fbpx
Share. Print. Save.
Share on facebook
Share on google
Share on twitter
Share on linkedin
Share on email
Share on print

Nutrients For Bone Health

Many nutrients play a role in bone health. Some nutrients have scientifically proven benefits, others may have benefits, but there is no research to back that up. Some nutrients are needed in such small amounts that people are rarely deficient in them and need not worry about getting enough. Focus on nutrients with solid scientific evidence of need and benefit. Read food and drink labels to ensure you are meeting your daily requirements.

The Bottom Line

With some exceptions, a balanced diet provides adequate nutrients for most people, eliminating the need to take most supplements.

Nutrients needed based on solid evidence—know your requirements

Calcium, vitamin D and magnesium are key bone health nutrients that require special attention to ensure that you meet your daily requirement.

Although many foods contain calcium, dairy products provide the most calcium per serving size. Calcium that has been added (fortified) to drinks may settle to the bottom, so shake the container well before drinking. Daily requirements for calcium change with age — people who do not eat dairy foods will need to work hard to meet them or may need a calcium supplement.

There are food sources of vitamin D, but it is difficult to get adequate amounts from food alone; therefore, many people benefit from a supplement.

People who consume even moderate amounts of alcohol or use proton pump inhibitors may have increased loss of magnesium in the urine and may benefit from a supplement (approximately 200–250 mg/day). Magnesium is found in many foods.

Nutrient*

Bone Health Function

Food Sources

Calcium[1]

If you do not get enough calcium through your food or supplements, your body will take the calcium it needs from your bones.

Dairy (milk, cheese, yogurt); fortified foods (juices, cereals, almond, and soy milk); sardines or canned salmon with bones; tofu; dark green vegetables (collards, kale, broccoli, bok choy, okra); seeds (poppy, sesame, chia); almonds

Vitamin D[2]

Necessary for calcium to be absorbed in the intestine.

Fatty fish (swordfish, salmon, sardines mackerel); fortified foods (dairy, cereal); egg yolks

Magnesium[3]

Allows for proper calcium and vitamin D regulation.

Green vegetables (collards, kale, bok choy, okra); seeds (poppy, sesame, chia); nuts; legumes; whole grains; avocado

*For detailed information on these important nutrients, visit americanbonehealth.org

Nutrients needed for bone health based on good evidence

In healthy adults, these nutrients can be readily found in a balanced diet; rarely would a supplement be required—unless directed by your health care provider.

Nutrient

Bone Health Function

Food Sources

Phosphorus

Part of bone mineral and important for neutralizing acidic foods that could otherwise be harmful to bone.

Protein foods (soybeans, fish, meat, milk, eggs); legumes; whole grains

Potassium

Certain potassium salts neutralize acids that come from the body’s metabolic processes.

Fruits; vegetables; scallops; beans; whole grains; squash

Vitamin A

Influences osteoblasts (bone building cells) and osteoclasts (bone breaking down cells).

Sweet potato; beef liver; spinach; carrots; cantaloupe; mangoes; fortified foods; eggs

Nutrients with a possible relationship to bone health

These nutrients may have a role in bone health, but the evidence is not conclusive. In healthy adults, they can be readily found in a balanced diet.

Nutrient

Bone Health Function

Food Sources

Zinc

Mineralizes bone and stabilizes receptor proteins for vitamin D, protein synthesis.

Shellfish; beef; pork; seeds; beans; whole grains; yogurt

Vitamin B12

Appears to influence bone building cells.

Clams; liver; fish; fortified cereal; meat; dairy products; eggs; poultry

Vitamin C

Essential to collagen formation and Increases absorption of plant-based iron.

Peppers; citrus; kiwi; broccoli; cauliflower; strawberries; Brussel sprouts; papaya

Vitamin K*

Low blood levels of vitamin K are associated with lower bone density and possibly increased fracture risk.

Collards; turnip greens; spinach; kale; broccoli; natto; soybeans; carrot juice; canned pumpkin; okra; blueberries; grapes; carrots

*Patients on blood thinners like warfarin (Coumadin) should be cautious eating foods or supplements with vitamin K.

Nutrients rarely causing bone health problems

You may hear of other nutrients when it comes to bone health, like boron, copper and silicon. These nutrients are found in many foods and are only needed in trace amounts. Deficiency rarely occurs unless you have intestinal absorption problems.

People Who Might Need Supplements

Supplements are not designed to replace food. If you had intestinal bypass surgery or have other malabsorption problems like celiac or Crohn’s disease, your health care provider will likely suggest supplements to stay healthy. Ask your health care provider if you should have a test to see whether you need a vitamin D supplement. If you cannot tolerate any dairy products, you may need a calcium supplement. If you do need a supplement, look for ones that have the USP symbol, meaning that they have been independently tested and certified to contain what is listed on the label.

Download PDF—


[1] Committee to Review Dietary Reference Intakes for Vitamin D and Calcium, Food and Nutrition Board, Institute of Medicine. Dietary Reference Intakes for Calcium and Vitamin D. Washington, DC: National Academy Press, 2010.

[2] Institute of Medicine, Food and Nutrition Board. Dietary Reference Intakes for Calcium and Vitamin D. Washington, DC: National Academy Press, 2010.

[3] Rude RK. Magnesium. In: Ross AC, Caballero B, Cousins RJ, Tucker KL, Ziegler TR, eds. Modern Nutrition in Health and Disease. 11th ed. Baltimore, Mass: Lippincott Williams & Wilkins; 2012:159-75

Reviewed: 4/10/19

Subscribe & Follow
Stay up to date on events & the latest in bone health

Related Articles
Calculate Your Risk

The American Bone Health Fracture Risk CalculatorTM estimates fracture risk for women and men over age 45.