The Prevalence of Calcium Deficiency in the Canadian Population


Calcium is like the unsung hero of our bodies. We often hear about vitamins and other minerals, but calcium quietly supports some of our most crucial bodily functions. It’s the mineral that builds and maintains strong bones and teeth, regulates muscle contractions, helps transmit nerve impulses, and even assists in blood clotting. Yet, many of us don’t give calcium the attention it deserves until we start experiencing the symptoms of its deficiency. Let’s take a closer look at why calcium is so important and how you can ensure you’re getting enough.

Imagine waking up in the middle of the night with a painful muscle cramp. Or feeling a tingling sensation in your hands and feet for no apparent reason. These could be signs of calcium deficiency, also known as hypocalcemia. Other symptoms include muscle spasms, seizures, abnormal heart rhythms, and in severe cases, osteoporosis—a condition where bones become thin and fragile, increasing the risk of fractures.

Calcium deficiency can sneak up on you due to several factors. Poor dietary intake is a common culprit. If you’re not consuming enough calcium-rich foods like dairy products, fortified plant-based beverages, tofu, dark green vegetables, fish with bones, nuts, seeds, and legumes, you might be at risk. Malabsorption issues, hormonal changes, certain medications, and diseases can also interfere with your body’s ability to absorb and retain calcium.

The Canadian Community Health Survey (CCHS) conducted in 2004 revealed that about 11.9% of Canadians aged 40 years and older were living with diagnosed osteoporosis by 2015-2016. This condition is often linked to low calcium intake and insufficient vitamin D levels. Vitamin D is essential because it helps your body absorb calcium from food and supplements. Without enough vitamin D, even a calcium-rich diet might not be enough to prevent deficiencies.

Statistics Canada reported that about 32% of Canadians aged 6 to 79 years had vitamin D blood levels below the recommended range of 50 to 125 nmol/L in 2012-2013. This highlights the importance of not only focusing on calcium but also ensuring adequate vitamin D levels, either through sunlight exposure, fortified foods, or supplements.

The Dietary Reference Intakes (DRIs) for calcium provide guidance on how much you need to consume for optimal health. For adults aged 19 to 50 years, the Recommended Dietary Allowance (RDA) for calcium is 1,000 mg per day. For those aged 51 years and older, the RDA increases to 1,200 mg per day. These numbers reflect the average daily intake level that meets the needs of most healthy people.

However, the CCHS data shows that many Canadians are falling short. About 16% of men and 35% of women aged 19 to 50 years had intakes below the Estimated Average Requirement (EAR) for calcium, which is 800 mg per day. The proportion of adults with intakes below the EAR increases with age, reaching about 22% for men and 49% for women aged 71 years and older.

Interestingly, many Canadian adults rely on supplements to meet their calcium needs. About 28% of men and 43% of women aged 19 years and older reported taking calcium supplements in the past month. This number climbs with age, reaching about 37% for men and 59% for women aged 71 years and older. Despite this, some adults still have intakes below the EAR for calcium, even with supplements. For instance, about 9% of men and 19% of women aged 71 years and older had intakes below the EAR even after accounting for supplements.

Calcium deficiency can have serious consequences for health and quality of life. To prevent and treat this condition, it’s essential to ensure adequate intake of calcium from both food and supplements, along with sufficient vitamin D. 

For me, the journey to maintaining healthy calcium levels has been quite enlightening. Growing up, I was always told to drink my milk for strong bones. As I got older and my diet changed, I realized that relying solely on dairy wasn’t enough, especially when I decided to cut back on dairy products. I started incorporating a variety of calcium-rich foods into my diet—like fortified almond milk, leafy greens, and nuts. It wasn’t always easy, and there were times I slipped up, especially during busy weeks when meal planning took a backseat.

To enhance calcium absorption, consider eating foods rich in vitamin C or lactose. Smaller, more frequent meals can also help. However, be mindful of foods that can inhibit calcium absorption, like those containing caffeine or sodium. Certain medications, such as antacids or corticosteroids, and conditions like celiac disease or Crohn’s disease can also impact how well your body absorbs calcium.

If you suspect you’re not getting enough calcium, it’s a good idea to consult with a healthcare professional or registered dietitian. They can provide personalized advice on your calcium intake and supplementation needs. A simple blood test can reveal a lot about your calcium levels and help guide your dietary choices.

Remember, calcium is more than just a mineral for strong bones and teeth. It’s a vital part of your overall health, affecting everything from muscle function to nerve transmission. By paying attention to your calcium intake and making informed dietary choices, you can support your body’s needs and enjoy a healthier, more active life.

Stay strong and keep an eye on your calcium intake. Your body will thank you!