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Does drinking water increase calcium?

3 min read

The calcium concentration in drinking water varies dramatically by region, with hard water containing naturally dissolved calcium. But does drinking water increase calcium to a degree that significantly impacts your daily dietary intake or overall health? It serves as a supplementary source, but it is not typically a primary contributor for most people.

Quick Summary

Water, especially hard and mineral water, provides bioavailable calcium that contributes to total dietary intake and bone health. The amount varies by water source, making it a supplementary, not primary, source for most, but proper hydration is vital for mineral absorption and bone density.

Key Points

  • Significant Contributor: Calcium-rich mineral water can be a significant source of highly bioavailable calcium, comparable to that in dairy products.

  • Regional Variations: The calcium content of tap water varies significantly based on local geography and water source, with hard water having higher mineral concentrations.

  • Hydration's Main Role: Beyond providing minerals, water is crucial for transporting calcium and other nutrients to bones and is vital for bone remodeling.

  • Bioavailability Advantage: Calcium from water is in an ionic, soluble form, which may enhance its absorption in the gastrointestinal tract.

  • Minimal Impact from Purified Water: Purified or demineralized water contributes a negligible amount of calcium, unlike hard or natural mineral water.

  • Excess Intake: It is difficult to ingest excessive, harmful levels of calcium solely from drinking water, especially if kidney function is normal.

In This Article

Understanding Calcium and Drinking Water

Calcium is a vital mineral required for bone strength, nerve function, and muscle regulation. While dairy products and fortified foods are well-known sources, drinking water can also provide a calorie-free source of this essential mineral. The degree to which drinking water can increase your calcium intake depends heavily on the water's mineral content, which varies based on its source and how it's treated. Hard water, for instance, is naturally rich in calcium and magnesium, while purified water contains negligible amounts.

The Role of Hard Water

Water's hardness is primarily determined by its calcium and magnesium concentration. As rainwater travels through mineral-rich rock formations like limestone, it dissolves these minerals, carrying them into aquifers that serve as drinking water sources. Consequently, residents in areas with hard water consume a constant, albeit variable, supply of naturally occurring calcium. Some studies suggest that the calcium from hard water can contribute a meaningful portion of the recommended daily intake, particularly for those with low dietary calcium.

Comparing Tap, Mineral, and Purified Water

  • Tap Water (Municipal): Calcium levels in tap water are highly dependent on the local source and treatment process. For example, surveys in the U.S. and Canada have found tap water calcium levels ranging from negligible amounts up to over 130 mg/L. For most people, tap water provides a modest, but not negligible, daily calcium intake.
  • Mineral Water (Bottled): As the name suggests, mineral waters often have a much higher and more consistent mineral content than tap water. Some brands, particularly those labeled 'calcium-rich' (over 150 mg/L), can deliver a significant boost to your daily calcium intake. Studies show that the calcium in mineral water is highly bioavailable, meaning the body absorbs it efficiently.
  • Purified Water (Bottled): Processes like reverse osmosis, used to create purified water, remove almost all minerals, including calcium. For individuals relying on purified water, this source contributes virtually no calcium to their diet.

How Bioavailable is Water Calcium?

Research has shown that the calcium dissolved in water is readily absorbed by the body, often with a bioavailability comparable to, or even better than, dairy products. The efficiency of absorption is influenced by the low concentration and the ionic form of calcium in water, which contrasts with the solid-state calcium in many foods and supplements. Spreading calcium intake throughout the day via drinking water can also optimize absorption.

The Broader Picture: Hydration and Bone Health

While the calcium content of your water is relevant, proper hydration is even more critical for overall bone health. Healthy bones are approximately one-third water, and proper hydration supports bone remodeling and nutrient transport. Dehydration can trigger an increase in parathyroid hormone (PTH), which leads to calcium being leached from the bones into the bloodstream to maintain balance. Conversely, adequate water intake is necessary for calcium absorption and for flushing toxins from the body that could otherwise accumulate in bones and joints.

Water Type vs. Calcium Intake: A Comparison

Feature Hard Tap Water Mineral Water Purified Water Whole Milk (for comparison)
Typical Calcium (mg/L) 50-150 mg/L >150 mg/L (some brands) Negligible (<10 mg/L) ~300 mg/240 mL (cup)
Consistency Varies regionally and seasonally Consistent by brand and source Consistently low Consistent by product
Contribution to RDA Minor to moderate Can be significant None Significant
Bioavailability Good Good, often comparable to milk N/A Good
Considerations Can cause limescale buildup in appliances Costs more and comes in plastic bottles Can have low pH and strip pipes Contains calories and potential allergens

Conclusion

To answer the question, yes, drinking water can increase your calcium intake, but the extent of this increase depends entirely on the type of water you consume. Hard tap water and, more significantly, calcium-rich mineral water can contribute to your daily needs. However, purified water offers no calcium benefits. For most people, dietary sources like dairy and leafy greens remain the primary way to meet daily calcium recommendations. Nevertheless, staying properly hydrated with mineralized water is an excellent, calorie-free strategy to supplement your diet and support overall bone health. For those with low dietary calcium or conditions like lactose intolerance, choosing a high-calcium mineral water can be a valuable part of their nutritional plan. The key takeaway is that both hydration and mineral intake are essential for strong bones, and your choice of water plays a supportive role.

For more information on bone health, consult the National Institutes of Health on osteoporosis and other related topics.

Frequently Asked Questions

No, while some water contains calcium, it is generally not enough to meet the full recommended daily intake. Dietary sources like dairy and leafy greens are still necessary for sufficient intake.

The calcium in hard water is in an ionic, soluble form that is readily absorbed by the body. While functionally similar, its form differs from the calcium complexes found in milk, though bioavailability is comparable.

For most healthy individuals, drinking hard water is not a risk factor for kidney stones, as the body can excrete excess calcium. However, dehydration is a more significant risk for kidney stone formation.

Yes, boiling water causes some water to evaporate, which can slightly increase the concentration of minerals, including calcium, that remain in the water.

Mineral water naturally contains minerals like calcium from its source, while purified water has been treated to remove almost all minerals, leaving it with negligible calcium content.

You can contact your local water utility or check their annual water quality report. Some areas report calcium levels, though it may be listed as 'hardness'.

Overhydration can dilute electrolytes, potentially causing low sodium levels (hyponatremia). However, in healthy individuals, it does not typically lead to dangerously low calcium levels, and adequate hydration is more beneficial for mineral balance.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.