Abstract
Summary
This review shows the estimated calcium intake in Spain in recent years. Our results indicate that adolescents and the elderly are at risk of insufficient calcium intake. By using the national and the European recommendations, this work contributes to map and compare population’s dietary calcium intake in the European countries.
Purpose and Methods
The present work aims to examine calcium intake in the healthy Spanish population of any age and analyze its adequacy to the calcium Recommended Dietary Intake (RDI) for different groups in Spanish population, as well to the Adequate Intake (AI) or Population Reference Intake (PRI) estimated by European Food Safety Authority (EFSA). Forty-three studies published in the last 5 years were eligible for review.
Results and Conclusions
The results show that infants and children exceed Spanish and EFSA dietary recommendations, adults meet more that 80% of the RDI and EFSA recommendations, and the estimated average calcium intake in the adolescent and elderly groups does not reach 75% of the recommended intake. Representative national studies with a common methodology to estimate calcium intake are needed.
Similar content being viewed by others
References
Borgström F, Karlsson L, Ortsäter G, Norton N, Halbout P, Cooper C, et al. (2020) Fragility fractures in Europe: burden, management and opportunities. Arch Osteoporos ;15. https://doi.org/10.1007/s11657-020-0706-y
Hernandez CJ, Beaupré GS, Carter DR (2003) A theoretical analysis of the relative influences of peak BMD, age-related bone loss and menopause on the development of osteoporosis. Osteoporos Int 14:843–847. https://doi.org/10.1007/s00198-003-1454-8
Moreiras O, Carbajal A, Cabrera LCC (2018) Tablas de composición de alimentos: guía de prácticas. In: Madrid: Pirámide, editor. 19th ed., Madrid, p. 270–9
Panel E, Nda A, La Vieille S, Marchelli R, Martin A, Naska A et al (2015) Scientific opinion on dietary reference values for calcium. EFSA J 13:1–82. https://doi.org/10.2903/j.efsa.2015.4101
Dalmau J, Peña-Quintana L, Moráis A, Martínez V, Varea V, Martínez MJ et al (2015) Análisis cuantitativo de la ingesta de nutrientes en niños menores de 3 años. Estudio ALSALMA. An Pediatr 82:255–266. https://doi.org/10.1016/j.anpedi.2014.09.017
López-Sobaler AM, Aparicio A, González-Rodríguez LG, Cuadrado-Soto E, Rubio J, Marcos V et al (2017) Adequacy of usual vitamin and mineral intake in Spanish children and adolescents: ENALIA study. Nutrients 9:1–18. https://doi.org/10.3390/nu9020131
Olza J, Aranceta-Bartrina J, González-Gross M, Ortega RM, Serra-Majem L, Varela-Moreiras G, et al. (2017) Reported dietary intake, disparity between the reported consumption and the level needed for adequacy and food sources of calcium, phosphorus, magnesium and vitamin D in the Spanish population: findings from the ANIBES study. Nutrients 9 https://doi.org/10.3390/nu9020168
Academy of Nutrition and Dietetics (2012) Evidence analysis manual: steps in the academy evidence analysis process
Almárcegui CJ, Bruton AG, Llorente ÁM, Agüero AG, Cabello AG, Moreno LA et al (2015) Validity of a food-frequency questionnaire for estimating calcium intake in adolescent swimmers. Nutr Hosp 32:1773–1779. https://doi.org/10.3305/nh.2015.32.4.9490
Babio N, Alcázar M, Castillejo G, Recasens M, Martínez-Cerezo F, Gutiérrez-Pensado V et al (2017) Patients with celiac disease reported higher consumption of added sugar and total fat than healthy individuals. J Pediatr Gastroenterol Nutr 64:63–69. https://doi.org/10.1097/MPG.0000000000001251
