medical education throughout his career, having lectured and trained a wide range of medical students and fellow practitioners.

With a wealth of expertise and experience, Dr Mahmud continues to make significant contributions to the field of rheumatology. He has appeared in numerous peer-reviewed publications and has authored his own book on the subject of patient care and feedback. Dr Mahmud is passionate about raising awareness of the prevention of osteoporosis fractures and maintaining healthy bones. He has appeared on several podcasts as an expert speaker on bone health and osteoporosis and the menopause. Dr Mahmud is also a member of various professional organisations, including the American College of Rheumatology, British Medical Association, British Society of Rheumatology, General Medical Council and the Royal Society of Medicine.

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