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The Honolulu Advertiser
Posted on: Saturday, July 16, 2005

Natural sources of calcium best bet

By Amy Tousman

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Q. My children don't like milk. Can I give them orange juice with added calcium instead?

A. In recent years, there has been a proliferation of calcium-fortified drinks available.

Calcium is added to improve their bone-building potential. In order for the calcium in these drinks to be beneficial, the type of calcium added must be absorbed into the body.

A study in the May issue of the Journal of the American Dietetic Association compared two brands of calcium-fortified orange juice. One juice contained calcium citrate malate. The other juice contained a combination of tricalcium phosphate and calcium lactate. Results showed the absorption of the calcium citrate malate juice was 48 percent greater than the calcium absorbed in the other juice.

Many forms of calcium can be added to beverages. Even knowing the form cannot assure the consumer how well the calcium will be used by the body. That's because calcium particles react differently when added to various types of drinks.

A study in the February issue of Nutrition Today showed that tricalcium phosphate added to soy drinks had 25 percent less absorbability than the calcium in cow's milk. Calcium-fortified rice beverages also fared poorly.

In addition to poor absorption, the calcium in soy and rice drinks tends to settle out of these beverages, forming a sludge at the bottom of the carton. If the drink is not shaken before serving, the availability of the calcium can be up to 85 percent lower than the amount stated on the product label!

Calcium-fortified beverages can still help meet your calcium needs. After all, some of the calcium is still absorbed. However, these products should not completely replace natural sources of calcium.

What should you do?

  • Use lowfat or fat-free milk, cheese, and yogurt for best absorption.

  • Choose calcium-fortified drinks that also contain Vitamin D for increased absorption.

  • Plan to drink a 12-ounce glass of calcium-fortified rice milk, soy milk or orange juice to get the same amount of usable calcium that is in 8 ounces of cow's milk.

  • Shake calcium-fortified beverages before serving. If the calcium is at the bottom of the carton, it's not getting into your mouth.

  • Salmon with bones, bok choy and broccoli are well-absorbed nondairy sources of calcium.

  • If milk causes stomach upset or diarrhea, try Lactaid or acidophilus milk.

    Amy Tousman is a registered dietitian with the Health Education Center of Straub Clinic and Hospital.

    Hawai'i experts in traditional medicine, naturopathic medicine and diet take turns writing the Prescriptions column.

    Send questions to: Prescriptions, Island Life, The Advertiser, P.O. Box 3110, Honolulu, HI 96802; fax 535-8170;or to islandlife@honoluluadvertiser.com. This column is not intended to provide medical advice.