del Mar Bibiloni M, Salas R, Coll JL, Pons A, Tur JA (2014) Ten-year trends in compliance with the current Spanish nutritional objectives in Balearic Islands adult population (2000-2010). Nutrition 30:800–806. https://doi.org/10.1016/j.nut.2014.01.003
M C-R, Nestares T, Salinas M, Teresa C, Diaz-Castro J, Moreno-Fernandez J et al (2016) Nutrición Hospitalaria Trabajo Original. Nutr Hosp 33:832–837
Correa-Rodríguez M, Schmidt Rio-Valle J, González-Jiménez E, Rueda-Medina B (2016) A cross-sectional study of the association of VDR gene, calcium intake, and heel ultrasound measures in early adulthood. Calcif Tissue Int 98:226–234. https://doi.org/10.1007/s00223-015-0086-2
Correa-Rodríguez M, Rio-Valle JS, González-Jiménez E, Rueda-Medina B (2016) The effects of body composition, dietary intake, and physical activity on calcaneus quantitative ultrasound in Spanish young adults. Biol Res Nurs 18:439–444. https://doi.org/10.1177/1099800416634884
Correa-Rodríguez M, Schmidt-RioValle J, Ramírez-Vélez R, Correa-Bautista JE, González-Jiménez E, Rueda-Medina B (2018) Influence of calcium and vitamin D intakes on body composition in children and adolescents. Clin Nurs Res. https://doi.org/10.1177/1054773818797878
Correa-Rodríguez M, Rio-Valle JS, Rueda-Medina B (2018) AKAP11 gene polymorphism is associated with bone mass measured by quantitative ultrasound in young adults. Int J Med Sci 15:999–1004. https://doi.org/10.7150/ijms.25369
Dalmau J, Peña Quintana L, Morais A, Martínez V, Varea V, Martínez M et al (2015) Análisis cuantitativo de la ingesta de nutrientes en niños menores de 3 a ˜. An Pediatr 82:255–266
Durá-Travé T, Gallinas-Victoriano F (2014) Milk and dairy products intake in child-juvenile population in Navarre, Spain. Nutr Hosp 30:794–799. https://doi.org/10.3305/nh.2014.30.4.7664
Manzanera E, Vega R (2017) Artículo Original Un estudio sobre la ingesta de energía, perfil calórico y contribución de las fuentes alimentarias a la dieta de futuras maestras A study on energy intake, profile, and dietary sources in the future teachers. Nutr Clín Diet Hosp 37:57–66. https://doi.org/10.12873/371ejedamanzanera
Escribano J, Rubio-Torrents C, Ferré N, Luque V, Grote V, Zaragoza-Jordana M et al (2014) Reduced bone mass in 7-year-old children with asymptomatic idiopathic hypercalciuria. Ann Nutr Metab 64:304–313. https://doi.org/10.1159/000365038
Gómez-Bruton A, González-Agüero A, Gómez-Cabello A, Matute-Llorente A, Casajús JA, Vicente-Rodríguez G (2015) The effects of swimming training on bone tissue in adolescence. Scand J Med Sci Sports 25:e589–e602. https://doi.org/10.1111/sms.12378
Gutiérrez-Díaz I, Molinero N, Cabrera A, Rodríguez JI, Margolles A, Delgado S et al (2018) Diet: cause or consequence of the microbial profile of cholelithiasis disease? Nutrients 10:5–7. https://doi.org/10.3390/nu10091307
Hervás G, Ruiz-Litago F, Irazusta J, Fernández-Atutxa A, Fraile-Bermúdez AB, Zarrazquin I (2018) Physical activity, physical fitness, body composition, and nutrition are associated with bone status in university students. Nutrients ;10. https://doi.org/10.3390/nu10010061
Jáuregui-Lobera I (2016) Conocimientos, actitudes y conductas: hábitos alimentarios en un grupo de estudiantes de nutrición. Knowledge, attitudes and behaviours: Eating habits among students of nutrition;1:268–74. https://doi.org/10.19230/jonnpr.2016.1.7.1142
Jiménez Talamantes R, Rizk Hernández J, Quiles i Izquierdo J (2017) Ingesta insuficiente de calcio en la población adulta de la Comunitat Valenciana. Rev Española Nutr Humana y Dietética 21:263. https://doi.org/10.14306/renhyd.21.3.372
