Assessment of calcium intake from food in schoolchildren the results of an observational study in two centers



Cite item

Full Text

Abstract

Background. Dairy products are the main source of calcium intake in children and adolescents, which is extremely important for the formation of peak bone mass, which largely determines the health of bone tissue in old age. Aim of the study was to assess the intake of calcium with food in schoolchildren aged 7-17 years. Materials and methods. A questionnaire was developed to assess the consumption of dairy products. A survey was conducted in 1,361 schoolchildren of the second–eleventh grades in two schools in Yaroslavl and Kostroma. Results. The average calcium intake was 1271.91 ±779.97 mg /day, with a significant decrease in its intake with increasing age. When compared with the standard of physiological intake of this macronutrient established in the Russian Federation, it turned out that the number of children consuming insufficient calcium decreased with increasing age (from 57.7% among children in 2-4 grades to 40.3% in middle school students and up to 35.0% in high grades). Concurrently, the number of children taking 50-99% of the daily requirement increased (from 33.1% at age among younger students to 44.4% and 48.0% in the middle school and high school groups, respectively) and <50% (from 9.2% in group 1 to 15.3% and 17.0% in groups 2 and 3, respectively). Conclusions. The data obtained demonstrate a high prevalence of insufficient calcium intake from food in children, especially in adolescence.

Full Text

Restricted Access

About the authors

K. Yu. Belova

Yaroslavl State Medical University

Author for correspondence.
Email: ksbelova@mail.ru
ORCID iD: 0000-0002-7856-1567
SPIN-code: 4372-8670

Dr. Sci. (Med.)

Russian Federation, Yaroslavl

O. B. Ershova

Yaroslavl State Medical University

Email: yarosteoporosis@list.ru
ORCID iD: 0000-0001-7167-2187
Russian Federation, Yaroslavl

I. Marusina

City Hospital No.1

Email: irina.marusina@mail.ru
ORCID iD: 0009-0006-2383-0324
SPIN-code: 7281-4195
Kostroma

Anastasiia A. Marusina

Polyclinic of Kirovsk Interdistrict Hospital

Email: marusina.anastasiya@yandex.ru
ORCID iD: 0000-0002-5301-5746
Russian Federation, Kirovsk

Z. A. Matyakubova

Клиническая больница №2

Email: matyakubova1996@inbox.ru
ORCID iD: 0009-0006-9910-5110
SPIN-code: 7735-9259

врач - ревматолог

Russian Federation

A. V. Nazarova

Yaroslavl State Medical University; N.V. Solovyov Clinical Hospital of Emergency Medical Care

Email: nazanna@rambler.ru
ORCID iD: 0000-0003-3198-5829
Russian Federation, Yaroslavl; Yaroslavl

L. Mozzhukhina

Yaroslavl State Medical University

Email: mli1612@mail.ru
ORCID iD: 0000-0003-2153-8662
SPIN-code: 2827-3477
Yaroslavl

G. S. Maskova

Yaroslavl State Medical University

Email: maskovags@mail.ru
ORCID iD: 0000-0002-8336-7750
SPIN-code: 4980-8245
Yaroslavl

