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Food & Bone Health

Lauren's Story | Nutrient Intake Information | Links

 

Here is Lauren's story about food and bone health…  

I have a family history of osteoporosis: my grandmother had a number of broken bones, and because of that my mother has been very conscious about her own risk for breaking bones. So, before I had anything to do with this project, because of this family history and because I am post-menopausal, I knew I should be concerned with the food choices that I make. 

My grandmother probably knew nothing about food choices for bone health. My mother relies on supplements and medication, but I believe I should be able to get everything I need from food.

As women, we know we should be making food choices for our own sake, but we don’t always do so. When I go shopping at the grocery store, I hardly think about foods for my bone health. When I choose a food, I think: Is it healthy? Will the family eat this? These are my day-to-day realities.

When I think about my personal food intake, I wonder if I am getting enough calcium and vitamin D. But it seems to be very hit and miss with calcium-rich foods. I have a general idea of what foods I should be eating for my bones, but I have no ideas on quantity or which foods would be the better choices.

I pick up information from the media, but what I tend to remember is what fits into my lifestyle. And there is so much information available to us these days from a variety of sources! Often we hear conflicting information and it gets confusing to sort it all out.

My intake of calcium in the past had just been a shot in the dark! If you want to take your bone health seriously, you can determine if you are getting enough calcium and vitamin D by reading on about the calcium and vitamin D recommendations and food sources. For more detailed information, visit the websites that follow.

 

Nutrient Intake Information

The first 2 tables below provide the current recommended daily intake for calcium and vitamin D for men and women who are 19 years of age and older. The Calcium Calculator™ can help you see if you are getting enough calcium in your diet each day. In addition to the vitamin D provided through diet, all adults over 50 years of age should take 400 IU of vitamin D in a supplement each day. The last 2 tables list more common foods that are rich sources of calcium and vitamin D.

If you are uncertain about meeting your need for calcium and vitamin D, talk with a dietitian. If you live in British Columbia, Canada, Dietitian Services at HealthLinkBC (formerly Dial-a-Dietitian) is a phone call away. This free service allows you to ask a Registered Dietitian any nutrition-related question. They offer interpreter services in 130 languages! Call toll-free from anywhere in British Columbia 1-800-667-3438, or if you live in the metro Vancouver area call 604-732-9191. If you live outside British Columbia, check with your local health services to see if there is a similar service available to you.

 

Recommended Calcium Intakes for Adults

For a list of calcium and vitamin D recommendations for people of all ages, click here. Please note that the recommendations for vitamin D intake are currently under scientific review and may be increased in the near future.

Healthy Women and Men
Age
Calcium Intake
19-50 years 1000 mg each day
51 years and older 1200 mg each day
mg = milligrams

 

Recommended Vitamin D Intakes for Adults

Healthy Women and Men
Age
Vitamin D Intake
19-50 years 5 µg each day 200 IU each day
51-70 years* 10 µg each day 400 IU each day
70 years and older* 15 µg each day 600 IU each day
*People over the age of 50 years should take a supplement of 400 IU of vitamin D each day, in addition to the vitamin D you get in your foods and beverages.
µg or mcg = micrograms
Note: If you use supplements, IU (International Units) is used on supplement containers to provide the amount of Vitamin D present in each dose. One microgram is equal to 40 IU. When microgram is present on a supplement container, it is abbreviated µg or mcg.

 

Food Sources of Calcium & Vitamin D

For a longer list of calcium-containing foods, click here.

Calcium-rich foods
Food Amount Milligrams per Amount*
Beverages
Cow's milk (fluid, powdered reconstituted, chocolate) 250 mL (1 cup) 300
Cow's milk (evaporated, canned) 125 mL (1/2 cup) 330
Fortified/enriched soy and rice beverages 250 mL (1 cup) 300
Fortified orange juice with calcium added 250 mL (1 cup) 300
Yogurts
Yogurt (plain) 175 mL (3/4 cup) 300
Yogurt (flavoured) 175 mL (3/4 cup) 200
Cheeses
Firm cheese - regular or low fat (for example: Cheddar, Swiss, Emmental, Gruyere, Marble)

50 g (4x3x3 cm)
(about the size of 4 dice)

350-500
Fresh cheese - regular or low fat (Ricotta) 125 mL (1/2 cup) 350
Soft and semisoft cheese - regular or low fat (for example: Gouda, Mozzarella, Provolone, Monterey Jack, Oka, Feta, Havarti, Fontina)

50 g (4x3x3 cm)
(about the size of 4 dice)

250-350
Soft and semisoft cheese - regular or low fat (Brie, Camembert)

50 g (4x3x3 cm)
(about the size of 4 dice)

