• How to drink calcium for better absorption. How is calcium absorbed?

    09.11.2018
    Features of calcium absorption

    It’s not enough to just consume calcium, the main thing is to absorb it! Calcium is a difficult-to-digest substance. In food products, calcium is contained mainly in the form of sparingly soluble salts (phosphates, carbonates, oxalates, etc.). For example, only 13.4% of the calcium contained in carrots is absorbed by the body. You need to eat 700 g of carrots to get 1/4 of your daily calcium requirement. Its digestibility largely depends on the substances accompanying it in food.
    The solubility of calcium salts increases in the acidic environment of the stomach, but the dissolved ions are rebinded and precipitated to some extent in the jejunum and ileum, where the pH is closer to neutral. Did you know that a person at the age of 60 can only produce 25% of the amount of stomach acid that he produced at the age of 20? Therefore, the need for calcium only increases with age. In the gastrointestinal tract, food components (glucose, fatty acids, phosphorus and oxalates) bind to calcium, forming complexes. In general, the absorption of calcium supplements (especially less soluble ones) is improved if they are taken with food. This may be because food stimulates gastric secretion and motility, and dietary sources of calcium become more comminuted and soluble.
    Dietary fiber reduces calcium absorption. Several constituents of dietary fiber bind calcium. Hemicellulose inhibits calcium absorption.
    Phytic acid (a component of plants) binds calcium into an insoluble form. Cereals - rye, wheat, oats - are especially rich in phytic acid, however, when the dough is fermented under the influence of phytase contained in yeast, phytic acid is broken down.
    Dark green, leafy vegetables often have relatively high calcium content. But calcium absorption is often hindered by oxalic acid. When combined with oxalic acid, calcium produces water-insoluble compounds that are components of kidney stones. These are sorrel, rhubarb, spinach, beets. Foods low in oxalic acid (white cabbage, broccoli, turnips) are good sources of calcium. Calcium absorption from cabbage is as high as from milk.
    Insufficient protein in the diet impairs calcium absorption. The stimulating effect of proteins is probably due to the fact that the amino acids released during their hydrolysis form highly soluble complexes with calcium. A diet rich in protein may induce calciuria. Calciuria causes a negative calcium balance, but it does not lead to a compensatory increase in the efficiency of calcium absorption in the intestine. Within the same person there is a large diurnal variation in urinary calcium levels due to the calciuretic effect of foods. Digested carbohydrates and protein have a calciuretic effect that is linearly related to the intake of these substances, but is relatively independent of calcium intake. For every additional 50 g of dietary protein, 60 mg of calcium is lost in the urine. High level phosphorus content in some proteins reduces, but does not eliminate its calciuretic effect. The calciuretic effect of protein leads to a decrease in renal reabsorption of calcium, which is not compensated by an increase in its absorption in the intestine. Consequently, a protein-rich diet in adults leads to a negative calcium balance.
    Calcium is absorbed from the intestines in the form of complexes with fatty and bile acids. The optimal ratio is 10-15 mg of calcium per 1 g of fat. Calcium absorption is facilitated by a sufficient content of unsaturated fatty acids. Insufficient and excessive amounts of fats, especially those rich in saturated fatty acids (cooking fats, lamb, beef lard, etc.), impair calcium absorption. With insufficient fat intake, too few calcium salts of fatty acids are formed, which produce soluble complex compounds with bile acids. With excessively fatty foods, there are not enough bile acids to transfer all the calcium salts of fatty acids into a soluble state, and a significant part of the Ca is excreted in the feces. Ca release also depends on the nature of nutrition. A diet with a predominance of foods with an acidic reaction (meat, cereals, bread) leads to the excretion of Ca in the urine. When foods with an alkaline reaction predominate in the diet (fruits, vegetables, dairy products), Ca is excreted mainly in feces.
    An important factor affecting Ca absorption is the amount of phosphorus and magnesium in the diet.