Julián-Almárcegui C, Bel-Serrat S, Kersting M, Vicente-Rodriguez G, Nicolas G, Vyncke K et al (2016) Comparison of different approaches to calculate nutrient intakes based upon 24-h recall data derived from a multicenter study in European adolescents. Eur J Nutr 55:537–545. https://doi.org/10.1007/s00394-015-0870-9
Labayen I, Ruiz JR, Arenaza L, Medrano M, Tobalina I, Gracia-Marco L et al (2018) Hepatic fat content and bone mineral density in children with overweight/obesity. Pediatr Res 84:684–688. https://doi.org/10.1038/s41390-018-0129-2
Lavado-García J, Roncero-Martin R, Moran JM, Pedrera-Canal M, Aliaga I, Leal-Hernandez O et al (2018) Long-chain omega-3 polyunsaturated fatty acid dietary intake is positively associated with bone mineral density in normal and osteopenic Spanish women. PLoS One 13:1–14. https://doi.org/10.1371/journal.pone.0190539
Lope V, Castelló A, Mena-Bravo A, Amiano P, Aragonés N, Fernández-Villa T et al (2018) Serum 25-hydroxyvitamin D and breast cancer risk by pathological subtype (MCC-Spain). J Steroid Biochem Mol Biol 182:4–13. https://doi.org/10.1016/j.jsbmb.2018.04.005
López-González B, Molina-López J, Florea DI, Quintero-Osso B, de la Cruz AP, del Pozo EMP (2014) Asociación de la deficiencia de magnesio con parámetros antropométricos y clínico-nutricionales en mujeres posmenopáusicas. Nutr Hosp 29:658–664. https://doi.org/10.3305/nh.2014.29.3.7198
Varo CM, García-algar O, Sierra AM, Costa F, Lezcano AC, Fernández DY et al (2017) Plasma 25-OH vitamin D concentrations in cord blood after summer months, Spain Durante el embarazo y la lactancia las mu- jeres requieren cantidades importantes de vitamina D y calcio para transferir al feto, al recién nacido (RN) y al lactante. Sin 91:1–8
Marcos-Pasero H, Aguilar-Aguilar E, de la Iglesia R, Espinosa-Salinas I, Gómez-Patiño M, Colmenarejo G et al (2018) Association of calcium and dairy product consumption with childhood obesity and the presence of a brain derived neurotropic factor-antisense (BDNF-AS) polymorphism. Clin Nutr. https://doi.org/10.1016/j.clnu.2018.11.005
Morales-Suárez-Varela M, Rubio-López N, Ruso C, Llopis-Gonzalez A, Ruiz-Rojo E, Redondo M et al (2015) Anthropometric status and nutritional intake in children (6–9 years) in Valencia (Spain): the ANIVA Study. Int J Environ Res Public Health 12:16082–16095. https://doi.org/10.3390/ijerph121215045
Moran JM, Pedrera-Canal M, Rodriguez-Velasco FJ, Vera V, Lavado-Garcia JM, Fernandez P, et al. (2015) Lack of association of vitamin D receptor BsmI gene polymorphism with bone mineral density in Spanish postmenopausal women. PeerJ 2015 https://doi.org/10.7717/peerj.953
Ojeda-Rodríguez A, Zazpe I, Morell-Azanza L, Chueca MJ, Azcona-Sanjulian MC, Marti A (2018) Improved diet quality and nutrient adequacy in children and adolescents with abdominal obesity after a lifestyle intervention. Nutrients 10 https://doi.org/10.3390/nu10101500
Olmos JM, Hernández JL, García-Velasco P, Martínez J, Llorca J, González-Macías J (2016) Serum 25-hydroxyvitamin D, parathyroid hormone, calcium intake, and bone mineral density in Spanish adults. Osteoporos Int 27:105–113. https://doi.org/10.1007/s00198-015-3219-6
Olza J, Aranceta-Bartrina J, González-Gross M, Ortega RM, Serra-Majem L, Varela-Moreiras G et al (2017) Reported dietary intake, disparity between the reported consumption and the level needed for adequacy and food sources of calcium, phosphorus, magnesium and vitamin D in the Spanish population: findings from the ANIBES Study †. Nutrients 9:168. https://doi.org/10.3390/nu9020168
Ortigosa Gómez S, García-Algar O, Mur Sierra A, Ferrer Costa R, Carrascosa Lezcano A, Yeste FD (2015) Concentraciones plasmáticas de 25-OH vitamina D y parathormona en sangre de cordón umbilical. Rev Esp Salud Publica 89:75–83. https://doi.org/10.4321/s1135-57272015000100008
