Calcium is an essential element for life. Adequate levels in the blood are essential for good bone strength, functioning muscles, and the nervous system. Sufficient intake should be ensured from an early age and throughout life, as it is an effective way to prevent osteoporosis (brittle bones).
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Calcium is the most important building block in our skeleton. In order to form strong bone tissue capable of withstanding the pressures and strains the body is subjected to, calcium is necessary. It is also essential in your body’s metabolism, and is involved in regulating muscle and nerve cell function, as well as the blood clotting process.
Calcium exists in the blood in three different forms: bound to albumin, in combination with bicarbonate, citrate, and phosphate, and as free ions.
Three factors mainly regulate calcium metabolism. Primarily, it is regulated by parathyroid hormone, a hormone produced by the parathyroid gland. Additionally, it is regulated by D vitamin and another hormone from the thyroid gland, calcitonin.
Together with D vitamin, calcium is necessary for creating strong bones. This is because D vitamin is necessary for the body to be able to absorb calcium. The main sources of D vitamin are fish and UV radiation from the sun. When the skin is exposed to the sun’s UV rays, the active form of D vitamin is created.
Normal levels are necessary for the body’s cells to communicate with each other, including via various hormones. Therefore, the body regulates the levels very carefully to avoid disturbances in the nervous system and muscles.
If the body does not get enough calcium from the diet, the body will absorb it from the skeleton instead, where it is always available for the bloodstream. A deficiency thus causes weakening of the skeleton, leading to osteoporosis over time.
It is a mineral whose requirements vary with age. In children, where the growth rate is high, the need is therefore also high in relation to their size. In adults, where the growth of bone tissue is considerably less, only about one-tenth of the calcium in the diet is absorbed.
The table below shows the Swedish National Food Agency’s recommended intake per age group:
| Group | Recommended intake/day |
| Adults | 800 mg |
| Pregnant and breastfeeding | 900 mg |
| Children, teenagers 10-17 years | 900 mg |
| Children 6-9 years | 700 mg |
| Children 1-5 years | 600 mg |
| Infants 6-11 months | 540 mg |
As a person ages, the absorption decreases. Instead, the body extracts the lacking calcium from the bones by increasing the secretion of parathyroid hormone. When this process continues over a longer period, the condition of osteoporosis develops, which we will explain more in detail below.
Testing for calcium is clinically done by checking the levels in the blood. Since it exists in several different forms in the body, it is also necessary to examine the levels of albumin in the blood to determine the actual amount of calcium in the blood.
Because the levels in the blood are regulated by, among other factors, the thyroid and parathyroid glands, a calcium test can be used to investigate diseases related to these organs.
A test can also help doctors diagnose various diseases that can affect the skeleton, teeth, heart, nervous system, or kidneys.
The reference values for P-Ca (calcium) for adults are 2.15-2.50 mmol / l.
The unit mmol / l denotes concentration measured in millimoles per liter.
Reference values can vary depending on where the analysis is performed and what analysis method is used.
High levels in the blood are called hypercalcemia. It is usually caused by overactive thyroid hormone, which transfers too much calcium from the bone to the blood.
In addition to thyroid disorders, high calcium levels can be caused by, among other things:
Low levels of calcium in the blood are called hypocalcemia. It may be due to a lack of parathyroid hormone, hypoparathyroidism. Hypocalcemia can also be caused by a greater decrease in D vitamin intake or impaired calcium absorption, which can occur, for example, in connection with celiac disease.
In addition, low calcium levels can be caused by, among other things:
Until the age of thirty, bone tissue is formed faster than it is broken down, which increases the hardness of the skeleton. After the age of thirty, the bones become porous because the process is reversed, bone tissue is broken down faster than it is formed. If this process continues over time, the strength of the bone tissue decreases to the point where the skeleton becomes brittle, a condition known as osteoporosis.
Although everyone’s bones become more porous with age, osteoporosis is clearly more common in women than men. The process accelerates especially after menopause because a lack of estrogen, a female hormone, speeds up the loss of calcium from the bones.
The speed of the process of building and breaking down bone tissue is greatly influenced by hereditary factors, but several lifestyle-related risk factors are known.
There are several risk factors for developing osteoporosis, some of the most common ones are:
After the diagnosis of osteoporosis is made, it is important to ensure intake of calcium and D vitamin. Similarly, physical activity is an important factor in preventing continued breakdown of bone tissue.
Medication is always initiated if a person is diagnosed with a fracture associated with osteoporosis. Typically, a bisphosphonate medication taken orally once a week or once a month is used. Bisphosphonate prevents bone breakdown and can even increase bone mineral content.
Treatment of osteoporosis is long-term and aims to reduce the risk of fractures.
Good sources of calcium include oats, nuts, soy or rice-based drinks and yogurts with added calcium, tofu, tahini, fish, soy, beans, dark green leafy vegetables, oranges, black currants, cabbage, and dairy products.
Below are good sources of calcium (the amount is per 100 g of product).
Calcium is better absorbed from food than when taken as a tablet, so it is important to primarily try to increase the intake by improving one’s diet.
Calcium is a naturally occurring mineral found in a cow’s diet, such as in feed and water. When a cow eats foods containing calcium, it is absorbed into the cow’s bloodstream and transported to the mammary glands, from where it is secreted as part of the milk. Dairy products, such as milk, cheese, and yogurt, are well-known sources of calcium in human nutrition. The calcium content in milk can vary depending on the cow’s diet and health condition.
Preventing osteoporosis includes healthy lifestyle choices such as adequate intake of calcium and vitamin D, regular weight-bearing exercise, and avoiding smoking and excessive alcohol consumption. Bone health can also be supported by regular bone density measurements for individuals in risk groups.
An adult should get about 800 mg of calcium daily. This amount can vary depending on age, gender, and life situation, such as pregnancy or breastfeeding. Calcium is an important mineral that strengthens bones and teeth, and aids in the function of muscles and the nervous system. Adequate calcium intake is especially important during growth ages and for the elderly, whose calcium absorption decreases with age.
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