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Kids and Bone Health

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How can I help keep my kids' bones healthy?

The same healthy habits that keep your kids going--and growing--will also benefit their bones. One of the best ways to encourage healthy habits in your children is to be a good role model yourself. Believe it or not, your kids are watching, and your habits--both good and bad--have a strong influence on theirs.

What are the two most important lifelong bone health habits to encourage now? Proper nutrition and plenty of physical activity.

Eating for healthy bones means getting plenty of foods rich in calcium and vitamin D. Most kids get enough vitamin D from sunlight (or from foods like egg yolks or fortified milk), but most do not get enough calcium in their diets. Younger kids (ages 2-8) are more likely to get adequate calcium, but among older kids (ages 9-19), only 19 percent of girls and 52 percent of boys get enough calcium to ensure optimal peak bone mass. Are your kids getting enough calcium?

Recommended calcium intakes*
Age Amount of calcium
Infants
birth-6 months 210 mg
6 months-1 year 270 mg
Children/Young Adults
1-3 years 500 mg
4-8 years 800 mg
9-18 years 1,300 mg
Adult Women and Men
19-50 years 1,000 mg
50+ 1,200 mg
Pregnant or Lactating Women
18 years or younger 1,300 mg
19-50 years 1,000 mg
* Source: National Academy of Sciences, 1997

Calcium is found in many foods, but the most common source is milk and other dairy products. Drinking one 8-oz glass of milk provides 300 milligrams (mg) of calcium, which is about one-third of the recommended intake for younger children and about one-fourth of the recommended intake for teens. In addition, milk supplies other minerals and vitamins needed by the body. The chart on the next page lists the calcium content for several high-calcium foods and beverages. Your kids need several servings of these foods each day to meet their need for calcium.

Selected calcium-rich foods
Food item Serving size Calcium (mg) Fat (g) Calories
Milk
Skim* 8 oz. 301 0.4 86
1%* 8 oz. 300 2.6 102
2%* 8 oz. 298 4.7 121
Whole* 8 oz. 290 8.2 149
Yogurt
Plain, fat-free* 8 oz. 488 0.4 137
Plain, low-fat* 8 oz. 448 3.8 154
Fruit, low-fat* 8 oz. 338 2.8 243
Frozen, vanilla, soft serve 1/2 cup 103 4.0 114
Cheese
American 1 oz. 163 6.9 93
Cheddar* 1 oz. 204 9.4 114
Cottage, 2% 1 cup 156 4.4 203
Mozzarella, part skim 1 oz. 183 4.5 72
Muenster* 1 oz. 203 8.5 104
Parmesan 1 tbsp. 69 1.5 23
Ricotta, part skim* 1/2 cup 337 9.8 171
Ricotta, whole milk* 1/2 cup 257 16.1 216
Ice Cream, Vanilla
Low fat 1/2 cup 92 2.8 92
High fat 1/2 cup 87 12 178
Fish and Shellfish
Sardines, canned in oil, drained, including bones* 3.75 oz. 351 10.5 191
Salmon, pink, canned, including bones 3 oz. 181 5.1 118
Shrimp, canned, drained 3 oz. 50 1.7 102
Vegetables
Bok choy, raw (Chinese cabbage) 1 cup 74 0 9
Broccoli, cooked, drained, from raw 1 cup 74 0.6 44
Broccoli, cooked, drained, from frozen 1 cup 94 0.2 50
Soybeans, mature, boiled 1 cup 175 15 298
Collards, cooked, drained, from raw* 1 cup 226 0.7 49
Turnip greens, cooked, drained, from raw, leaves and stems 1 cup 197 0.3 29
Others
Tofu, raw, regular, prepared with calcium* 1/2 cup 434 5.9 94
Orange (navel) 1 whole 56 0.1 65
Tortilla, corn 1 med. 46 0.7 58
Tortilla, flour 1 med. 40 2.3 104
Almonds (dry roasted) 1 oz. 75 15 169
Sesame seeds, kernels, toasted 1 oz. 37 13.6 161
Dried figs, uncooked* 1 cup 287 2.3 507

Source: USDA Nutrient Data Laboratory, 2002

* indicates a high calcium source

Note: You also can increase the calcium in foods by following these suggestions:

  1. Add nonfat powdered milk to all soups, casseroles, and drinks.
  2. Buy juices, cereals, breads, and rice that are fortified with calcium.
  3. Replace whole milk and cream with skim and low-fat milk in recipes.
  4. Replace sour cream with yogurt in recipes.
  5. Some bottled waters contain calcium so check the labels for more information.

How can I persuade my daughter to drink milk instead of diet soda? She thinks milk will make her fat.

Soft drinks tend to displace calcium-rich beverages in the diets of many children and adolescents. In fact, research has shown that girls who drink soft drinks consume much less calcium than those who do not.

It's important for your daughter to know that good sources of calcium don't have to be fattening. Skim milk, low-fat cheeses and yogurt, calcium-fortified juices and cereals, and green leafy vegetables can all fit easily into a healthy, low-fat diet. Replacing even one soda each day with milk or a milk-based fruit smoothie can significantly increase her calcium intake.

But my kids don't like milk.


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