Pérez-Fernández MR, Almazán Ortega R, Martínez Portela JM, Alves Pérez MT, Segura-Iglesias MC, Pérez-Fernández R (2014) Hábitos saludables y prevención de la osteoporosis en mujeres perimenopáusicas de un ámbito rural. Gac Sanit 28:163–165. https://doi.org/10.1016/j.gaceta.2013.09.006
Roncero-Martín R, Vera IA, Moreno-Corral LJ, Moran JM, Lavado-Garcia JM, Pedrera-Zamorano JD et al (2018) Olive oil consumption and bone microarchitecture in Spanish women. Nutrients 10:6–13. https://doi.org/10.3390/nu10080968
Ruiz E, Ávila JM, Valero T, Rodriguez P, Varela-Moreiras G (2018) Breakfast consumption in Spain: patterns, nutrient intake and quality. findings from the ANIBES study, a study from the international breakfast research initiative. Nutrients;10. https://doi.org/10.3390/nu10091324
Sánchez Muro JM, Yeste Fernández D, Marín Muñoz A, Fernández Cancio M, Audí Parera L, Carrascosa LA (2015) Niveles plasmáticos de vitamina D en población autóctona y en poblaciones inmigrantes de diferentes etnias menores de 6 años de edad. An Pediatr 82:316–324. https://doi.org/10.1016/j.anpedi.2014.05.007
Vallès X, Alonso MH, López-Caleya JF, Díez-Obrero V, Dierssen-Sotos T, Lope V et al (2018) Colorectal cancer, sun exposure and dietary vitamin D and calcium intake in the MCC-Spain study. Environ Int 121:428–434. https://doi.org/10.1016/j.envint.2018.09.030
Vera V, Moran JM, Barros P, Canal-Macias ML, Guerrero-Bonmatty R, Costa-Fernandez C et al (2015) Greater calcium intake is associated with better bone health measured by quantitative ultrasound of the phalanges in pediatric patients treated with anticonvulsant drugs. Nutrients 7:9908–9917. https://doi.org/10.3390/nu7125517
Vioque J, Garcia-De-La-Hera M, Gonzalez-Palacios S, Torres-Collado L, Notario-Barandiaran L, Oncina-Canovas A et al (2019) Reproducibility and validity of a short food frequency questionnaire for dietary assessment in children aged 7–9 years in Spain. Nutrients 11:933. https://doi.org/10.3390/nu11040933
Vioque J, Gimenez-Monzo D, Navarrete-Muñoz EM, Garcia-De-la-hera M, Gonzalez-Palacios S, Rebagliato M et al (2016) Reproducibility and validity of a food frequency questionnaire designed to assess diet in children aged 4-5 years. PLoS One 11:1–17. https://doi.org/10.1371/journal.pone.0167338
Zaragoza Noguera Directores R, Dña Pilar Zafrilla Rentero Alejandro Galindo Tovar DD. ESCUELA INTERNACIONAL DE DOCTORADO Programa de Doctorado: Nutrición y Seguridad Alimentaria Influencia de la dieta de la embarazada sobre el crecimiento fetal 2017
Z-J M, L V, E J, G-L M, G V, K B et al (2016) Micronutrient intake and prevalence of adequacy in European children, from birth to 8 years. J Pediatr Gastroenterol Nutr 62:687–688. https://doi.org/10.1097/01.mpg.0000484500.48517.e7
Gomis MG (2016) Situación nutricional en jóvenes. Diferencias en función de su consumo de productos lácteos
Ana Isabel Jiménez Ortega RMOA, López-Sobaler AM (2016) Situación nutricional y antioxidante de un colectivo de escolares españoles. Diferencias en función de la capacidad antioxidante de su dieta y de su composición corporal. UNIVERSIDAD COMPLUTENSE DE MADRID
Subar AF, Freedman LS, Tooze JA, Kirkpatrick SI, Boushey C, Neuhouser ML et al (2015) Addressing current criticism regarding the value of self-report dietary data. J Nutr 145:2639–2645. https://doi.org/10.3945/jn.115.219634
Thompson FE, Subar AF (2017) Dietary assessment methodology. Nutr Prev Treat Dis. https://doi.org/10.1016/B978-0-12-802928-2.00001-1
