Calcium and Teens: How to Prevent Osteoporosis

Calcium and Teens:

How to Prevent Osteoporosis

You have probably seen the "milk mustache" on some of your favorite stars, but are you sporting your own? Unfortunately, only 12% of teen girls actually get enough calcium in their diets.

What is calcium? Why do I need to be concerned about it now?

Calcium is a mineral that gives strength to your bones. Calcium is also necessary for many of your body's functions, such as blood clotting and nerve and muscle function. During the teenage years (particularly ages 11-15), your bones are developing quickly and are storing calcium so that your skeleton will be strong later in life. Nearly half of all bone is formed during these years. It is important that you get plenty of calcium in your diet because if your body does not get the calcium it needs, it takes calcium from the only source that it has: your bones. This can lead to brittle bones later in life and broken bones at any time.

What is osteoporosis?

Osteoporosis is a bone disease that develops slowly and is usually caused by a combination of genetics and too little calcium in the diet. Osteoporosis is a disease in which bones become fragile and more likely to break. Osteoporosis can also lead to shortened height because of collapsing spinal bones and can cause a hunched back.

How do I know if I'm at risk?

Several factors can put a young person at risk for developing osteoporosis. They include:

Being white
Being female
Having irregular periods
Doing little or no exercise
Not getting enough calcium in your diet
Being below a normal weight
Having a family history of osteoporosis
Smoking
Drinking large amounts of alcohol

Osteoporosis can be prevented. There are some risk factors that you cannot change (like your race and the fact that you are female), but there are some you can! Eat a healthy diet, get some exercise, and don't smoke!

How much calcium do I need?

Children and teenagers between the ages of 9 and 18 should aim for 1,300 milligrams per day, which is about 4 servings of high-calcium food or drinks. Each 8-ounce glass of milk (whether skim, 1%, 2%, or whole) and each cup of yogurt has about 300 milligrams of calcium. Adults 19 to 50 years of age should aim for 1,000 milligrams per day.

What foods contain calcium?

You probably know that dairy foods like milk and cheese are good sources of calcium, but do you know that tofu and beans contain calcium, too? Even if you don't drink milk or eat cheese, you can get the calcium you need from other foods. See the list of high-calcium foods at the end of this guide.

What if I'm lactose intolerant?

If you are lactose intolerant and can't drink milk, there are plenty of other ways to get your calcium. These include fortified soy milk, fortified juice, or Lactaid^TM milk (the lactase enzyme that you are missing has been added into the milk). You may also take lactase enzyme tablets before eating dairy products to help digest the lactose sugar in the milk. Some people who are lactose intolerant can tolerate having small amounts of milk or other dairy products at a time.

How can I get more calcium in my diet?

Breakfast

Have a bowl of cereal with milk.
Use milk instead of water when making oatmeal.
Drink calcium-fortified orange juice.
Make a healthy breakfast shake with a cup of milk or yogurt and a handful of frozen fruit.
Add cheese to your bagel. Most cheeses, except for cream cheese, are high in calcium.

Lunch

Choose milk instead of soda at school. If you don't like plain milk, try chocolate or strawberry milk.
Pack a yogurt with your lunch.
Add cheese to your sandwich.

Snacks

If you like coffee-flavored drinks, try a milk-rich latte (decaf is best).
Look for cereal bars or energy bars that contain calcium. Check the label to see if calcium is listed.
Make hot cocoa with milk instead of water.
Eat broccoli dipped in a veggie dip made with plain yogurt.
Snack on cheese sticks or almonds.
Have a yogurt as an after-school snack.

Dinner

Have macaroni and cheese made with milk, or chowder-style soups.
Prepare canned tomato soup with milk instead of water.
Try tofu.
Include more beans (legumes) in your meals.
Make lasagna or other pasta dishes with ricotta cheese.
Eat pizza.
Have pudding made with milk or frozen yogurt for dessert.

What if I just can't get enough calcium in my diet?

It is best to try to meet your calcium needs through by having calcium-rich foods and drinks, but some teens find it difficult to fit in 4 servings of high-calcium foods daily. If you don't like dairy foods or calcium fortified juice or soymilk, you may need a calcium supplement. Calcium citrate (for example, Citracal®) and calcium carbonate (for example, Tums® or Viactiv®) are good choices. When choosing a supplement, keep the following things in mind:

Most calcium supplements have between 200 and 500 milligrams of calcium. Remember, your goal is 1,300 milligrams of per day.
If you have to take more than one supplement per day, it is best to take them at different times of the day because your body can only absorb about 500 milligrams of calcium at a time.
Don't count on getting all of your calcium from your multivitamin. Most basic multivitamin/mineral tablets have very little calcium in them.
Look for a calcium supplement that has vitamin D added. Vitamin D helps your body absorb calcium.
Avoid "oyster shell" or "natural source" calcium supplements. These may have lead or aluminum in them and are not recommended.

Food	Serving	Milligrams of Calcium
Dairy Products
Yogurt, low-fat (whole)	1 cup	345-415
Ricotta cheese, part-skim	1/2 cup	335
Milk (skim)	1 cup	306
Fortified soy and rice milks	1 cup	300
Milk (1%)	1 cup	290
Milk (whole)	1 cup	276
Ricotta cheese, whole	1/2 cup	255
Swiss cheese	1 ounce	224
Mozzarella cheese, part skim	1 ounce	207
Cheddar cheese	1 ounce	204
Muenster cheese	1 ounce	203
American cheese	1 ounce	156
Frozen yogurt	1/2 cup	103
Ice cream	1/2 cup	84
Pudding	1/2 cup	99
Protein Foods
Canned sardines (with bones)	3 ounces	325
Soybeans, cooked	1 cup	261
Canned salmon (with bones)	3 ounces	181
Tofu, firm (prepared with calcium sulfate or calcium lactate)	1/4 block	161
Beans, cooked	1 cup	46-126
Crab	3 ounces	88
Clams	3 ounces	78
Almonds	1 oz (24 nuts)	70
Hummus	1/2 cup	40
Vegetables
Collard greens, cooked	1/2 cup	133
Spinach, cooked	1/2 cup	123
Kale, cooked	1/2 cup	47
Broccoli, cooked	1/2 cup	31
Fruits
Calcium-fortified orange juice	1 cup	300
Rhubarb	1/2 cup	174
Dried figs	2 figs	62
Orange	1	52
Cereals
Total Raisin Bran® Cereal	1 cup	1000
Golden Grahams® Cereal	3/4 cup	350
Basic Four® Cereal	1 cup	196
Kix® Cereal	1 1/4 cup	171
Values taken from USDA National Nutrient Database for Standard Reference, Release 21

Written by the Center for Young Women's Health Staff

Updated: 1/27/2009

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