Nutrition Concerns: Can Onions and Fish Help with Calcium Absorption? - Nutrition

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Nutritional issues


1.
Recently, I suffered a clavicle fracture.
2.
I consumed stir-fried onions with baby sardines, hoping to supplement calcium.
3.
I discovered that onions seem to contain oxalic acid, and I'm concerned about the formation of calcium oxalate stones.
What is the oxalic acid content like? Are onions and baby sardines suitable to be consumed together? Thank you!

Mr. Lin, 50~59 year old female. Ask Date: 2016/12/08

Dr. Xie Peiru reply Nutrition


Hello Mr.
Lin: Onions are considered low-oxalate foods (containing 2-10 mg of oxalate per 100 grams), so there is no need for concern.
If you are worried, you can try scrambled eggs with fish roe or a soup.
I recommend high-calcium foods: 1.
Black sesame seeds: 8 grams -- 116 mg.
2.
Whole milk powder: 35 grams -- 317 mg.
3.
Wheat flour: 20 grams -- 113 mg.
Wishing you health and safety! Nutrition Department, Qishan Hospital.

Reply Date: 2016/12/08

More Info


When it comes to nutrition and bone health, particularly after a clavicle fracture, it's essential to consider the role of various foods in calcium absorption and overall recovery. Your inquiry about the combination of onions and fish, specifically the small fish known as "吻仔魚" (commonly referred to as anchovies or baby fish), raises some important points regarding dietary choices and their implications for calcium intake.


Calcium Absorption and Food Pairing
1. Calcium Sources: Small fish, especially those consumed with bones, are excellent sources of calcium. They provide not only calcium but also other essential nutrients like omega-3 fatty acids, which are beneficial for bone health and overall recovery. Consuming these fish can significantly contribute to your daily calcium intake, which is crucial for healing after a fracture.

2. Onions and Oxalates: You mentioned concerns about onions containing oxalates, which can bind with calcium and potentially form calcium oxalate stones in susceptible individuals. While onions do contain oxalates, their levels are relatively low compared to other foods like spinach or rhubarb. The oxalate content in onions is not typically high enough to pose a significant risk for calcium absorption or stone formation when consumed in moderation.
3. Nutritional Benefits of Onions: Onions are rich in antioxidants and have anti-inflammatory properties, which can be beneficial for recovery. They contain quercetin, a flavonoid that may help reduce inflammation and promote healing. Therefore, incorporating onions into your diet can provide health benefits without significantly hindering calcium absorption.


Combining Onions and Fish
The combination of sautéed onions with small fish is not only delicious but also nutritionally sound. The potential oxalate content in onions is unlikely to interfere with the calcium absorption from the fish. In fact, the overall meal can enhance nutrient absorption due to the presence of various vitamins and minerals.

Recommendations for Calcium Intake
- Daily Calcium Needs: For adults, the recommended dietary allowance (RDA) for calcium is about 1,000 mg per day, increasing to 1,200 mg for women over 50 and men over 70. After a fracture, ensuring adequate calcium intake is crucial for bone healing.

- Food Sources: Besides small fish, consider incorporating other calcium-rich foods into your diet, such as dairy products (milk, yogurt, cheese), fortified plant-based milks, leafy greens (like kale and bok choy), and nuts (especially almonds).

- Supplementation: If dietary sources are insufficient, calcium supplements can be considered, but it's best to consult with a healthcare provider before starting any supplementation.


Conclusion
In summary, consuming sautéed onions with small fish is a nutritious choice that can support your calcium intake and overall recovery after a clavicle fracture. While onions do contain oxalates, their levels are not high enough to significantly impact calcium absorption when eaten as part of a balanced diet. Focus on a variety of calcium-rich foods to meet your nutritional needs, and consider consulting with a nutritionist or healthcare provider for personalized advice tailored to your recovery process.

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