Calcium Supplementation: Small Fish vs. Canned Fish Bones for Health - Orthopedics

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Dr. Shi would like to ask one more question, is that okay?


Hello, doctor, thank you for your hard work! I would like to ask: if I want to supplement calcium (since I cannot drink milk), is it better to eat dried small fish or the fish bones found in canned fish? I've heard that larger fish are more likely to accumulate heavy metals; do the bones also accumulate toxins? Do the bones of larger fish contain more toxins than those of smaller fish? Which option is easier to supplement calcium and is also safe? Thank you!

Ying, 50~59 year old female. Ask Date: 2002/12/24

Dr. Shi Guozheng reply Orthopedics


Ms.
Sakura: Your question is excellent.
Essentially, fresh foods have higher nutritional content and are more palatable, so consuming fresh fish can achieve the same benefits.
As for which fish have bones that are less likely to contain heavy metals and other toxins, it depends on whether the fish have been exposed to environmental pollution.
If there is contamination, then both large and small fish can contain toxins.
Therefore, as long as the fish is fresh, not contaminated, and tastes good, it can be consumed, and it doesn't necessarily have to be an expensive type of fish.
Additionally, foods like tofu also contain calcium, so for those who cannot drink milk, other food options can be considered as substitutes.
Wishing you health, Dr.
Shi.
12.24

Reply Date: 2002/12/24

More Info


When considering calcium supplementation through dietary sources, particularly for those who cannot consume dairy products, both small dried fish (such as anchovies) and canned fish with bones are excellent options. Each has its own benefits and potential concerns, especially regarding heavy metal accumulation and overall health impacts.

Calcium Content and Sources:
Small fish, especially those consumed whole, including bones, are rich in calcium. For instance, small dried fish can provide a significant amount of calcium per serving, making them a practical choice for supplementation. Similarly, canned fish with bones, such as sardines or salmon, also offers a good source of calcium. The bones in these fish are soft and edible, allowing for easy consumption and absorption of calcium.

Heavy Metal Concerns:
One of the primary concerns with fish consumption, particularly larger species, is the accumulation of heavy metals, such as mercury. Larger fish tend to have longer lifespans and higher positions in the food chain, which can lead to greater accumulation of toxins. Therefore, while small fish are generally considered safer in terms of heavy metal content, it is still essential to consider the source of the fish. Fish from polluted waters may still carry toxins, regardless of their size.

Canned fish, particularly those from reputable brands and sources, are often tested for contaminants, making them a safer choice. However, it is advisable to choose fish that are known to have lower mercury levels, such as sardines and anchovies, which are smaller and have shorter lifespans.

Calcium Absorption and Health:
Calcium is vital for bone health, and its absorption can be influenced by various dietary factors. It is essential to pair calcium-rich foods with adequate vitamin D, which enhances calcium absorption. If you are considering small fish or canned fish for calcium supplementation, ensure that your overall diet includes sources of vitamin D, such as fatty fish, fortified foods, or sunlight exposure.

Daily Recommendations:
The recommended dietary allowance (RDA) for calcium varies by age and gender, but for most adults, it is around 1,000 mg per day. For individuals over 50, this requirement increases to about 1,200 mg per day. Consuming a variety of calcium-rich foods, including small fish and canned fish, can help meet these needs without the necessity of dairy products.

Conclusion:
In summary, both small dried fish and canned fish with bones are excellent sources of calcium and can be beneficial for those who cannot consume dairy. Small fish are generally safer concerning heavy metal accumulation, while canned fish can provide convenience and assurance of quality. It is crucial to consider the source of the fish and to maintain a balanced diet that supports overall health, including adequate vitamin D intake for optimal calcium absorption. Always consult with a healthcare provider or a nutritionist to tailor dietary choices to your specific health needs and conditions.

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