Skip to content

What is the best calcium substitute?

3 min read

According to a 2017 study, over half of all Australians consume inadequate levels of calcium from food sources, with females more affected than males. For those with dietary restrictions or sensitivities, this makes understanding what is the best calcium substitute crucial for maintaining bone strength and overall well-being.

Quick Summary

Multiple dairy-free and alternative options exist for meeting calcium needs. These include nutrient-rich plant-based foods, fortified drinks and cereals, and high-quality supplements. The optimal choice depends on individual dietary requirements and absorption factors, which can be influenced by diet and lifestyle.

Key Points

  • Food First: Prioritize getting calcium from whole foods like leafy greens, fortified products, and certain seafood before relying on supplements.

  • Diverse Non-Dairy Foods: Excellent calcium alternatives include kale, collard greens, canned sardines, fortified plant milks, tofu set with calcium, and certain nuts and seeds.

  • Check for Fortification: Always read food labels on plant-based milks, cereals, and juices to ensure they have been fortified with calcium, and shake cartons well before use.

  • Supplement Forms Differ: Calcium citrate is better absorbed than calcium carbonate, especially for those with low stomach acid, and can be taken without food.

  • Vitamin D is Crucial: Your body cannot effectively absorb calcium without adequate Vitamin D, obtained from sun exposure, certain foods, or supplements.

  • Lifestyle Matters: Avoid excessive salt, alcohol, and caffeine, and incorporate regular weight-bearing exercise to support strong bones.

  • Absorption Inhibitors: Be aware that some plant foods, like spinach and rhubarb, contain high levels of oxalates that can significantly hinder calcium absorption.

In This Article

The Best Food-Based Calcium Substitutes

For most people, obtaining calcium from whole foods is the ideal approach, as it provides a broader spectrum of essential nutrients. Fortunately, a wide variety of excellent non-dairy sources are available to serve as effective calcium substitutes.

Plant-Based Powerhouses

  • Dark Leafy Greens: Vegetables like kale, collard greens, bok choy, and turnip greens are rich in bioavailable calcium. Notably, while spinach contains calcium, it also has high levels of oxalates, which inhibit absorption, making it a less efficient source.
  • Fortified Plant Milks and Juices: Many brands of soy, almond, oat, and rice milk are fortified to match or exceed the calcium content of cow's milk. Orange juice is another commonly fortified beverage. Always shake the container well before serving, as the added calcium can settle at the bottom.
  • Calcium-Set Tofu: Tofu that has been coagulated with calcium sulfate is an excellent source of the mineral. Check the ingredient label to ensure calcium was used in the production process.
  • Beans, Legumes, and Seeds: Black beans, edamame, and other legumes contribute to calcium intake. Seeds such as sesame seeds (especially tahini), chia seeds, and almonds are also potent sources.

Other Excellent Food Options

  • Canned Fish with Bones: Canned sardines and salmon, where the bones are soft and edible, provide a significant amount of calcium along with other beneficial nutrients like Vitamin D.
  • Blackstrap Molasses: This mineral-rich sweetener can be added to recipes and contains a substantial amount of calcium per tablespoon.
  • Dried Figs: This fruit offers a sweet way to boost your daily calcium intake.

A Comparison of Calcium Sources

Understanding the differences in calcium content and absorption can help in making informed dietary choices.

Source Serving Size Estimated Calcium Content Absorption Rate
Cow's Milk (Dairy) 1 cup (237 ml) ~300 mg Moderate (Approx. 30%)
Calcium-Fortified Soy Milk 1 cup (237 ml) ~300 mg Good (Comparable to dairy)
Cooked Kale 1 cup ~179 mg Excellent (Approx. 50-60%)
Canned Sardines with Bones 3 oz (85g) ~325 mg High
Calcium-Set Tofu 1/2 cup ~205 mg Excellent
Spinach 1 cup cooked ~100 mg Low (High oxalate content)

Choosing the Right Calcium Supplement

While food-based sources are preferable, supplements can be a practical way to meet daily requirements, especially for those with very low dietary intake. Consulting a healthcare provider is recommended before starting any supplement regimen.

Primary Types of Supplements

  • Calcium Carbonate: This is the most common and inexpensive form. It contains a high percentage of elemental calcium but is best absorbed when taken with food, as stomach acid aids its absorption. It may cause digestive side effects like gas or constipation in some individuals.
  • Calcium Citrate: This form is more expensive but is more easily absorbed, even on an empty stomach. It's often recommended for older adults or people with low stomach acid, inflammatory bowel disease, or absorption disorders.

Remember, your body can only absorb about 500-600 mg of calcium at a time, so it's best to split larger doses throughout the day. Also, many calcium supplements include vitamin D, which is essential for calcium absorption. Look for purified or USP-verified brands for reliability.

Maximizing Calcium Absorption and Bone Health

No single calcium source works alone. Several lifestyle and nutritional factors can either help or hinder your body's ability to use calcium effectively.

  • Vitamin D is Essential: Your body needs Vitamin D to properly absorb calcium from both food and supplements. Sources include sunlight exposure, fatty fish, and fortified foods. Many calcium supplements also include Vitamin D.
  • Address Lifestyle Factors: High intake of salt, caffeine, and alcohol can negatively impact bone density by reducing calcium absorption and promoting excretion. Smoking is also detrimental to bone health.
  • Exercise Regularly: Weight-bearing and resistance exercises help build and maintain strong bones, complementing your calcium intake.
  • Eat a Balanced Diet: A diet rich in fruits and vegetables provides other bone-supporting nutrients like Vitamin K, Vitamin C, and magnesium, which work in synergy with calcium.

Conclusion

Deciding what is the best calcium substitute depends largely on individual needs, dietary preferences, and overall health goals. For those avoiding dairy, an array of nutrient-rich plant-based foods, fortified products, and high-quality supplements offer effective alternatives. The emphasis should always be on a food-first approach when possible. For personalized advice, and before starting any supplement, a discussion with a healthcare professional is crucial. By combining calcium-rich foods with a bone-healthy lifestyle, you can ensure your body gets the support it needs for long-term strength and well-being. For more detailed information on balancing calcium intake, you can read the Mayo Clinic's guide.

Frequently Asked Questions

It is possible to meet your calcium needs through a diet rich in non-dairy food sources. A supplement may only be necessary if your dietary intake is consistently low, and you should consult a doctor before starting one.

Top non-dairy sources include dark leafy greens like kale and collard greens, calcium-fortified plant milks and orange juice, calcium-set tofu, canned sardines with bones, and seeds like sesame and chia.

While spinach contains calcium, it also has high levels of oxalates, which significantly inhibit the body's ability to absorb it. Other greens like kale and bok choy offer more readily absorbed calcium.

Calcium from food is generally preferable because it's absorbed gradually and comes with other beneficial nutrients. Supplements deliver a bolus dose that is absorbed differently and may carry some risks in very high quantities.

Calcium citrate is more easily and efficiently absorbed than calcium carbonate, particularly for older adults or those with low stomach acid. It can also be taken on an empty stomach.

The recommended daily intake of calcium is around 1,000 mg for most adults, with some variations based on age and life stage. Post-menopausal women and older men may require up to 1,200 mg.

Vitamin D is essential because it helps your body absorb calcium from your digestive tract. Without sufficient Vitamin D, you cannot absorb and utilize calcium effectively.

Taking high doses of calcium supplements can potentially increase the risk of heart disease, kidney stones, and digestive issues like constipation. Sticking to recommended dosages and consulting a doctor is important.

References

  1. 1
  2. 2
  3. 3
  4. 4
  5. 5

Medical Disclaimer

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