7/27/2019 Calcium Basic
1/20
Calcium for a Healthy LifeCalcium for a Healthy Life
Important Information forImportant Information forAll WomenAll Women
Sponsored by SmithKline Beecham Consumer Healthcare, makers ofSponsored by SmithKline Beecham Consumer Healthcare, makers of
TUMSTUMS
7/27/2019 Calcium Basic
2/20
Good Nutrition = Good HealthGood Nutrition = Good Health
VitaminsVitamins
& Minerals& Minerals
Meat, FishMeat, Fish
& Poultry& Poultry
BreadsBreads
& Grains& Grains
Dairy ProductsDairy ProductsNutrientsNutrients
FruitsFruits
& Vegetables& Vegetables
7/27/2019 Calcium Basic
3/20
What Calcium Does in theWhat Calcium Does in theBodyBody
Keeps bonesKeeps bonesand teeth healthyand teeth healthy
Helps musclesHelps musclesand many differentand many different
cells to workcells to work
Helps blood toHelps blood to
clot and maintainsclot and maintains
blood pressureblood pressure
Allows nervesAllows nerves
to work rightto work right
RegulatesRegulateshormone releasehormone release
7/27/2019 Calcium Basic
4/20
*Choose low-fat products.*Choose low-fat products.
Foods Rich in CalciumFoods Rich in Calcium
Dairy products*Dairy products*
Dark green vegetables (broccoli, collard greens,Dark green vegetables (broccoli, collard greens,
turnip greens, kale, kelp or seaweed)turnip greens, kale, kelp or seaweed) Beans (baked beans, navy beans, kidney beans,Beans (baked beans, navy beans, kidney beans,
black beans, chick peas, lima beans)black beans, chick peas, lima beans)
Fish (salmon, sardines)Fish (salmon, sardines)
7/27/2019 Calcium Basic
5/20
7/27/2019 Calcium Basic
6/20
What Happens When the BodyWhat Happens When the BodyDoes Not Get Enough Calcium?Does Not Get Enough Calcium?
The body may steal calcium from bones to useThe body may steal calcium from bones to use
in other placesin other places
Over the course of many years, this can lead toOver the course of many years, this can lead toa painful disease of bones called osteoporosisa painful disease of bones called osteoporosis
7/27/2019 Calcium Basic
7/20
Even Healthy People LoseEven Healthy People LoseBone Density As They AgeBone Density As They Age
Adapted froms Riggs BL, Melton LJ.Adapted froms Riggs BL, Melton LJ. N Engl J MedN Engl J Med. 314:1676-1686, 1986.. 314:1676-1686, 1986.
4040
BoneBone
DensityDensity
Age (years)Age (years)
MenMen20 to 30%20 to 30%
WomenWomen35 to 50%35 to 50%
II IIII IIIIII
6060 8080
7/27/2019 Calcium Basic
8/20
Causes Bones to Weaken &Causes Bones to Weaken &
BreakBreak
Normal BoneNormal Bone Osteoporotic BoneOsteoporotic Bone
7/27/2019 Calcium Basic
9/20
2525 3030 4040 5050 6060 7070
BeforeBefore
and After Menopauseand After Menopause
Adapted from Nordin BEC, Need AG. In:Adapted from Nordin BEC, Need AG. In: Osteoporosis 1987Osteoporosis 1987. (Christiansen C. Riis BJ. eds.). Osteopress. ApS.. (Christiansen C. Riis BJ. eds.). Osteopress. ApS.Copenhagen, 1987, pp. 1204-1210.Copenhagen, 1987, pp. 1204-1210.
