Calcium metabolism in girls: current dietary intakes lead to low rates of calcium absorption and retention during puberty

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Abstract
We evaluated the effects of self-selected diets on calcium absorption and calculated retention in girls during pre-, early, and late puberty. Dietary calcium absorption was measured in 51 girls aged 4.9–16.7 y by using a dual-tracer stable-isotope technique. We found that calcium intake was similar among girls of all ages and all degrees of pubertal development and was below the recommended dietary allowance (1200 mg/d) for 21 of 25 girls aged ≥ 11 y. The early pubertal period was associated with a higher percent of dietary calcium absorption (34.4 ± 11.9%) than was the prepubertal (27.7 ± 8.2%) or late pubertal periods (25.9 ± 7.8%). Calculated calcium retention averaged 132 ± 83 mg/d in prepubertal girls, 161 ±88 mg/d in early pubertal girls, and 44 ± 91 mg/d in late pubertal girls. Peak calcium retention during early puberty was far below that previously reported after higher calcium intakes. We conclude that peak periods for calcium retention for girls are in the pre- and early pubertal periods. The current calcium intake of American girls during the pubertal growth period may not enable maximal mineral retention; therefore, increased calcium intakes should be considered.