Reza-Albarrán Alfredo Adolfo
Clínica de Paratiroides y Hueso, Departamento de Endocrinología y Metabolismo, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Ciudad de México, México.
Gac Med Mex. 2016 Sep;152 Suppl 1:84-9.
Calcium intake has a role on the development of peak bone mass, and has a mild impact on the maintenance of bone mass during adulthood and the reduction of bone loss rate in postmenopausal women and the elderly in both genders. Calcium dietary intake should be privileged over supplementation. Dairy products are the main calcium dietary sources. Prospective studies have not clearly demonstrated an effect on the prevention of fractures, because of the practical difficulties of a long follow-up in order to get to solid conclusions; however the physiological rationale is that an adequate calcium intake and 25(OH) vitamin D levels exceeding 20 ng/ml is beneficial for bone health and may decrease to certain extent the risk of fractures.
钙的摄入量对峰值骨量的形成有作用,并且对成年期骨量的维持以及绝经后女性和老年男女骨丢失率的降低有轻微影响。膳食钙摄入应优先于补充剂。乳制品是膳食钙的主要来源。前瞻性研究尚未明确证明其对预防骨折有效果,这是因为进行长期随访以得出确凿结论存在实际困难;然而,其生理原理是充足的钙摄入量以及25(OH)维生素D水平超过20 ng/ml对骨骼健康有益,并且可能在一定程度上降低骨折风险。