Dietary Recommendations for a 62-Year-Old Woman with Calcium Deficiency - Nutrition

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Dietary Recommendations for a 62-Year-Old Woman with Calcium Deficiency


Hello, Dietitian Fan.
Recently, I noticed that my mother's nails have prominent white horizontal lines.
After visiting a dermatologist, the doctor indicated that this is caused by calcium deficiency.
The doctor recommended additional vitamin and calcium supplementation.
Our family is a bit concerned that my mother might have other nutritional imbalances.
She is 62 years old, 156 cm tall, and weighs 55 kg (she has had a thyroidectomy and is on long-term thyroid medication.
Last year, her blood tests showed slightly elevated cholesterol, but everything else was normal).
I would like to ask what dietary recommendations you would suggest for her.
Thank you! Additionally, I would like to inquire whether the meat portion sizes indicated by the Ministry of Health and Welfare are measured based on raw weight or cooked weight (for example, 35 grams of general meat = 1 serving = 55 calories).
Thank you!

Ann, 30~39 year old female. Ask Date: 2021/09/14

Dr. Fan Chunmei reply Nutrition


Hello, your mother's usual dietary habits have not been specifically mentioned.
If her diet is unbalanced, she may easily lack trace elements in her body.
If you are concerned about nutritional imbalances, it would be advisable to review her dietary intake to ensure it aligns with the six food groups recommended by the National Health Administration's Healthy Plate: whole grains, legumes, fish, eggs, meat, vegetables, fruits, dairy products, and nuts/seeds.
A simple guideline for the Healthy Plate is: "One cup of milk in the morning and evening, a fist-sized portion of fruit at each meal, more vegetables than fruit, equal portions of rice and vegetables, a palm-sized portion of legumes, fish, eggs, or meat, and a teaspoon of nuts/seeds." Foods high in calcium, such as dairy products, sesame seeds, tofu, and dark green vegetables, are excellent sources.
The 35 grams of meat indicated by the Ministry of Health and Welfare refers to the raw weight equivalent to approximately 1 tael of meat.
Wishing you health and happiness! Sincerely, Dietitian Fan Chun-Mei, Director of the Nutrition Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2021/09/14

More Info


For a 62-year-old woman experiencing calcium deficiency, it is essential to focus on a balanced diet that meets her nutritional needs while also considering her medical history, particularly her thyroid condition and slightly elevated cholesterol levels. Here are some dietary recommendations and considerations:

Dietary Recommendations
1. Calcium-Rich Foods: Since calcium deficiency has been identified, it is crucial to incorporate calcium-rich foods into her diet. Good sources of calcium include:
- Dairy Products: Low-fat or fat-free milk, yogurt, and cheese are excellent sources.

- Leafy Greens: Vegetables such as kale, collard greens, and bok choy are good plant-based sources of calcium.

- Fortified Foods: Many plant-based milk alternatives (like almond or soy milk) and orange juice are fortified with calcium.

- Fish: Canned fish with bones, such as sardines and salmon, provide calcium.

- Tofu: Calcium-set tofu is another great option for vegetarians.

2. Vitamin D: Vitamin D is essential for calcium absorption. Encourage her to get adequate sunlight exposure and consider foods rich in vitamin D, such as fatty fish (like salmon), fortified dairy products, and egg yolks. If necessary, a vitamin D supplement may be recommended after consulting with her healthcare provider.

3. Balanced Diet: Ensure her diet includes a variety of food groups to prevent other nutritional deficiencies. The six food groups to focus on are:
- Whole grains (brown rice, whole wheat bread)
- Protein sources (lean meats, fish, legumes, eggs)
- Fruits (aim for a variety of colors)
- Vegetables (especially dark leafy greens)
- Dairy or dairy alternatives
- Nuts and seeds (in moderation)
4. Limit Saturated Fats and Cholesterol: Given her slightly elevated cholesterol levels, it is advisable to limit saturated fats found in red meats and full-fat dairy products. Instead, opt for lean meats, fish, and plant-based proteins. Incorporate healthy fats from sources like avocados, nuts, and olive oil.

5. Hydration: Encourage her to drink plenty of water throughout the day, as hydration is vital for overall health.

6. Regular Meals: Encourage her to eat regular meals and snacks to maintain energy levels and nutrient intake.


Monitoring and Supplements
- Supplements: If dietary changes are insufficient to meet her calcium needs, a calcium supplement may be necessary. The recommended dietary allowance (RDA) for calcium for women over 50 is about 1,200 mg per day. It’s crucial to consult with her healthcare provider before starting any supplements to avoid excessive intake, which can lead to kidney stones or other health issues.

- Regular Check-ups: Regular follow-ups with her healthcare provider are essential to monitor her calcium levels, thyroid function, and overall health.


Meat Portion Measurement
Regarding your question about the measurement of meat portions, the guidelines from health authorities typically refer to the raw weight of meat. For example, when it states that 35 grams of meat equals one serving, this measurement is based on the raw weight before cooking. Cooking can alter the weight due to moisture loss, so it's important to measure before cooking for accurate portion control.


Conclusion
In summary, a well-rounded diet rich in calcium and vitamin D, combined with regular monitoring of her health status, will help address her calcium deficiency and overall nutritional balance. It’s also advisable to consult with a registered dietitian or nutritionist for personalized dietary planning, especially considering her medical history.

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