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Calcium

Mineral

Overview

  • Calcium is an essential mineral serving as a primary building block for strong bones and teeth.
  • It supports bone development, growth, and density.
  • Calcium also facilitates muscle contraction and nerve transmission.
  • Supplementation ensures adequate intake for overall bone health and osteoporosis prevention.

Benefits

  • Bone Health: Calcium builds and maintains strong bones and teeth, increasing bone density and reducing osteoporosis and fracture risk, especially in older adults (1).
  • Muscle Function: It regulates muscle contraction and relaxation, improving physical performance and reducing cramps, spasms, and soreness (2).
  • Nervous System Function: Calcium is involved in nerve impulse transmission, supporting cognitive function, memory, and mood regulation (3).
  • Cardiovascular Health: Adequate intake may lower blood pressure, reducing cardiovascular disease risk (4).
  • Metabolic Health: Research suggests adequate calcium may support weight loss and maintenance (5).
  • Colon Health: Calcium may reduce colon cancer risk by binding to bile acids (6).
  • Pregnancy and Lactation: It's essential for fetal bone growth and supports milk production and maternal bone health (7).
  • Menstrual Health: Calcium may alleviate PMS symptoms (8).
  • Dental Health: It's important for tooth development and maintenance, reducing decay and gum disease (9).
  • Immune System Function: Calcium regulates immune cell function, supporting the body's defenses (10).

References:

  1. Weaver et al. (2016). The role of calcium in bone health. Journal of Bone and Mineral Research, 31(1), 3-8.
  2. Bernecker et al. (2017). The effects of calcium on muscle function and exercise performance. Journal of the International Society of Sports Nutrition, 14(1

How It Works

  • Mechanism of Action: Calcium binds to proteins (calmodulin, troponin, calcineurin), triggering downstream effects. Calcium ions (Ca²⁺) induce conformational changes activating or inhibiting enzymatic reactions, ion channels, and signaling pathways.
  • Pathways Affected:
    • Muscle Contraction: Calcium ions bind to troponin and tropomyosin, regulating actin and myosin interaction, enabling muscle contraction.
    • Neurotransmission: Calcium regulates neurotransmitter release by binding to synaptotagmin, triggering vesicle fusion and neurotransmitter release.
    • Cell Signaling: Calcium activates pathways like the phospholipase C (PLC) pathway, generating inositol trisphosphate (IP3) and diacylglycerol (DAG), influencing further calcium release and protein kinase C (PKC) activation.
    • Bone Metabolism: Calcium regulates bone metabolism by interacting with osteocalcin (inhibits osteoclast activity) and parathyroid hormone (PTH, stimulates osteoclast activity).
    • Coagulation: Calcium is essential for coagulation, binding to gamma-carboxyglutamic acid (Gla) residues on factors like prothrombin and factor X, facilitating activation.

Dosage

Standard Dosage Ranges:

  • Adult men and women: 500-1,000 mg/day, divided into 2-3 doses.
  • Pregnant and breastfeeding women: 1,000-1,300 mg/day, divided into 2-3 doses.
  • Children and adolescents: 500-1,000 mg/day, divided into 2-3 doses.
  • Older adults (over 50 years): 1,000-1,200 mg/day, divided into 2-3 doses.

Timing Recommendations:

  • Take with meals to enhance absorption and reduce stomach upset.
  • Spread doses throughout the day for consistent blood levels and to minimize kidney stone risk.
  • Avoid taking with iron supplements due to absorption interference.

Special Considerations:

  • Osteoporosis: 1,000-1,200 mg/day with vitamin D (600-800 IU/day).
  • Pregnancy/Lactation: 1,000-1,300 mg/day.
  • Vegans/Vegetarians: 1,000-1,200 mg/day.
  • Kidney disease/Hyperparathyroidism: Consult a healthcare provider.
  • Medications: Consult a healthcare provider regarding interactions (bisphosphonates, tetracyclines, quinolones).

Forms of Calcium:

  • Calcium carbonate (40% elemental calcium).
  • Calcium citrate (21% elemental calcium).
  • Calcium gluconate (9% elemental calcium).

Safety & Side Effects

Calcium Side Effects:

  • Gastrointestinal: Constipation, bloating, gas, nausea, vomiting, abdominal cramps, diarrhea (rarely).
  • Other: Kidney stone formation (with excessive intake), hypercalcemia, interference with iron absorption, interference with thyroid hormone replacement therapy.

Contraindications:

  • Hypercalcemia.
  • Kidney stones (especially with hyperparathyroidism).
  • Sarcoidosis.
  • Severe kidney failure.
  • Hypervitaminosis D.

Drug Interactions:

  • Tetracycline antibiotics.
  • Quinolone antibiotics.
  • Bisphosphonates.
  • Levothyroxine.
  • Iron supplements.
  • Blood thinners (e.g., warfarin).

Safety Considerations:

  • Excessive intake (>2,500 mg/day) can lead to hypercalcemia, kidney stones, and other adverse effects.
  • Pregnant and breastfeeding women should consult their healthcare provider.
  • Not recommended for children under 4 years old.
  • Older adults may be more susceptible to side effects.

Chemistry

  • Molecular Formula: Ca
  • IUPAC Name: Calcium
  • Key Structural Features: Face-centered cubic (FCC) crystal structure; 20 protons, 20 neutrons, 20 electrons; [Ar] 4s² electron configuration; readily forms a +2 ion (Ca²⁺).
  • Physical Properties: Atomic mass: 40.078 u; Density: 1.55 g/cm³; Melting point: 842 °C; Boiling point: 1484 °C; Electronegativity: 1.00.
  • Chemical Properties: Highly reactive metal; readily forms +2 ion; highly soluble in water; reacts with acids; essential for biological processes.

Sources & Quality

Natural Sources:

  • Dairy products (milk, cheese, yogurt).
  • Leafy greens (broccoli, kale, spinach).
  • Fortified foods (cereals, orange juice, plant-based milk).
  • Mineral water.
  • Seaweed (kelp, wakame).
  • Bone broth.

Extraction/Synthesis Methods:

  • Limestone mining.
  • Calcium carbonate production (calcium oxide + carbon dioxide).
  • Calcium citrate production (calcium carbonate + citric acid).
  • Calcium gluconate production (calcium carbonate + gluconic acid).

Quality Considerations for Supplements:

  • Bioavailability.
  • Purity (heavy metal contamination).
  • Form (carbonate, citrate, gluconate).
  • Additives.
  • Third-party testing (NSF International, ConsumerLab.com).
  • Accurate label claims.

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