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Calcium

KAL-see-um

Mineral

The mineral that keeps your bones strong and helps your muscles and nerves work properly.

Calcium is like the concrete in a building — it provides the structural framework for your skeleton, but it also acts like the electrical wiring, carrying signals through your nerves and muscles.

What it does in the body

  • Bone and teeth mineralization
  • Muscle contraction and relaxation
  • Nerve impulse transmission
  • Blood clotting cascade (Factor IV)
  • Intracellular signaling and enzyme activation

How much you need (Daily Value)

GroupRecommendedSource
Adult male1000 mgNIH/IOM
Adult female1000 mg (19-50), 1200 mg (51+)NIH/IOM
Pregnancy1000-1300 mgWHO
Children700 mg (1-3y), 1000 mg (4-8y), 1300 mg (9-18y)NIH/IOM
Older adults1200 mg (women >50, men >70)NIH/IOM

Richest food sources

FoodAmountWhere
Parmesan cheese1184 mg per 100gEurope
Sardines with bones382 mg per 100gMediterranean
Milk (whole)125 mg per 100mlglobal
Yogurt110 mg per 100gglobal
Tofu (calcium-set)350 mg per 100gEast Asia
Bok choy (cooked)105 mg per 100gEast Asia
Kale (cooked)150 mg per 100gglobal
Ragi (finger millet)344 mg per 100gSouth Asia/Africa

If you don't get enough

Mild: Muscle cramps, perioral numbness, brittle nails, dental problems

Moderate: Tetany, Chvostek and Trousseau signs, QT prolongation on ECG, paresthesias

Severe: Seizures, laryngospasm, cardiac arrhythmias, heart failure, osteomalacia, rickets in children

Time to onset: Acute hypocalcemia: hours to days. Chronic deficiency bone effects: months to years

Too much

Upper limit: 2500 mg/day (adults 19-50), 2000 mg/day (adults >50)

Hypercalcemia causing nausea, vomiting, constipation, kidney stones, nephrocalcinosis, cardiac arrhythmias, confusion, milk-alkali syndrome

How well you absorb it

25-35% from diet on average; varies significantly by source and physiological state

Helped by: Vitamin D, Lactose, Acidic pH in stomach, Casein phosphopeptides, Moderate protein intake

Hindered by: Oxalate (spinach, rhubarb), Phytate (whole grains, legumes), High sodium intake, Caffeine, High phosphorus intake, Fiber excess

Cooking & storage

Calcium is heat-stable and not destroyed by cooking. Boiling vegetables may leach calcium into cooking water; using that water in soups preserves it. Soaking beans reduces phytate, improving calcium bioavailability.

Did you know. WHO estimates that calcium intake is below recommended levels in most developing countries, with average intake of 400-500 mg/day in Africa and South Asia versus 800-1000 mg/day in Western countries.

Educational reference only. Nutrient needs vary with age, sex, health, and medication. Not medical or dietary advice. See our full disclaimer.
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Evidence grades: A — meta-analyses / large trials; B — cohort studies & guidelines; C — expert consensus. Links open in a new tab.

ACalcium Fact Sheet for Health Professionals — NIH Office of Dietary Supplements, 2024
AVitamin and Mineral Requirements in Human Nutrition — WHO/FAO, 2004
ADietary Reference Intakes for Calcium and Vitamin D — IOM, 2011