Calcium
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:
- Weaver et al. (2016). The role of calcium in bone health. Journal of Bone and Mineral Research, 31(1), 3-8.
- 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.
Where to Buy Calcium






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