    The most favorable ratio of calcium to magnesium in the diet is 2:1. A ratio close to this is found in the following products - sardines, Atlantic herring, eggplant, cucumbers, lettuce, garlic, beans, pears, apples, grapes, raspberries, porcini mushrooms. If little magnesium is supplied, stones form, vascular calcification occurs, and calcium is deposited in atherosclerotic plaques. Magnesium is necessary for calcium absorption in the kidneys and urinary tract. Magnesium deficiency stimulates PTH, which leads to increased bone resorption and increased renal Ca excretion. Magnesium competes with Ca for bile acids, so excess magnesium has a negative effect on Ca absorption. In addition, magnesium is part of the enzymes necessary for metabolism in cartilage and bone tissue.
    The best calcium to phosphorus ratio for adults is 2:1.2-1.8. A ratio close to this is typical for cottage cheese, cucumbers, garlic, and grapes. If Ca is supplied more than phosphorus, then bone tissue does not form normally, problems arise with vascular calcification, the formation of kidney stones, gallbladder. And if, on the contrary, more phosphorus is supplied than necessary, Ca is washed out of the bones and its absorption decreases.
    The absorption of calcium is also influenced by potassium, the excess of which impairs its absorption, because Potassium, like magnesium, competes with Ca for bile acids.
    Calcium absorption is hindered by: chocolate, excess sugar consumption, excess coarse fiber foods. Tea is not compatible with any trace element.
    Coca-Cola, Pepsi-Cola, Fanta and other similar drinks contain sodium acid phosphate (an antagonist of Ca, preventing it from being absorbed), their pH = 2.2-2.5, to neutralize them the body uses Ca, which is washed out of bone tissue .
    Caffeine also increases urinary calcium loss. Abuse of coffee and alcohol can cause calcium deficiency, since some of it is excreted in the urine.
    Lactose increases calcium absorption. Lactose, when fermented, maintains low pH values ​​in the intestines, which prevents the formation of insoluble phosphorus-calcium salts.
    Along with vitamins A, C, D, E, K, the following elements can increase calcium levels in the body: Fe, Mg, Mn, Cu, P, Si, as well as protein, gastric juice (HCl), pancreatic enzymes and Lactobacillus acidophilus .
    Silicon crosslinks bone tissue collagen. Zinc and chromium play a large role in the energy supply of bones, necessary for the growth of bone tissue. Boron affects the synthesis of estradiol, selenium with iodine affects the synthesis of thyroid hormones. Vitamin E affects the condition of membranes, including bone tissue.
    A serious enemy of Ca and P is aluminum. Aluminum ions can replace Ca ions and thereby cause serious changes in Ca metabolism. People get too much of this metal from using aluminum cookware, drinking juice from aluminum-coated bags, or drinking canned beer.
    In food modern man Calcium deficiency is significant, especially for urban residents whose diet is dominated by refined foods, semi-finished products, etc. suffice it to say that the main source of calcium, dairy products, come to the table of the city dweller significantly depleted in calcium: 1 liter of fresh natural milk (from a cow) contains 1400 ml of calcium, and pasteurized, and even more so, sterilized, from which cottage cheese is made in dairies and cheese, only 140 mg. The modern city dweller receives, in good case, only a third of the daily calcium requirement.
    It is recommended to take any Ca products at night due to the circadian rhythm of bone resorption. Resorption is suppressed only by evening intake of Ca, while morning intake does not produce a significant effect.
    Many people, especially older people, eat cottage cheese and cheese for breakfast, believing that this The best way enrich your body with Ca and P. Resorption of Ca and P by bone tissue occurs in the evening and at night. So, if you ate fish or cheese for breakfast, you are in vain counting on their beneficial effects. Ca and P either will not get from the intestines into the blood at all, or due to their lack of demand by bone tissue, they will settle in the kidneys in the form of oxalate stones. The point is also that in the morning corticosteroid hormones are produced and delivered into the blood, which block the absorption of Ca and P from the intestines into the blood. Therefore, it is better to take foods containing Ca and P in 2/2 days, for dinner.
    It must be remembered that calcium is lost during heat treatment (for example, when cooking vegetables - 25%). Losses will be insignificant if the water in which the vegetables were boiled is used (for example, broth or gravy).
    The lower the fat content of dairy products, the higher the Ca content.

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