THE BLOG
07/10/2013 08:08 am ET Updated Sep 09, 2013

Vitamin D And Calcium Controversy

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There's a controversy brewing over your bones.

Earlier this year, the United States Preventive Services Task Force recommended that postmenopausal women refrain from taking supplemental calcium and vitamin D, saying little evidence exists that these supplements prevent fractures in healthy women.

The media has been all over the announcement, urging women to empty their medicine cabinets for the sake of their wallets and their health.

"The recent media coverage on the topic of calcium and vitamin D has created a tremendous amount of confusion among not only you, but your health care providers, too," says Diane L. Schneider, MD, MSc, author of The Complete Book of Bone Health and co-founder of 4BoneHealth.org. "The news headlines are conveying the wrong message. Vitamin D and calcium are essential for bone health. "The real question is how much is enough?"

The answer depends on whom you ask. "The debate is far from settled. What is the right amount of vitamin D for calcium absorption, bone mineral density, muscle strength, and fracture reduction remains controversial," says Schneider.

The U.S. Preventive Services Task Force's latest recommendation on vitamin D and calcium supplementation gave a thumbs-down to supplementation with 400 IU or less of vitamin D3 and 1,000 mg or less of calcium for the prevention of fractures in postmenopausal women. It's important to point out that this recommendation does not apply to the treatment of those with osteoporosis or vitamin D deficiency.

Although multiple studies contributed to the latest recommendation, the results were driven from the largest study, the Women's Health Initiative calcium and vitamin D trial that included more than 36,000 women between the ages of 50 and 79 years who were randomly assigned to take 1000 mg of calcium with 400 IU of vitamin D daily or placebo pills. At the end of seven years, the number of fractures was similar in each group. However, among the women assigned to the supplements, those who actually took the pills 80 percent or more of the time had a 29 percent lower rate of hip fractures. If you took the supplements they worked! "Long-term use of calcium and vitamin D appears to confer a reduction that may be substantial in the risk of hip fracture among postmenopausal women," the researchers later wrote.

Whatever the verdict on supplementation and doses, the first line of defense against osteoporosis is a healthy lifestyle. Calcium is readily available through the foods we eat -- or at least should eat. When it comes to vitamin D, the sun is a primary source of the nutrient. However, everything from your age, location you live, use of sunscreen to weight, can affect how much vitamin D you produce.  Most Americans fall short of meeting the recommended daily amounts of the necessary vitamin D and calcium, compounding perimenopausal and menopausal women's already-increased risk of osteoporosis and fractures, according to Schneider.

During perimenopause and menopause, plummeting estrogen levels can cause loss of bone mass. After menopause, bone breakdown outpaces the building of new bone in women, making women over the age of 50 at the greatest risk for developing osteoporosis, according to the Cleveland Clinic.

Women older than 50 need to consume 1,200 milligrams of calcium every day to keep their bones strong, according to Schneider. As vitamin D helps your body absorb this calcium, most women need 600 IU of the vitamin a day, while women older than 70 need 800 IU. However, your individual needs may vary. Have your vitamin D level checked to know what you need. The best sources of calcium include dairy, almonds, broccoli, kale, salmon, and soy products, such as fortified tofu. If you focus on a healthy diet filled with these foods, you can hit your daily bone-fortification quota, making calcium supplements and all of their controversy a moot point. Count your food first and only use supplements to supplement your diet. Don't take the entire recommended amount in supplements.

While the top sources of vitamin D include oily fish, egg yolks, and fortified milk, according to the National Institutes of Health, the recommended amount of vitamin D is harder to achieve with diet alone. Most likely you will need a supplement, especially during the winter months when the necessary radiation from the sun is not available. When sun is plentiful, our sunscreen blocks its production.

Don't let the headlines get the best of your bones! Calcium and vitamin D are essential to maintaining healthy bones straight through perimenopause and menopause. Luckily, if you eat a healthy diet, they are more than attainable -- they are inevitable!

Reaching out is IN!  Suffering in silence is OUT!

Let's hang out! July 8th at 5:30pm PST/8:30pm EST, Ellen is hosting her Menopause Mondays Google Hangout: Where the Sisterhood helps the Sisterhood. Get ready to ask Ellen and Dr. Ricki Pollycove your menopause questions at this free online event! Details here ­­-->

For more by Ellen Dolgen, click here.

For more on women's health, click here.

Ellen Dolgen is an outspoken women's health and wellness advocate, menopause awareness expert, author, and speaker.

After struggling through the silence that surrounds menopause, Ellen resolved to help women reach out and end the confusion, embarrassment, and less-than-lovely symptoms that come with "the change." Her passion to be a "sister" to all women fueled Ellen's book, Shmirshky: the pursuit of hormone happiness. As a result of her women's wellness journey, and in response to the overwhelming thirst of her ever-expanding audience for empowering information, Ellen's weekly blog, Menopause MondaysTM was born.

Menopause MondaysTM allows Ellen an expansive platform from which she broadens her discussion of menopause, women's health, and life as a menopausal (and fabulous!) woman. Her weekly Menopause News Flash provides a one-stop shop for the latest menopause and women's health news and research, allowing women the access and know-how needed to take charge of their health and happiness. In addition to Ellen's ever-growing social media presence, EllenDolgen.com has fast become "the place" on the web for informative and entertaining women's menopause and wellness engagement. In 2012 EllenDolgen.com was named first on the list of the "Best Menopause Blogs" by Healthline. Ellen is also a regular contributor to over a dozen leading women's health blogs. Her motto is: Reaching out is IN! Suffering in silence is OUT!

Ellen has appeared on the "TODAY Show," the "Rachael Ray Show," "The Doctors," Oprah Radio, Playboy Radio, NPR's "Tell Me More," Doctor Radio, and dozens of regional and national media outlets. Ellen is also one of the first regular contributors to debut on The Huffington Post's recently added site, Huff/Post50, which targets 116 million Americans over the age of 50.

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Earlier on Huff/Post50:

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Menopause Treatment: 10 Natural Remedies
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Menopause Treatment: 10 Natural Remedies