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Bone health

20 key nutrients for bone health

Dr. Susan E. Brown, PhD, medical anthropologist and osteoporosis expert

Dr. Susan E. Brown, PhD

Depending on how we count them, there are at least 20 bone-building nutrients which are essential for optimal bone health — “essential” in that our bodies cannot manufacture them, so we must get them from our food and drink. Let’s take a quick look at them, one by one, so you can get a better idea of their roles in bone health and how much of each you should be getting. Remember, none of these nutrients does its work in isolation — you need balanced amounts of each and every one, so they can all work together to keep your bones standing strong all your life long.

For most women (including myself!), it’s just not possible to get enough of all these vitamins and minerals through diet alone. I recommend nutritional supplements in addition to a healthy diet, to ensure your bones get the nutrients they need. When choosing your supplements, go with a medical-grade multivitamin/mineral that is made specifically for bone health and contains balanced, therapeutic levels of these nutrients in their most bioavailable forms, and don’t forget to include essential fatty acids.

(Click through on individual nutrients to learn more...)

Table of 20 essential bone-building nutrients

Nutrient Adult RDA or AI* Common therapeutic range for bone health (daily intake) Dietary considerations concerning adequacy of average daily intake Your intake
Key minerals
Calcium
(Ca)
1000–1200 mg 1000–1500 mg Typical diet is inadequate, averaging 500–850 mg.  
Phosphorus
(P)
1250 mg, 9–18 yrs
700 mg, adults
800–1200 mg Inadequate intake is rare except in elderly and malnourished. Excess intake common with use of processed foods and soft drinks — ~ 1500 mg/day in men and ~1025 mg/day in women.  
Magnesium
(Mg)
420 mg, adult males
320 mg, adult females
400–800 mg Intake generally inadequate among all ages, sexes, and classes except children under the age of 5; 40% of total population and 50% of adolescents consume 66% of RDA; and 56% of all Americans have intakes below Estimated Average Requirement (EAR).  
Fluoride
(F)
4.0 mg, adult males
3.0 mg, adult females
Unknown Intake generally ranges 0.2–3.4 mg. Fluoride overdose has occurred through ingestion of fluoride toothpaste and high-fluoride waters (Brown, 2005).  
Silica
(Silicon — Si)
No values set to date As yet undetermined Intake significantly higher in men (30–33 mg/day) than in women (~25 mg/day), yet generally suboptimal. Silica is the first element to go in food processing.  
Zinc
(Zn)
11 mg, adult males
8 mg, adult females
20–30 mg Average intake is 46–63% of RDA. Marginal zinc deficiency is common, especially among children.  
Manganese
(Mn)
2.3 mg (AI), adult males
1.8 mg (AI), adult females
10–25 mg Intake generally inadequate, at 1.76 mg adolescent girls; 2.05 mg adult females; and 2.5 mg adult men.  
Copper
(Cu)
900 mcg, adults
(0.90 mg)
1–3 mg 75% of diets fail to contain RDA. Average daily intake is below the RDA.  
Boron
(B)
No RDA established 3–5 mg Common daily intake is only 0.25 mg, to possible optimum of 3.0 mg.  
Potassium
(K)
4700 mg, adults 4000–6000 mg Adult intake averages 2300 mg for women and 3100 mg for men.  
Strontium No RDA established 3–30 mg (supplements)
up to 680 mg (in medications)
Daily dietary intake thought to vary from 1 mg to more than 10 mg.  
Key vitamins
Vitamin D 400 IU, infancy–59 yr
400 IU, 51–70 yr
600 IU, >70 yr
800–2000 IU and up, as needed The overwhelming news from numerous experts is that a billion people worldwide are deficient today. Deficiency is especially common among people who are elderly, dark skinned, and those with little UV sunlight exposure. A simple, inexpensive blood test for 25(OH)D is the best way to determine vitamin D status and need.  
Vitamin C 90 mg, adult males
75 mg, adult females
Oral 500–3000 mg (and upward to bowel tolerance), as needed. Average daily intake is about 95 mg for women and 107 mg for men. Based on US survey of nearly 9000 people, intake for 31% of population is below Estimated Average Requirement (EAR).  
Vitamin A 2997 IU, adult males
2331 IU, adult females
5000 IU or less 44% of US population has intake below EAR.  
Vitamin B6 1.3–1.7 mg, adult males
1.3–1.5 mg, adult females
25–50 mg Studies indicate widespread inadequate vitamin B6 consumption among all sectors of the population; >50% of population consume <70% RDA.  
Folic acid/folate
(vitamin B9)
400 mcg, adults
(0.4 mg)
800–1000 mcg
(0.8–1 mg)
Inadequate intake common among all age groups; although improving with food fortification, 49% of participants in NHANES survey had intakes below estimated average requirement (EAR).  
Vitamin B12 2.4 mcg, adults 10–1000 mcg Up to 40% of US population have marginal B12 status. Older people and vegans are especially at risk.  
Vitamins K1 and K2 K1:
120 mcg, adult males
90 mcg, adult females
K2:
No recommended intake
K1:
1000 mcg
K2:
45–180 mcg MK-7 (menaquinone-7)
K1:
Averages 45–150 mcg, which is well below the recommended AI.
K2:
Average US intake 9–12 mcg (if any)
 
