Calcium: Build your bones the tasty way Your bones and teeth are made of a mineral called calcium. Calcium is stored in your bones and helps to keep them strong. Your blood also needs calcium, so it can do many jobs such as help your heart beat steadily. The calcium in your blood comes from either the foods you eat or the calcium that is stored in your bones. If you do not eat enough calcium, your blood has to take it from your bones. If this happens for a long time, your bones become thin and weak—a condition called osteopenia. If your blood keeps taking calcium from your bones for a very long time, you can get osteoporosis. With this disease, bones become so weak that they break easily and in some cases the spine will curve. Some treatments for cancer and HIV can also weaken bones. For this reason, patients should get plenty of calcium. Kids and teenagers must get enough calcium, because almost half the calcium you have in your adult bones is stored there before you are 18 years old. As you get older, your bones need more calcium. Age Calcium needs (mg/day) 0 to 6 months 210 6 months to 1 year 270 1 to 3 years 500 4 to 8 years 800 9 to 18 years 1,300 19 to 50 years 1,000 51+ years 1,200 Vitamin D is also important for bones. It works with calcium to keep bones strong. Vitamin D is in many of the foods that contain calcium and in some fish and fish oils. However, the best source of vitamin D is sunlight. If you wear a heavy sunscreen (SPF 15 or higher) or do not spend much time outside, then you need to include good sources of vitamin D in your diet. You should strive for 200 IU of Vitamin D daily. Food Serving size* Vitamin D (IU) Cod Liver Oil 1 Tbsp. 1,360 Salmon, cooked 3.5 oz 360 Mackerel, cooked 3.5 oz 345 Page 1 of 4 w w w. u c d m c . u c d a v i s . e d u / c a n c e r Continued Tuna fish, canned in oil 3 oz 200 Sardines, canned in oil, drained 1.75 oz 250 Milk, nonfat, reduced fat, and while, Vitamin D 1 cup 98 Margarine, fortified 1 Tbsp. 60 Egg (vitamin D is found in egg yolk) 1 whole 20 Cheese, Swiss 1 oz 12 The good news is that many foods contain a lot of calcium. The better news is that they taste great! Dairy foods are the most common source of calcium. But many other foods you enjoy eating can also help you meet your body’s daily calcium need. Look at the labels on foods to see how much calcium they contain. Many foods are calcium fortified. These are good choices. My body needs _______________________mg. of calcium per day. My supplement is ____________________; it contains _______________mg. of calcium. Therefore, I need to get _________________ mg. of calcium every day from the foods that I eat. Food Serving size* Calcium (mg) Milk (regular or flavored) 8 oz 300 Cheese (Swiss, cheddar or mozzarella) 1 oz 200–300 Yogurt 8 oz 250 Frozen yogurt or ice cream 4 oz 100 Cottage cheese 4 oz 70 Calcium-fortified soy milk 8 oz 200–300 Soybeans 4 oz 125 Dairy Beans, peas and nuts Page 2 of 4 w w w. u c d m c . u c d a v i s . e d u / c a n c e r Continued Tofu (with calcium) 2 oz 100 White beans 4 oz 100 Almonds 1 oz 90 Baked beans 4 oz 75 Chickpeas (or garbanzo beans) 4 oz 40 Spinach (cooked) 4 oz 100 Green Leafy Vegetables (cooked) Collards, kale, mustard greens Broccoli (cooked) 4 oz 50 4 oz 25 Carrots (cooked) 4 oz 25 Calcium-fortified orange juice 8 oz 200–300 Dried figs 10 270 Papaya 1† 75 Orange 1† 50 Prunes 10 45 Dried dates 10 27 Raisins 3 oz 25 Clams 3 oz 290 Canned salmon (with bones) 3 oz 180 Vegetables Fruit Seafood Page 3 of 4 w w w. u c d m c . u c d a v i s . e d u / c a n c e r Continued Sardines 2 120 Calcium-fortified waffles 2 300 Breakfast cereal bar 1 200 Calcium-fortified cereal 8 oz 100-200 Calcium-fortified bread 1 slice 160 Graham crackers 2 sheets 150 Tortilla (flour or corn) 1 45 Grains *Unit conversions: 8 ounces (oz) = 1 cup; 4 oz = 1/2 cup; 3 oz = 1/3 cup; 2 oz = 1/4 cup; 1 oz = 2 tablespoons †A medium-sized piece of fruit Calcium-rich snacks and meals The following are some great meals and snacks for building strong bones. • Cheese and crackers • Cooked broccoli with cheese sauce • Raw broccoli dipped in plain fat-free yogurt or light ranch dressing • Grilled cheese sandwich and tomato soup made with milk • Yogurt topped with chopped dried fruit or almonds • Nachos • Cheese quesadilla • Macaroni and cheese • Pizza • Smoothies made with milk, soy milk, tofu, or yogurt and fruit • Calcium-fortified waffles with peanut butter • Low-fat frozen yogurt topped with dried fruit • Collard greens cooked in chicken stock • Bean dip made with white beans • Pudding made with skim milk • Cream cheese with chopped figs spread on half of a bagel Adapted with permission from St. Jude Children’s Research Hospital. Revised 12/04 UC Davis Cancer Center 12/06 w w w. u c d m c . u c d a v i s . e d u / c a n c e r Page 4 of 4