150
Hard cheese - grated (for example: Parmesan, Romano) 25 mL (2 Tbsp.) 115
Fresh cheese - regular or low fat (for example: Cottage cheese, Quark) 125 mL (1/2 cup) 75
Tofu, Fish, Green Vegetables
Tofu, firm or medium firm, made with calcium (look for the calcium in the ingredient list on the label) 150 g (3/4 cup) 350
Canned salmon (with the bones, drained) 105 g (1/2 can) 250
Canned sardines (with the bones, drained) 55 g (1/2 can) 200
Asian green vegetables, cooked (for example: bok choy, gai lan) 125 mL (1/2 cup) 65
Kale, cooked 125 mL (1/2 cup) 50
*Note: These are approximate values. Source: Health Canada. Canadian Nutrient File
Abbreviations: mL = millilitres; g = grams; oz. = ounces; Tbsp. = tablespoon

 

 

Vitamin D-rich foods
Food Amount IU per Amount*
Beverages
Cow's milk (fluid, powdered reconstituted, chocolate) 250 mL (1 cup) 100
Cow's milk (evaporated, canned) 125 mL (1/2 cup) 100
Fortified orange juice (read the label, most orange juices do not have vitamin D added) 250 mL (1 cup) 100
Fortified/enriched soy and rice beverages 250 mL (1 cup) 90
Yogurt
Yogurt (read the label, most yogurts do not have vitamin D added) 170 g (6 oz.) 40-80
Fish & Seafood
Salmon: Sockeye (canned) 105 g (1/2 can) 800
Salmon: Pink (baked or broiled) 75 g (2.5 oz.) 765
Salmon: Sockeye, Chinook (baked or broiled) 75 g (2.5 oz.) 675
Oysters: Atlantic or Pacific (baked or broiled) 75 g (2.5 oz.) 240
Halibut: Pacific or Atlantic (baked or broiled) 75 g (2.5 oz.) 145
Sardines: Atlantic (canned in oil) 53 g (1/2 can, 1.8 oz.) 45
Tuna: (canned in water or oil, drained) 60 g (1/2 can, 2.1 oz.) 25
Margarine, Eggs
Margarine 10 mL (2 tsp.) 50
Egg yolk 1 large 25
*Note: These are approximate values. Source: Health Canada. Canadian Nutrient File
Abbreviations: mL = millilitres; g = grams; oz. = ounces; tsp. = teaspoon

 

 

Selected Reliable Websites
(download PDF, 50 KB)

 

Health Canada – My Food Guide
This interactive tool allows you to estimate the number of servings of foods you eat each day and compare your results with the current recommended number of servings for your age and gender profile. You can create and print out a copy of your own personal food guide! Use this personalized information to guide you toward making healthier food choices.


Osteoporosis Canada
Beyond offering further information regarding foods, exercise and supplements for bone health, this website provides basic information about the diagnosis of and possible treatment options for osteoporosis. You can use the Calcium Calculator™ to estimate your daily calcium intake. Try some of the calcium-rich recipes! They also offer a toll-free bilingual information line: 1-800-463-6842 English and 1-800-977-1778 French.


BC Women’s Hospital and Health Centre – Osteoporosis Program
The BC Women’s Hospital and Health Centre offers a clinic for women who have a doctor’s referral and have been diagnosed with osteoporosis or osteopenia with several risk factors. They also offer 2 to 3 osteoporosis education classes each year that do not require a doctor’s referral. Check with the health centre for the dates of these education classes. Health professionals from the Osteoporosis Program have developed the Osteofit exercise program. Osteofit classes are available at community centres throughout British Columbia. Check with your local community centre to see if they offer these classes. The Osteoporosis Program website provides downloadable resources on osteoporosis.


BC HealthFile – Food Sources of Calcium and Vitamin D
This is a guide to food sources and recommended intakes of both calcium and vitamin D. If you think that you are not consuming enough vitamin D and calcium in the foods that you eat, then you may want to also check the Calcium and Vitamin D Supplements HealthFile.


Dietitian Services at HealthLinkBC (formerly Dial-a-Dietitian)
If you live in British Columbia, Dietitian Services at HealthLinkBC is a one-stop resource for asking any nutrition-related questions you have to a Registered Dietitian at the other end of the phone line. They offer translation services in 130 languages! Call toll-free from anywhere in BC 1-800-667-3438, or if you live in the metro Vancouver area call 604-732-9191. You can also view links and download quality food and nutrition resources about bone health and many other health issues from the website.


Women’s Health Matters
This website offers up-to-date information, news and research on aspects of women’s health and lifestyle issues. The website content is reviewed by experts at Women's College Hospital, an affiliate of the University of Toronto, Ontario, Canada.


EATracker
This assessment tool is offered by Dietitians of Canada and allows you to track your daily food intake and physical activities and compare your results to Health Canada’s recommendations.


Health Canada – Canadian Nutrient File
If you are interested in learning which nutrients are found in different foods, or foods that contain richer sources of particular nutrients, this is the site for you! It is a user-friendly database to find the nutritional content of foods. You can select the portion size of the food that you want to analyze.

 
   

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Partial funding provided by the Canadian Foundation for Dietetic Research..

Site production supported by:
Fiona Gamiet
Sophia Morley
Betty Falck
The Learning Centre, Faculty of Land and Food Systems,
University of British Columbia

Special thanks to each woman who gave generously to create this website.