Evaluation of Calcium Intakes of Young Children
in the Philippines as a Result of the
2008 National Nutrition Survey
Imelda Angeles-Agdeppa, Glen Melvin P. Gironella
and Ma. Adrienne S. Constantino
Food and Nutrition Research Institute
Department of Science and Technology, Taguig City, Philippines
corresponding author: This email address is being protected from spambots. You need JavaScript enabled to view it.
ABSTRACT
Calcium is considered as the most abundant mineral in the body. Milk and other milk products are the best sources of calcium. Deficiency of calcium intake may lead to osteoporosis. This study was conducted to provide information on dietary calcium intakes of young children as basis for advocacy campaigns on keeping watch on their calcium intakes. A total of 5,691 children aged 6 months to 10 years old were the respondents in the study. The data were taken from the National Nutrition Survey conducted in 2008. Food intakes were collected in face-to-face interviews using 24-hour food recall questionnaires with mothers of children as respondents. Food intake was transformed to nutrient intakes using the Individual Dietary Evaluation System. The mean one-day calcium intake of young children is 291 mg, where there is a declining trend from 6 months to 6 years old and increases slightly from 7 to 10 years old. Only 14.8% have met the Estimated Average Requirement for calcium. Milk and milk products contributed to about 33.4% of the total calcium intake. The highest calcium intake of young children came from the richest quintile, compared to the groups belonging to the poorest quintile where intake was lowest. Mean and percent adequacy of calcium intake of children and the consumption of milk as rich source of calcium were both very low.
INTRODUCTION
Calcium is the most abundant mineral in the body with the adult human body containing about 1200 g of calcium or equal to 1–2 % of body weight (Cashman 2002). It is essential for bone growth and teeth development as it is required for the mineralization of the bone and teeth matrix. The majority (~99%) of calcium present in the body is found in bone, with a smaller amount found in teeth. The remainder (<1%) is found in soft tissues and body fluids (Theobald 2005). This was documented in a longitudinal study by Fiorito et al. (2006) that has strongly linked dietary calcium intake with high total body bone mineral content (TBBMC). Similarly, Tanaka et al. (2014) concluded that a higher calcium intake was significantly associated with a lower prevalence of periodontal disease. Aside from its major role in skeletal function, calcium plays a regulatory role in a number of specialized functions in muscle (including cardiac muscle) contraction, neurotransmitter secretion, digestion and blood coagulation . . . . . read more
References
ALEXY U, KERSTING M. 2003. Time trends in the consumption of dairy foods in German children and adolescents. European Journal of Clinical Nutrition 57: 1331-1337.
BAILEY RL, DODD KW, GOLDMAN JA, GAHCHE JJ, DWYER JT, MOSHFEGH AJ, SEMPOS CT, PICCIANO MF. 2010. Estimation of total usual calcium and vitamin D intakes in the United States. J Nutr 140: 817–822.
BARQUERA S, CAMPIRANO F, BONVECCHIO A, HERNANDEZ-BARRERA L, RIVERA JA, POPKIN BM. 2010. Caloric beverage consumption patterns in Mexican children. Nutrition Journal 9 (47): 1-10.
BHATIA V. 2008. Dietary calcium intake – a critical reappraisal. Indian J Med Res 127(3): 269-273.
BLACK R, WILLIAMS S, JONES I, GOULDING A. 2002. Children who avoid drinking cow milk have low dietary calcium intakes and poor bone health. Am J Clin Nutr 76:675-680.
CASHMAN KD. 2002. Calcium intake, calcium bioavailability and bone health. British Journal of Nutrition 87 (2): S169–S177.
COOPER C. 2003. Epidemiology of osteoporosis. In Favus MJ, editor. Primer on the metabolic bone diseases and disorders of mineral metabolism, 5th Edition. Washington: American Society for Bone and Mineral Research. p. 307-313.
EHRLICH SD. Calcium. University of Maryland Medical Center. Retrived from http://www.umm.edu/altmed/articles/calcium-000290.html. on April 2011
FIORITO LM, MITCHELL DC, SMICIKLAS-WRIGHT H, BIRCH LL. 2006. Girl’s calcium intake is associated with bone mineral content during middle childhood. The Journal of Nutrition 136 (5): 1281-1286.
FLYNN J, FOLEY S, HONES G. 2007. Can bone density assessed by DXA at age 8 predict fracture risk during puberty? An eight year prospective study. J Bone Miner Res 22:1463-1467.
[DOST-FNRI] Food and Nutrition Research Institute, Department of Science and Technology. 2002. Recommended Energy and Nutrient Intake, 2002 Edition. Taguig City, Philippines. 423p.
[DOST-FNRI] Food and Nutrition Research Institute - Department of Science and Technology. 2003. 6th National Nutrition Survey 2003. Taguig City, Philippines. p29.
[DOST-FNRI] Food and Nutrition Research Institute, Department of Science and Technology. 2008. Food Composition Table Library, Updated 2008 Edition. Taguig City, Philippines.163p.
[DOST-FNRI] Food and Nutrition Research Institute - Department of Science and Technology. 2012. Nutritional Guidelines for Filipinos, Revised Edition 2012. Taguig City, Philippines.149p.
