Bone-Healthy Diet

Nutrients That Support Bone Health (Beyond Calcium & Vitamin D)

Your bones benefit from several nutrients that help structure, maintain, or regenerate bone tissue. Key ones include:

Daily Calcium & Vitamin D Needs

Vitamin D Guidelines

• Postmenopausal females and males >70 years old: 800iu/day
• Premenopausal females and younger males with osteoporosis: 600iu/day
• Note: All supplementation should be guided by your healthcare provider. Always discuss with your healthcare provider first before starting any new vitamins/supplements.

Calcium Guidelines (Food + Supplements Combined)

• Pre-menopausal females and males of all ages: ~1,000 mg daily
• Postmenopausal females: ~1,200 mg daily
• Safe upper limit (for most): 2,000mg/day
• Note: All supplementation should be guided by your healthcare provider. Always discuss with your healthcare provider first before starting any new vitamins/supplements.

Estimate Your Daily Calcium Intake

1. Track how many servings daily of these dairy or calcium-fortified items:
   1. 8 oz (1 cup) milk
   2. 6 oz yogurt
   3. 5 oz (about 1.5 slices) cheese
   4. Fortified beverages or foods (e.g. some juices, plant milks, cereals)
2. Multiply each serving by its milligram calcium value (often ~200-300 mg for dairy servings).
3. Add any additional mg for other food sources that contain calcium (fruits, veggies, etc.)
4. Compare your total to your personal calcium goal (e.g., 1,200 mg).
5. If there’s a shortfall, add a calcium-rich food or supplement (after checking with your healthcare provider).

High-Calcium Vegetables & Their Values (per cooked cup)

Here are examples of vegetables rich in calcium:

• Collard greens: ~265 mg
• Turnip greens: ~200 mg
• Kale: ~175 mg
• Soybeans (mature): ~175 mg
• Bok choy: ~185 mg
• Dandelion greens: ~150 mg
• Mustard greens: ~165 mg
• Broccoli: ~60 mg

These foods can help you “fill in the gaps” beyond dairy/fortified sources.

Tips & Considerations

• Use food variety to reduce reliance on any single source
• Watch for absorption blockers: high sodium, caffeine, excessive animal protein, and some medications
• Pair calcium-rich foods with vitamin D and magnesium (if approved/recommended by your healthcare provider), which help with absorption
• Space out calcium intake (e.g., split doses) — absorption works best in smaller amounts
• Always consult with your healthcare provider before adding supplements — they can evaluate kidney function, medications (e.g. diuretics), or conditions (e.g. hyperparathyroidism) that may affect safe limits

This handout is for educational purposes only and is not a substitute for professional medical advice. Always follow your healthcare provider’s instructions.

Sources:

• https://www.bonehealthandosteoporosis.org/wp-content/uploads/2016/02/Your-Guide-to-a-Bone-Healthy-Diet.pdf
• https://www.uptodate.com/contents/calcium-and-vitamin-d-supplementation-in-osteoporosis?search=calcium%20supplementation%20adult&source=search_result&selectedTitle=2~150&usage_type=default&display_rank=1
• https://www.uptodate.com/contents/calcium-and-vitamin-d-for-bone-health-beyond-the-basics?search=calcium%20supplementation%20adult&topicRef=2023&source=related_link
• https://www.bonehealthandosteoporosis.org/patients/treatment/nutrition/
• https://www.dietaryguidelines.gov/food-sources-calcium
• https://www.bonehealthandosteoporosis.org/patients/treatment/calciumvitamin-d/a-guide-to-calcium-rich-foods/

This content was created with the assistance of AI. Any AI-generated content was reviewed by a Nurse Practitioner.