Shim J-S, Oh K, Kim HC (2014) Dietary assessment methods in epidemiologic studies. Epidemiol Health. https://doi.org/10.4178/epih/e2014009
Rodrigo CP, Aranceta J, Salvador G, Varela-Moreiras G (2015) Métodos de frecuencia de consumo alimentario. Nutr Hosp. https://doi.org/10.3305/nh.2015.31.sup3.8751
Food E, Authority S (2009) General principles for the collection of national food consumption data in the view of a pan-European dietary survey. EFSA J 7:1–51. https://doi.org/10.2903/j.efsa.2009.1435
Ejeda Manzanera JM, Rodrigo VM (2017) A study on energy intake, profile, and dietary sources in the future teachers. Nutr Clin Y Diet Hosp 37:57–66. https://doi.org/10.12873/371ejedamanzanera
Balk EM, Adam GP, Langberg VN, Earley A, Clark P, Ebeling PR et al (2017) Global dietary calcium intake among adults: a systematic review. Osteoporos Int 28:3315–3324. https://doi.org/10.1007/s00198-017-4230-x
Roman Viñas B, Ribas Barba L, Ngo J, Gurinovic M, Novakovic R, Cavelaars A et al (2011) Projected prevalence of inadequate nutrient intakes in Europe. Ann Nutr Metab 59:84–95. https://doi.org/10.1159/000332762
Salvador Castell G, Serra Majem L, Ribas BL (2015) ¿Qué y cuánto comemos? El método Recuerdo de 24 horas. Rev Esp Nutr Comunitaria 21:142–144. https://doi.org/10.14642/RENC.2015.21.sup1.5049
Ortega RM, Pérez-rodrigo C, López-sobaler AM, Ortega RM, Pérez-rodrigo C, López-sobaler AM (2015) Métodos de evaluación de la ingesta actual : registro o diario diétetico;21:34–41. étodos de evaluación de la ingesta actual : registro o diario diétetico 2015;21:34–41. https://doi.org/10.14642/RENC.2015.21.sup1.5048
Zaragoza-Jordana M, Closa-Monasterolo R, Luque V, Ferré N, Grote V, Koletzko B et al (2018) Micronutrient intake adequacy in children from birth to 8 years. Data from the Childhood Obesity Project. Clin Nutr 37:630–637. https://doi.org/10.1016/j.clnu.2017.02.003
Diethelm K, Huybrechts I, Moreno L, De Henauw S, Manios Y, Beghin L et al (2014) Nutrient intake of European adolescents: results of the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) Study. Public Health Nutr 17:486–497. https://doi.org/10.1017/S1368980013000463
Kong SH, Kim JH, Hong AR, Cho NH, Shin CS (2017) Dietary calcium intake and risk of cardiovascular disease, stroke, and fracture in a population with low calcium intake. Am J Clin Nutr 106:27–34. https://doi.org/10.3945/ajcn.116.148171
Tisdale AK, Agrón E, Sunshine SB, Clemons TE, Ferris FL, Chew EY (2019) Association of dietary and supplementary calcium intake with age-related macular degeneration: Age-Related Eye Disease Study report 39. JAMA Ophthalmol 137:543–550. https://doi.org/10.1001/jamaophthalmol.2019.0292
Tankeu AT, Ndip Agbor V, Noubiap JJ (2017) Calcium supplementation and cardiovascular risk: a rising concern. J Clin Hypertens 19:640–646. https://doi.org/10.1111/jch.13010
Serra Majem L, Ribas Barba L, Aranceta Bartrina J, Pérez Rodrigo C, Saavedra Santana P, Peña Quintana L (2003) Obesidad infantil y juvenil en España. Resultados del estudio enKid (1998–2000). Med Clin (Barc) 121:725–732. https://doi.org/10.1016/s0025-7753(03)74077-9
ENIDE. Encuesta Nacional de Ingesta Dietética Española. Agencia Española Segur Aliment y Nutr Minist Sanidad, Serv Soc e Igualdad 2011:91
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflicts of interest
None.
Additional information
Publisher’s note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Romero-Marco, P., Pérez-Gallardo, L.L. Adequacy of calcium intake in Spanish population according age groups. Arch Osteoporos 15, 161 (2020). https://doi.org/10.1007/s11657-020-00831-3
Received:
Accepted:
Published:
DOI: https://doi.org/10.1007/s11657-020-00831-3