Calcium requirements of physically active people.

Dietary calcium and physical activity have been independently, but inconsistently, associated with the development of increased peak bone mass and reduced bone loss later in life. An examination of the literature points to important effects of dietary calcium on bone health. During the development of peak bone mass, calcium intakes of <1 g/d are associated with lower bone mineral density. At intakes approaching calcium requirements, physical activity is a more important predictor of bone mineral density than is calcium intake. In studies of postmenopausal women, calcium intakes of 1 g (25 mmol/d) appear to be necessary to effect a positive impact of exercise on bone mineral density in the spine. Calcium intakes recommended for protecting bone health appear to be adequate to protect against other disorders with an etiology that includes inadequate dietary calcium. Calcium requirements as modified by physical activity need to be determined for each population subgroup according to sex, age, race, and cultural environment.