Hip joint - Osteopenia
Hello, doctor.
I underwent a bone density test this year and found that I have osteopenia in the hip joint with a score of -2.1.
The doctor recommended that I take calcium supplements.
I have some questions regarding a calcium supplement I purchased, which contains 1536 mg of calcium citrate (equivalent to 315 mg of elemental calcium) and 250 IU of vitamin D per tablet.
I take two tablets daily, after breakfast and lunch.
I also try to drink about 300 cc of plain, unsweetened yogurt daily, as I have lactose intolerance.
Is this intake sufficient? Additionally, I make an effort to get 5 to 10 minutes of sunlight exposure daily.
On days when there is no sunlight or when I am unable to get outside during work, should I consider taking extra vitamin D supplements? Thank you.
xian, 30~39 year old female. Ask Date: 2017/11/06
Dr. Li Yongheng reply Orthopedics
Hello, based on your age, your intake of calcium and vitamin D should be sufficient.
Chewing calcium tablets before swallowing can enhance absorption.
Additionally, spending 5 to 10 minutes in the sun daily is adequate, so there is no need to purchase additional vitamin D supplements.
Of course, moderate exercise, such as jogging or playing sports, is also very important.
Reply Date: 2017/11/06
More Info
To address your concerns regarding calcium and vitamin D intake for improving joint health and managing your bone density, it’s essential to understand the roles these nutrients play in bone health, especially in the context of osteoporosis.
Based on the information you provided, you are taking a calcium supplement that contains 315 mg of elemental calcium per tablet, along with 250 IU of vitamin D. You are taking two tablets daily, which gives you a total of 630 mg of elemental calcium and 500 IU of vitamin D. The recommended daily intake for calcium varies by age and gender, but for most adults, it is generally around 1,000 mg to 1,200 mg per day. Therefore, your current intake of calcium is slightly below the recommended level, especially considering your diagnosis of bone density insufficiency.
In addition to your calcium supplement, you mentioned consuming approximately 300 cc of plain yogurt daily. Yogurt is a good source of calcium, and depending on the brand, it can provide around 300-400 mg of calcium per serving. If we assume your yogurt provides around 300 mg of calcium, your total daily intake would be approximately 930 mg, which is still below the recommended amount. You might want to consider incorporating other calcium-rich foods into your diet, such as fortified plant-based milks, leafy greens, or small fish with bones, to help meet your daily requirements.
Regarding vitamin D, the recommended daily intake for adults is generally around 600 to 800 IU, depending on age and individual health conditions. Your current intake of 500 IU from supplements is within the acceptable range, but it may not be sufficient, especially if you have limited sun exposure. Vitamin D is crucial for calcium absorption in the body, and without adequate levels, your body may struggle to utilize the calcium you are consuming effectively.
You mentioned that you try to get 5-10 minutes of sun exposure daily, which is beneficial. However, factors such as geographic location, skin type, and the season can significantly affect how much vitamin D your body synthesizes from sunlight. On days when you cannot get enough sun exposure, it may be wise to consider additional vitamin D supplementation. A common recommendation is to take a vitamin D supplement of around 1,000 IU, especially during winter months or if you have limited sun exposure due to your work schedule.
In summary, while you are making efforts to improve your calcium and vitamin D intake, you may need to adjust your diet and supplementation to ensure you meet the recommended levels for optimal bone health. It is also important to engage in weight-bearing exercises, as physical activity can help strengthen bones and improve overall joint health. Additionally, regular check-ups with your healthcare provider can help monitor your bone density and adjust your supplementation as needed.
Lastly, always consult with your healthcare provider before making any significant changes to your supplement regimen, especially considering your lactose intolerance and any other health conditions you may have. They can provide personalized recommendations based on your specific health needs and lifestyle.
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