References

  1. Kodentsova V.M., Namazova-Baranova L.S., Makarova S.G. National program to optimize the provision of vitamins and minerals for children in Russia. A brief review of the document // Pediatric Pharmacology. 2017. Т 14. №6. С. 478-493. doi: 10.15690/pf.v14i6.1831.
  2. Ardawi M., Rouzi A., Qari M. Physical activity in relation to serum sclerostin, insulin-like growth factor-1, and bone turnover markers in healthy premenopausal women: a crosssectional and a longitudinal study. J Clin Endocrinol Metab. 2012;97(10):3691-3699. doi:1210/jc.2011-3361.
  3. Donaldson L.J., Cook A., Thompson R.G. Incidence of fractures in a geographically defined population. J Epidemiol Community Health. 1990;44 (3):241-245. doi: 10.1136/jech.44.3.241.
  4. Binkley S. B. Randomized trial of physical activity and calcium supplementation on bone mineral content in 3- to 5- year-old children. J Bone Miner Res. 2003;18(5):885-892. doi: 10.1359/jbmr.2003.18.5.885.
  5. Iuliano-Burns S., Saxon L., Naughton G. et all. Regional specificity of exercise and calcium during skeletal growth in girls: a randomized controlled trial. J Bone Miner Res. 2003;18(1):156-162. doi: 10.1359/jbmr.2003.18.1.156.
  6. Stear S.J., Prentice A., Jones S.C. et all. Effect of a calcium and exercise intervention on the bone mineral status of 16–18-yold adolescent girls. Am J Clin Nutr. 2003;77(4):985-992. doi: 10.1093/ajcn /77.4.985.
  7. Bass S.L., Naughton G., Saxon L. et al. Exercise and calcium combined results in a greater osteogenic effect than either factor alone: a blinded randomized placebo-controlled trial in boys. J Bone Miner Res. 2007;22(3):458-464. doi: 10.1359/jbmr.061201.
  8. Courteix D., Jaffre C., Lespessailles E. et all. Cumulative effects of calcium supplementation and physical activity on bone accretion in premenarchal children: a double-blind randomised placebo-controlled trial. Int J Sports Med. 2005;26(5):332-8. doi:10.1055 / s-2004-821040.
  9. Moyer-Mileur L.J., Xie B., Ball S.D. et all. Bone mass and density response to a 12-month trial of calcium and vitamin D supplement in preadolescent girls. J Musculoskelet Neuronal Interact. 2003;3(1):63-70.
  10. Greene D.A., Naughton G.A. Calcium and vitamin-D supplementation on bone structural properties in peripubertal female identical twins: a randomised controlled trial. Osteoporos Int. 2011;22(2):489-98. doi: 10.1007/s00198-010-1317-z.
  11. Lambert H.L., Eastell R., Karnik K. et all. Calcium supplementation and bone mineral accretion in adolescent girls: an 18-mo randomized controlled trial with 2-y followup. Am J Clin Nutr. 2008;87(2):455-62. doi: 10.1093/ajcn /87.2.455.
  12. Ho S.C., Guldan G.S., Woo J. et al. A prospective study of the effects of 1-year calcium-fortified soy milk supplementation on dietary calcium intake and bone health in Chinese adolescent girls aged 14 to 16. Osteoporos Int. 2005;16(12):1907-1916. doi:10.1007/ s00198-005-1963-8.
  13. Chevalley T., Bonjour J.P., Ferrari S. et all. Skeletal site selectivity in the effects of calcium supplementation on areal bone mineral density gain: a randomized, double-blind, placebo-controlled trial in prepubertal boys. J Clin Endocrinol Metab. 2005;90(6):3342-3349. doi: 10.1210/jc.2004-1455.
  14. Merrilees M.J., Smart E.J., Gilchrist N.L. et al. Effects of dairy food supplements on bone mineral density in teenage girls. Eur J Nutr. 2000;39:(6):256-262. doi: 10.1007/s003940070004.
  15. Du X., Zhu K., Trube A. et al. School-milk intervention trial enhances growth and bone mineral accretion in Chinese girls aged 10-12 years in Beijing. Br J Nutr. 2004;92(1):159-168. doi: 10.1079/BJN20041118.
  16. Belova K.Yu., Ershova O.B., Marusina I.V., et al. Evaluation of calcium intake with food in schoolchildren depending on sex and age. Osteoporosis and Bone Diseases. 2024;27(S1):18. doi: https://doi.org/10.14341/osteo2024271S.
  17. Lesniak O.M., Nikitinskaya O.A., Toroptsova N.V. et al. Prevention, diagnosis and treatment of vitamin D and calcium deficiency in the Russian adult population and patients with osteoporosis (based on the materials of prepared clinical recommendations). Scientific and Practical Rheumatology. 2015;53(4):403-408. doi: http://dx.doi.org/10.14412/1995-4484-2015-403-408
  18. Methodological Recommendations MP 2.3.1.0253-21 "Norms of physiological needs in energy and food substances for different population groups of the Russian Federation" (approved by the Federal Service for Supervision of Consumer Rights Protection and Human Welfare on July 22, 2021). https://www.garant.ru/products/ipo/prime/doc/402716140.
  19. Baturin A.K., Ogloblin N.A., Volkova L.Y. Results of the study of calcium consumption with food by children in the Russian Federation. Issues of pediatric dietetics. 2006;5(4):12-16. doi.org/10.33667/2078-5631-2020-4-49-54.
  20. Kondratyeva E.I., Gaprindashvili E.G. Calcium deficiency in the nutrition of children of different ages in Tomsk. Mother and Child in Kuzbass. 2008;2(33):17-20.
  21. Kondratieva E.I., Gaprindashvili E.G., Sutovskaya D.V. et al. Calcium consumption by schoolchildren in Siberia and Krasnodar Krai. Issues of pediatric dietetics. 2010;8(№2):19-22.
  22. Martinchik A.N., Keshabyants E.E., Kambarov A.O. et al. Calcium in the diet of preschool and school-age children: main food sources and factors affecting intake. Nutrition Issues. 2018;87(№2):24-33.
  23. Rodriguez-Ramirez S., Mundo-Rosas V., Shamah-Levy T. et al. Energy and nutrient intake in Mexican adolescents: analysis of the Mexican National Health and Nutrition Survey. Salud Publica Mex. 2009;51(4):530-539. doi: 10.1590/s0036-36342009001000008.
  24. Mark S., Lambert M., O’Loughlin J. et all. Household income, food insecurity and nutrition in the Canadian youth. Can J Public Health. 2012;103(2):94–99. doi: 10.1007/BF03404210.
  25. Lim H.S., Park Y.H., Lee H.H. et all. 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. 2015;22(3):119-26. doi:10.11005/ jbm.2015.22.3.119
  26. Zulkarnaeva A.T., Akhmadullin U.Z. Hygienic assessment of the effectiveness of the implementation of the Project "school nutrition". Modern problems of science and education. 2014;6:12. https://sciencemedicine.ru/ru/article/view?id=825.

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) Eco-Vector



СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77 - 70763 от 21.08.2017 г.