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Calcium Crisis Affects American Youth

Auburn, Jan.9--- America's youth are in the midst of a calcium crisis, according to statistics from the U.S. Department of Agriculture. Only 13.5 percent of girls and 36.3 percent of boys age 12 to19 in the United States get the recommended daily amount (RDA) of calcium. Because nearly 90 percent of adult bone mass is established by the end of this age range, America's youth are at serious risk for osteoporosis and other bone diseases.

Osteoporosis is a pediatric disease with geriatric consequences, says Dr. Duane Alexander, director of the National Institute of Child Health and Human Development (NICHD).

"Preventing this and other bone diseases begins in childhood. With low-calcium intake levels during these important bone-growth periods, today's children and teens are certain to face a serious public health problem in the future," he says.

Health risks related to low-calcium intake are not years away. Children are drinking less milk and more soft drinks and noncitrus drinks than they used to drink. The number of fractures among children and young adults has increased. Pediatricians are also seeing the reemergence of rickets, a bone disease that results from low levels of vitamin D. Rickets became almost nonexistent after vitamin D was added to milk in the 1950s but is now appearing at greater rates around the country.

As the children get older, this calcium crisis will become more serious, says Alexander. This population will show the highest rate of osteoporosis and other bone health problems in our nation's history.

"However, we need to remember this is a preventable and correctable public health problem," adds Alexander.

Getting children to pay attention to their calcium needs is a challenge for scientists and educators. For this reason, the NICHD has expanded its Milk Matters campaign and Web site to speak directly to children and their parents about calcium.

Previously, the NICHD developed educational materials that are used primarily by educators, nurses and physicians to convey the importance of adequate calcium consumption among children and teens. Now, NICHD has expanded its Web site to give children and their parents more access to the information and will be adding games and other interactive content specifically for kids.

The Institute's Milk Matters campaign stresses low-fat or fat-free milk as the preferred source of dietary calcium. Milk also has a high-calcium content; the calcium in milk is easily absorbed by the body, and milk contains other nutrients, including vitamin D, vitamin A, B12, potassium, magnesium and protein, that are essential to healthy bone and tooth development.

If you don't drink milk, it's important to get calcium from other sources, such as other dairy products, green leafy vegetables and foods with added calcium.

The Milk Matters campaign offers a variety of free materials on the importance of calcium in the diets of children and teens. Brochures, booklets, fact sheets, coloring books, stickers and posters are available on the Web site. Most are in both English and Spanish. The Milk Matters Web site, www.nichd.nih.gov/milkmatters, is an excellent source of information on calcium for health care professionals.

The site includes "Why Milk Matters" an explanation of why children and teens need calcium and why milk is the NICHD's preferred source for dietary calcium. It also provides a history of the Milk Matters campaign and lists some groups that partner with the NICHD on certain activities.

The Web site also includes the following topics:

"Why Calcium" explains why calcium is so important, how much calcium children and teens need, and how physical activity plays a role in building strong bones. It also lists food sources of calcium and provides facts about lactose intolerance and calcium supplements.

"Health Research" provides summaries for NICHD research projects that focus on calcium and healthy development, as well as a calendar of calcium-related events, conferences and meetings. It also offers materials for health care professionals on different topics related to calcium and bone health.

"Media Information" indicates how reporters, producers, announcers and other members of the media can get information about the Milk Matters campaign.

"Publications and Materials" includes online versions of all Milk Matters materials to view, download, print and order.

"Kids & Teens" provides an interactive place for children and teens to learn more about calcium. It includes games, quizzes, and other activities related to calcium and milk, as well as fun ways to build strong and healthy bones and teeth.

"Salud! Con Leche" is the Spanish version of the Milk Matters Web site. This portion of the site offers all the information and materials in Spanish from the Milk Matters.

The NICHD also supports research and encourages outreach to better understand and promote the importance of calcium in Americans' diets.

As a part of these efforts, Dr. Alexander will speak at the Calcium Summit II later this month. More than 200 experts from national health and nutrition organizations are expected to develop an agenda for action on the nation's calcium crisis. In addition, the NICHD is cosponsoring the Fifth International Symposium on Clinical Advances in Osteoporosis, also in 2002.

For more information on Milk Matters, contact the NICHD clearinghouse at 1-800-370-2943, or visit the Web site at www.nichd.nih.gov/milkmatters.

Extension Source: Dr. Barbara Streumpler, Nutritionist, Alabama Cooperative Extension System, (334) 844-2217