[DOST-FNRI] Food and Nutrition Research Institute - Department of Science and Technology. 2015. Philippine Dietary Reference Intakes. Taguig City, Philippines. 25p.
FULGONI III VL, QUANN EE. 2012. National trends in beverage consumption in children from birth to 5 years: analysis of NHANES across three decades. Nutrition Journal 11 (92): 1-11.
GOLLOSO-GUBAT MJ, MAGTIBAY EVJ, GIRONELLA GMP, TAJAN MG, CONSTANTINO AS. 2015. Beverage consumption of Filipino children and adolescents (7th National Nutrition Survey): nutritional concerns and potential policy implications. Philippine Journal Science 144 (1): 31-41.
HEYMAN MB. 2006. Lactose Intolerance in infants, children, and adolescents. Pediatrics 118 (3): 1280- 1286.
HOLICK MF. 2002. Calcium and vitamin D in human health. Annales Nestle 60:83-93.
ISLAM MZ, LAMBERG-ALLARDT C, KARKKAINEN M, ALI SMK. 2003. Dietary calcium intake in pre-menopausal Bangladeshi women: do socio-economic or physiological factors play a role? Eur J of Clin Nutr 57:674-680.
JONES G. 2011. Early life nutrition and bone development in children. Nestle Nutr 68:227-236.
JULIAN-ALMA´RCEGUI C, GOMEZ-CABELLO A, HUYBRECHTS I, GONZALEZ-AGUERO A, KAUFMAN JM, CASAJUS JA, VICENTE-RODRIGUEZ G. 2015. Combined effects of interaction between physical activity and nutrition on bone health in children and adolescents: a systematic review. Nutrition Reviews 73 (3):127–139.
KALKWARF HJ, KHOURY JC, LANPHEAR BP. 2003. Milk intake during childhood and adolescence, adult bone density, and osteoporotic fractures in US women. Am J Clin Nutr 77:257–65.
LIM HS, PARK YH, LEE HH, KIM TH, KIM SK. 2015. Comparison of calcium intake status by region and socioeconomic status in Korea: The 2011-2013 Korea National Health and Nutrition Examination Survey. J Bone Metab 22:119-126.
MITHAL A, DINGRA V, LAU E. 2009. The Asian Audit - Epidemiology, Costs and Burden of Osteoporosis in Asia 2009. 126 D Nyon, Switzerland: International Osteoporosis Foundation 9-57.
MOSHFEGH AJ, RHODES DG, BAER DJ, MURAYI T, CLEMENS JC, RUMPLER WV, et al. 2008. The US Department of Agriculture Automated Multiple-Pass Method reduces bias in the collection of energy intakes. Am J Clin Nutr 88(2):324-32.
NICKLAS T, DR PH, LN. 2003. Calcium intake trends and health consequences from 440 childhood through adulthood, Journal of the American College of Nutrition Vol. 22 Issue 5 pg. 340-356 Published online on June 19, 2013
[NIH] National Institutes of Health – Osteoporosis and Related Bone Diseases National Resource Center. 2015. Kids and their bones: a guide for parents. Retrieved from: http://www.niams.nih.gov/health_info/bone/bone_health/juvenile/default.asp. on September 2015.
RUTSTEIN SO, JOHNSON K. 2004. Demographic Health Survey Comparative Reports No. 6 - The Demographic Health Survey Wealth Index. Calverton, Maryland: ORC Macro 8-10p.
SAHI T. 1994. Genetics and epidemiology of adult-type hypolactasia. Scand J Gastroenterol Suppl 202:7–20.
SINGH GM, MICHA M, KHATIBZADEH S, SHI P, LIM S, ANDREWS KG, ENGELL RE, EZZATI M, MOZAFFARIAN D, GLOBAL BURDEN OF DISEASES NUTRITION AND CHRONIC DISEASES EXPERT GROUP (NUTRICODE). 2015. Global, regional, and national consumption of sugar-sweetened beverages, fruit juices, and milk: a systematic assessment of beverage intake in 187 countries. PLoS ONE 10(8): 1-20.
SPECKER BL. 2002. Determinants of bone mineral content in children. Annales Nestle 60:94-105.
STEVEN DE. (year). Calcium. Accessed April 2011. Available at: http://www.umm.edu/altmed/articles/calcium-000290.html. University of Maryland Medical Center, Baltimore, USA.
TANAKA K, MIYAKE Y, OKUBO H, HANIOKA T, SASAKI S, MIYATAKE N, ARAKAWA M. 2014. Calcium intake is associated with decreased prevalence of periodontal disease in young Japanese women. Nutrition Journal 13 (109): 1-6.
TEMPLE JL. 2009. Caffeine use in children: What we know, what we have left to learn, and why we should worry. Neurosci Biobehav Rev 33 (6): 793-806.
THEOBALD HE. 2005. Dietary calcium and health. Nutrition Bulletin 30: 237-277.
VARTANIAN LR, SCHWARTZ MB, BROWNELL KD. 2007. Effects of soft drink consumption on nutrition and health: a systematic review and meta-analysis. American Journal of Public Health 97 (4): 667-675.
VILLADOLID M, TANCHOCO C, DUANTE C, LIMBAGA ML, YEE G. 2002. The effect of calcium nutriture on the development of osteoporosis among Filipino adults. Philipp J Nutr Jul-Dec 49(3-4):6-16.