FractureFracturePrevalencPrevalenc
eeper 100per 100per Yearper Year
161600
121200
8080
4040
00
Age (years)Age (years)
(n=55(n=557)7)
PremenopauPremenopausese
PostmenopausPostmenopausee
7/27/2019 Calcium Basic
10/20
Risk Factors for OsteoporosisRisk Factors for Osteoporosis
Female genderFemale gender
AgeAge
Caucasian or Asian raceCaucasian or Asian race
Lack of exerciseLack of exercise Smoking, excessive alcohol intakeSmoking, excessive alcohol intake
Low body weightLow body weight
Family history of osteoporosisFamily history of osteoporosis
Taking certain medications for a long timeTaking certain medications for a long time
Inadequate dietary calciumInadequate dietary calcium
7/27/2019 Calcium Basic
11/20
Ways to Help Prevent BoneWays to Help Prevent BoneLossLoss
Make sure to get enough calcium each dayMake sure to get enough calcium each day
Exercise regularlyExercise regularly
Stop smoking and limit alcohol intakeStop smoking and limit alcohol intake
Consider taking estrogen after menopauseConsider taking estrogen after menopause
(discuss hormone replacement therapy(discuss hormone replacement therapy
with your healthcare provider)with your healthcare provider)
7/27/2019 Calcium Basic
12/20
Premenstrual BalancePremenstrual Balance
Week 1Week 1 Week 2Week 2 Week 4Week 4Week 3Week 3
Start of cycleStart of cycle
Egg ripens & growsEgg ripens & growsUterine lining thickensUterine lining thickens
Ovulation occursOvulation occursEgg is releasedEgg is released
Uterine liningUterine liningbecomes thickerbecomes thicker
Uterine liningUterine liningis shed (the periodis shed (the period
7/27/2019 Calcium Basic
13/20
Premenstrual ChangesPremenstrual Changes
Occur in the latter half of the menstrual cycleOccur in the latter half of the menstrual cycle
Begin 5-11 days before the periodBegin 5-11 days before the period
End with or during the periodEnd with or during the period
Changes may include: Abdominal bloating, breastChanges may include: Abdominal bloating, breasttenderness, weight gain, food cravings, tiredness,tenderness, weight gain, food cravings, tiredness,
irritabilityirritability
7/27/2019 Calcium Basic
14/20
How Many Women ExperienceHow Many Women ExperiencePremenstrual Changes?Premenstrual Changes?
Reid et al.Reid et al. Current Problems in OB/GYN/FertilityCurrent Problems in OB/GYN/Fertility. 1985.. 1985.
MildMild50%50%
ModerateModerate30%30%
SevereSevere510%510%(PMDD)(PMDD)
NoneNone1015%1015%
PMDD = premenstrual dysphoric disorder.PMDD = premenstrual dysphoric disorder.
7/27/2019 Calcium Basic
15/20
Ways to Help Prevent NegativeWays to Help Prevent NegativePremenstrual ChangesPremenstrual Changes
Exercise regularlyExercise regularly
Eat a balanced dietEat a balanced diet
Avoid salt, sugar, alcohol, caffeineAvoid salt, sugar, alcohol, caffeine
Get enough sleep and rest/meditationGet enough sleep and rest/meditation
Take pain relieverTake pain reliever
Supplement diet with calcium carbonateSupplement diet with calcium carbonate
7/27/2019 Calcium Basic
16/20
Effect of Calcium on ChangesEffect of Calcium on Changes
Results from a study of 466 women with PMS. WomenResults from a study of 466 women with PMS. Womentooktook
either 1200 mg of calcium from calcium carbonate eacheither 1200 mg of calcium from calcium carbonate each
day or an inactive sugar pill.day or an inactive sugar pill.
MoodinessMoodiness
BloatingBloating
Food cravingFood craving
DiscomfortDiscomfort
Women takingWomen taking
calciumcalciumWomen takingWomen taking
sugar pill/placebosugar pill/placebo
45% less45% less
36% less36% less
54% less54% less
54% less54% less
28% less28% less
24% less24% less
34% less34% less
15% more15% more
7/27/2019 Calcium Basic
17/20
SUMMARYSUMMARY
Calcium for a Healthy LifeCalcium for a Healthy LifeCalcium for a Healthy LifeCalcium for a Healthy Life
7/27/2019 Calcium Basic
18/20
Why Calcium Helps Keep YouWhy Calcium Helps Keep YouHealthyHealthy
Helps to build and maintain strong bones andHelps to build and maintain strong bones and
reduce the risk of osteoporosisreduce the risk of osteoporosis
Helps maintain physical and emotional balanceHelps maintain physical and emotional balance
throughout the menstrual cyclethroughout the menstrual cycle
Helps maintain blood pressure at proper levels,Helps maintain blood pressure at proper levels,
helps keep entire body working properly, andhelps keep entire body working properly, and
helps in regulation of many body processes:helps in regulation of many body processes:
hormones, etc.hormones, etc.
7/27/2019 Calcium Basic
19/20
Calcium SupplementsCalcium Supplements
Calcium carbonate (TUMSCalcium carbonate (TUMS, Caltrate, Caltrate, Os-Cal, Os-Cal))
The most commonly used form of calciumThe most commonly used form of calcium
supplements for osteoporosis.supplements for osteoporosis.
Calcium citrate (CitracalCalcium citrate (Citracal
))
Calcium phosphate (PostureCalcium phosphate (Posture))
OtherOther
7/27/2019 Calcium Basic
20/20
Safety of Calcium CarbonateSafety of Calcium Carbonate
Well-toleratedWell-tolerated
Significant adverse effects unlikely in most healthySignificant adverse effects unlikely in most healthy
individuals when taken in doses