Other nutrients
Fats Should comprise minimum of 7% total calories. General recommendation is not to exceed 30% of caloric intake. 20–30% of total calories is perhaps more ideal. Average American consumes ~33% of his/her calories in fat. Consumption of essential fatty acids (EFA’s), however, is frequently inadequate.  
Protein 0.8 g/kg per day, adult males and females
125–lb person = 45 g
175–lb person = 63 g
56 g, adult males
46 g, adult females
1.0–1.5 g/kg Daily intake commonly exceeds 100 g, but the elderly and some women often have very deficient intake. Higher protein intake should be balanced with higher RDA level potassium intake from food sources.  

About Dietary Reference Intakes (DRI),
Adult Recommended Dietary Allowances (RDA),
Adequate Intakes (AI), and
Estimated Average Requirements (EAR)

  • The Dietary Reference Intake (DRI) is a system of nutritional guidelines developed by the Institute of Medicine (IOM) of the US National Academy of Sciences. It was first introduced in 1997 to broaden the set of existing Recommended Daily Allowance, which is the system currently still in use in food nutrition labeling. The DRI includes two sets of values that serve as goals for nutrient intake (from the National Academy of Science). These are the RDA and Adequate Intake (AI).
  • RDA represents the daily dietary intake of a nutrient regarded to be sufficient for meeting the requirements of nearly all (97–98%) healthy individuals in each age and gender group. The RDA reflects the average daily amount of a nutrient considered adequate to meet the needs of most healthy people. If there is insufficient evidence to determine an RDA, an AI is set.

    Adult RDA figures come from: National Academy of Sciences, Institute of Medicine, and the Food and Nutrition board. Through the United States Department of Agriculture Food and Nutrition Information Center website. Dietary Reference Intakes for individuals (PDF): http://www.iom.edu/Object.File/Master/21/372/0.pdf.

  • AI values are more tentative than RDA, but both may be used as goals for nutrient intake.
  • In addition to the values that serve as goals for nutrient intakes, the DRI includes a set of values called Tolerable Upper Intake Levels (UL). The UL represent the maximum amount of a nutrient that appears safe for most healthy people to consume on a regular basis.
  • The Estimated Average Requirement (ERA) calculations are the average daily nutrient intake level estimated to meet the requirement of half of the healthy individuals in a particular life stage and gender group. They are established by the Institute of Medicine (IoM).

Keep in mind that these are values that are meant to cover adequacy for most folks, not for optimizing health! The common therapeutic dose for bone health may be significantly higher in “special need” cases.

Our Personal Program for Better Bones is a great place to start

The Personal Program for Better Bones promotes natural bone strength and regeneration with nutritional supplements, our exclusive bone builder formula, dietary and lifestyle guidance, and optional phone consultations with our Nurse-Educators. It is based on over 25 years of research and experience and has helped thousands of women reclaim their bone health.

  • To learn more about the Personal Program for Better Bones, go to How it works.
  • To choose the version of the Program that’s right for you, go to Compare plans.
  • To assess your bone health and fracture risk, take our free Bone Health Profile.
  • To start taking control of your bone health today, sign-up for a risk-free trial.

If you have questions, don’t hesitate to call us toll-free at 1-800-685-3275. We’re here to listen and to help.

Related to this article:

References & further reading on the 20 key bone-building nutrients

 

Original Publication Date: 01/01/2009
Last Modified: 11/20/2009 Principal Author: Dr. Susan E. Brown, PhD

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