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Senior Care Preferred from the Health Alliance Healthy Living Home Page

October 1997
Osteoporosis And Calcium

by Karen Weber, R.D., Ellen Illig, R.D., Pat Streicher, R.D. Cholesterol Center Dietitians

Osteoporosis is an age-related disorder characterized by decreased bone mass and by increased susceptibility to fractures in the absence of other recognizable causes of bone less. Many factors contribute to osteoporosis; one is a calcium poor diet.

Based on current information, calcium intake should be:

400 mg/day birth to 6 months
600 mg/day 6 to 12 months
800 mg/day 1 to 5 years
800-1200 mg/day 6 to 10 years
1200-1500 mg/day 11 to 24 years
1200-1500 pregnant or lactating women: 25 to 50 years
1000 mg/day women: 25 to 50 years
1000 mg/day men: 25 to 65 years
1000 mg/day postmenopausal women on estrogen therapy
1500 mg/day postmenopausal women not on estrogen therapy
1500 mg/day men and women over age 65

vitamin D milk increases absorption of calciumThese levels can be reached with the foods you eat and/or calcium supplements. Up to 2000 mg/day of calcium appears to be safe. Vitamin D increases the absorption of calcium, which is why milk is considered one of the best sources - it contains both. Caffeine and alcohol can interfere with calcium absorption.

While dairy products are excellent sources of calcium, they are not the only ones. Other natural sources of calcium are rhubarb, sardines and salmon. There are also many calcium-fortified foods on the market such as orange juice, bread and cereals.

Good sources of calcium are:

FOOD AMOUNT CALCIUM
     
yogurt (nonfat, plain) 1 cup 452 mg
skim milk 1 cup 352 mg
calcium-fortified bread 1 slice 290 mg
low fat (5 g/ounce) Swiss cheese 1 ounce 272 mg
rhubarb, frozen, raw 1 cup 266 mg
sardines, canned in water 2 ounces 185 mg
pink salmon, canned 3 ounces 181 mg
collards, frozen, cooked 1/2 cup 179 mg
calcium-fortified orange juice 1/2 cup 171 mg
tofu 3 ounces 150 mg

If you are not eating enough calcium-rich foods, you may need to take supplements. Ask your doctor before taking a calcium supplement.

The following recipe for macaroni and cheese was "rehabbed" to lower the fat and calories. Taking the fat out of the recipe did not, however, lower the calcium. It still has 429 mg in a serving.

STOVE TOP MACARONI AND CHEESE

Topping:

1 cup fresh bread crumbs
pinch salt

Macaroni:

1/2 pound (1-1/2 cups dry) elbow macaroni
1-1/2 teaspoons salt (can be omitted to reduce sodium)
1 tablespoon light (5 grams fat per tablespoon) margarine

Sauce:

1/2 cup fat-free egg substitute
1 can (12 ounces) fat-free skimmed evaporated milk
1/4 teaspoon hot red pepper sauce
1/2 teaspoon salt
1/4 teaspoon ground black pepper
1 teaspoon dry mustard
9 ounces shredded low fat (6 grams per ounce) sharp cheddar cheese, such as Cracker Barrel 2%

Topping:

Heat oven to 350 degrees. In small baking pan, combine bread crumbs and salt; spread out into thin layer. Bake until golden brown and crisp.

Macaroni:

In large saucepan, bring 2 quarts water to a boil. Add macaroni and salt; cook until almost tender, but a little firm to the bite. Drain; return to pan. Add margarine and toss to melt.

Sauce:

In medium bowl, combine egg substitute, milk, red pepper sauce, salt, pepper, and mustard. Pour egg mixture over cooked macaroni; add cheese. Stir over medium heat until the cheese melts, about 5 minutes. Top with toasted bread crumbs and serve.

Yield: 8 servings (side dish)

Contact Us:
Senior Care Preferred
1-513-585-6462

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