Some people think that calcium loss is normal when they are old, and they can't absorb it even if they make it up. In fact, calcium supplement is a process that we adhere to throughout our life and also a process to reduce our aging. When you get older, you should not replenish all the calcium that you lost before, but do what you need to do to prevent the loss of calcium. With the growth of age, timely and effective calcium supplementation will lead to a slow decline in bone mineral density, and generally there will be no clinical symptoms of osteoporosis. Without calcium supplement, it will accelerate the negative balance of calcium and cause osteoporosis. Can calcium be replenished in old age? Just use the right method.
Calcium supplements kidney stones? On the contrary
In clinical work, it is found that many people have misconceptions about calcium supplementation, and the following two are typical.
Myth 1: Calcium supplementation can be effective in the short term. Aunt Wang, 55, went to the doctor at the outpatient clinic and asked, "Doctor, I have been taking calcium tablets for two months. How can I check bone density or osteoporosis?"
This short-term calcium supplement will not change bone mass, but can only temporarily regulate blood calcium. There is a course of treatment for calcium supplementation, which is generally calculated by year. Calcium supplementation is strictly in accordance with the specifications. The improvement of bone mineral density can be observed after one year, and a good consolidation effect can be achieved by sticking to it for several years.
Myth 2: It is reported in the formal literature that kidney stones can occur when calcium is added too much. The probability of kidney stones in calcium deficient people is 6 times higher than that in normal people. People take in a large amount of oxalic acid from food every day. If some oxalic acid combines with sufficient calcium in the intestine and is excreted through the intestine, the concentration of oxalic acid in the blood will drop and it is not easy to produce high concentration oxalic acid in the kidney, otherwise calcium oxalate crystals will easily form kidney stones.
Calcium supplementation for the elderly is a long-term "systematic project"
For the elderly, what are the correct calcium supplements? It is suggested that everyone: take calcium supplements from multiple angles.
Food supplements include dairy products, bean products, shrimp skin, sesame, fresh vegetables, etc. The absorption of multiple nutrients can effectively improve the utilization of calcium.
The medicine supplements calcium, inorganic calcium (calcium carbonate, calcium phosphate, etc.) and organic calcium. Adequate intake of calcium is particularly important for the elderly. At the same time, it requires half an hour of outdoor sunlight every day to produce enough active vitamin D3 to promote calcium absorption.
Skillful use of mechanical calcium supplement The mechanical effect on bone's absorption of calcium is huge, such as gravity. Walking and muscle strength training are beneficial to calcium absorption. When the elderly who do not like sports lie in bed or sit on the sofa for a long time, their muscles are in a relaxed state, and calcium intake is difficult. Astronauts in space lack the stimulation of gravity on bones, and very good bodies will suffer from osteoporosis.
Therefore, the elderly must increase outdoor activities and walking when their physical strength allows, so that their bones can resist gravity and promote the positive intake of calcium. If there is osteoarthritis and you can't walk too much, or you are paralyzed in bed, you can use a stretcher to train, massage and shock wave to physically stimulate the muscles. Proper mechanical stimulation can promote bone calcium absorption. At the same time, it can carry out non weight bearing exercise of limbs and limb confrontation training to delay calcium loss.
Calcium should be replenished to the extent that the human body needs 1000 mg of calcium to be taken in vitro every day. If you do not pay attention to calcium supplementation after the age of 30, calcium needs to be taken from the bone stock to accelerate calcium loss. The Chinese diet is dominated by rice, noodles and vegetables, and the calcium content is low. It is recommended that two bags of fresh milk (about 400mg calcium content) per day be used to meet the minimum daily demand. The daily demand of the elderly is more than 1000mg, and the calcium content in food is insufficient, so it needs to be supplemented from medicine.
Increase the absorption of calcium After adequate calcium supplement, if there is gastritis and enteritis, you need to use drugs to improve the absorption of calcium in gastroenteritis. Proper intake of active vitamin D3 also greatly improves the efficiency of calcium intake.
These drugs help calcium absorption
Diphosphate medicine is supplemented with calcium and vitamin D to achieve the proper proportion of calcium and phosphorus and promote calcium absorption. Diphosphate inhibits osteoclast activity, promotes calcium absorption, keeps calcium normal, and reduces osteoclast effect.
Calcitonin is secreted by the parathyroid gland, which reduces calcium in the blood and makes it enter the bone to supplement calcium deficiency. Use salmon and eel calcitonin, or zoledronic acid, to reduce bone dissolution. If the body aches, calcitonin can be injected, which has a central analgesic effect.
Technetium 99 radioisotope intravenous drip can stimulate bone to absorb calcium, which is a method to increase calcium absorption.
Estrogen After the age of 50, if the female estrogen drops, estrogen replacement therapy can be used. be careful! This is not a conventional treatment. This method can be used unless the woman is removed early due to uterine and ovarian problems. During normal menopause, other methods can be used to supplement calcium. The simple use of estrogen replacement therapy will increase the risk of cervical cancer, breast cancer and heart disease, so this method is not recommended.
Traditional Chinese medicine has no calcium supplement. From the point of view of kidney deficiency and qi deficiency, the symptoms of traditional Chinese medicine (TCM) and calcium deficiency symptoms overlap greatly. All the drugs for strengthening the kidney, strengthening the spleen and tonifying qi have a positive effect on calcium supplementation. Such as Qianggu Capsule, Gushukang Capsule, etc. Jintiange capsule contains ingredients similar to tiger bone, rich in bone collagen and trace elements, which is helpful for bone repair.
