Protein Intake and Its Impact on Osteoporosis Prevention - Nutrition

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Preventing Osteoporosis


Is it correct that a nutritionist heard a doctor say that a high-protein diet can inhibit calcium absorption, and therefore, the fundamental approach to preventing osteoporosis is to reduce protein intake rather than increase calcium intake? Thank you for your response.

Xiao Pingguo, 20~29 year old female. Ask Date: 2003/10/13

Dr. Tang Weili reply Nutrition


Excessive daily protein intake can accelerate calcium loss in the body.
To prevent osteoporosis, in addition to increasing calcium intake (such as consuming two cups of low-fat milk daily and incorporating more legumes and legume products, small fish with bones, sesame seeds, and seaweeds), it is also important to avoid excessive meat consumption.
Consuming an appropriate amount of protein is essential for maintaining bone health.

Reply Date: 2003/10/13

More Info


The relationship between protein intake and calcium absorption is a topic of ongoing debate in the nutritional and medical communities. The assertion that high protein diets inhibit calcium absorption and consequently contribute to osteoporosis prevention by reducing protein intake rather than increasing calcium intake is not entirely accurate.
Firstly, it is essential to understand that protein is a crucial macronutrient that plays a significant role in bone health. Proteins are vital for the formation of collagen, which is a significant component of bone tissue. Adequate protein intake is necessary for maintaining bone density and overall skeletal health. Research has shown that protein can actually enhance calcium absorption in the intestines and promote bone formation.
However, the concern arises when protein intake is excessively high, particularly from animal sources. Some studies suggest that high protein diets can lead to increased calcium excretion through urine. This phenomenon occurs because protein metabolism produces sulfuric acid, which the body neutralizes by leaching calcium from the bones. While this may raise concerns about calcium loss, it is crucial to consider the overall dietary context. A balanced diet that includes adequate calcium intake can mitigate these effects.
For osteoporosis prevention, the fundamental approach should not solely focus on reducing protein intake but rather on achieving a balanced diet that includes sufficient protein, calcium, and other essential nutrients. The recommended dietary allowance (RDA) for protein is approximately 0.8 grams per kilogram of body weight for the average adult, but this may increase for individuals who are physically active or elderly.
In addition to protein and calcium, other nutrients play a vital role in bone health. Vitamin D is essential for calcium absorption, and magnesium, phosphorus, and vitamin K also contribute to bone density. Therefore, a holistic approach that includes a variety of nutrients is crucial for preventing osteoporosis.

Moreover, lifestyle factors such as weight-bearing exercise, avoiding smoking, and limiting alcohol consumption are also critical in maintaining bone health. Regular physical activity, particularly weight-bearing exercises like walking, running, and resistance training, helps to strengthen bones and improve overall skeletal integrity.

In summary, the idea that reducing protein intake is the key to preventing osteoporosis is an oversimplification. Instead, a balanced diet that includes adequate protein, calcium, and other nutrients, combined with a healthy lifestyle, is the most effective strategy for maintaining bone health and preventing osteoporosis. It is advisable to consult with a healthcare provider or a registered dietitian to create a personalized nutrition plan that meets individual health needs and goals.

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