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Calcium Deficiency in Women: Symptoms, Causes, Treatment, and Prevention

 


Calcium Deficiency in Women: Symptoms, Causes, Treatment, and Prevention

 

Calcium is an essential nutrient and its deficiency can lead to several health issues. It is vital for the survival of all living beings and is mostly stored in our teeth and bones. Calcium is mostly known for its significance in maintaining bone health. However, in addition to this, calcium also plays a significant role in muscle contraction, blood clotting,  maintaining nerve function, and regulating heart rhythm.

Overview of Calcium Deficiency

Calcium deficiency can occur in anyone. However certain groups may be more prone to it. Calcium deficiency is usually more common in post-menopausal women. Also, people who are vegetarians, vegans or have dairy intolerance may be at risk of calcium deficiency.

Women over the age of 45 are often more prone to calcium deficiency because in their post-menopausal period the levels of oestrogen decrease in their body. Oestrogen in women plays a significant role in calcium metabolism. Oestrogen also promotes enzymes that create activated vitamin D.  Vitamin D is essential for calcium absorption in the body.

Symptoms of Calcium Deficiency

Several body functions may be affected as the calcium levels are lower in one’s body. Here are a few common symptoms of calcium deficiency in women:

•              Muscle Problems: Muscle cramps, spasms, or twitches, especially in the legs.

•              Bone Issues: Brittle bones, fractures that happen easily, or osteoporosis (weak bones).

•              Dental Problems: Weak teeth, tooth decay, or frequent dental issues.

•              Numbness or Tingling: Feeling pins and needles, especially in the hands, feet, or face.

•              Fatigue: Feeling tired often, even without doing much.

•              Mood Changes: Irritability, anxiety, or depression.

•              Memory Problems: Forgetfulness or difficulty concentrating.

•              Skin Symptoms: Dry skin, eczema, or other skin problems.

•              Heart Problems: Irregular heartbeat or high blood pressure in severe cases.

Causes of Calcium Deficiency

Calcium deficiency can have several causes including the following:

•              Lower levels of Oestrogen due to Menopause

•              Genetic Factors

•              Poor Calcium Intake

•              Dairy Intolerance or Intolerance to Foods Rich in Calcium

•              Lower Levels of Vitamin D

•              Vegetarian or Vegan Diets low in Calcium

•              Amenorrhea or the Absence of Menstruation

Diagnosis of Calcium Deficiency

Calcium deficiency in women can be diagnosed through a simple blood test. The physician will check the sample for calcium and albumin levels in the blood. In adults, normal calcium levels range from 8.8 to 10.4 milligrams per deciliter (mg/dL), Calcium levels lower than 8.8 mg/dL will be considered calcium deficiency.

Treatment of Calcium Deficiency

Calcium deficiency can be treated by taking calcium supplements prescribed by the doctor and also by including calcium-rich foods in one’s diet. Lifestyle changes can also improve calcium levels in the body, including eating a balanced diet, maintaining healthy body weight, exercising regularly, and restricting alcohol and tobacco intake.

If you have low calcium levels, there are different ways to treat it and bring your calcium back to normal:

•              Change Your Diet: Adjust what you eat to include more foods high in calcium, like dairy products, leafy greens, and fortified foods.

•              Use Calcium Supplements: Sometimes, doctors suggest taking calcium supplements to increase your intake. It's important to get the right type and amount with guidance from a healthcare professional to avoid health issues from too much calcium.

•              Take Vitamins and Minerals: You might need vitamin D to help your body absorb calcium better. Also, magnesium and vitamin K are important for bone health and can work together with calcium supplements.

•              Adjust Your Lifestyle: Besides changing your diet, certain lifestyle changes can help your body use calcium better:

·                     Exercise: Doing activities that make your bones work, like walking or dancing, can make bones stronger and help keep calcium in them.

·                     Limit Caffeine and Sodium: Too much caffeine or sodium can stop your body from taking in calcium. Cutting down on these can be good for your bones.

·                     Watch Alcohol: Drinking too much alcohol can mess up how much calcium your body keeps. Drinking less or not at all can help keep calcium levels steady.

•              Preventing Low Calcium: Taking care of your health can stop low calcium before it starts:

·                     Eat Right: A diet with enough calcium from different kinds of foods can make sure you get what you need.

·                     Check Your Health Regularly: Getting checked by a doctor often can find low calcium early, so you can treat it fast.

·                     Keep Hormones Healthy: Eating right, staying active, and seeing your doctor can help keep hormones in balance, which is extra important as you get older.

Prevention for Calcium Deficiency

Calcium deficiency can be prevented by taking a diet rich in calcium. However, it is important to note that calcium intake must be in moderation and extremely high levels of calcium can also be damaging to the body. Furthermore, foods rich in calcium like dairy products may also be rich in saturated fats and hence their intake must be carefully monitored. Women who are going through menopause should especially consult with their doctor to start taking calcium supplements suitable for them.

Many women go through lowering levels of calcium as they age. It is therefore extremely essential to be aware of the symptoms related to calcium deficiency. Moreover, maintaining a well-balanced diet and a healthy lifestyle is another important step women must take to prevent nutritional deficiencies.

Is calcium deficiency disease common?

Calcium deficiency, often referred to as hypocalcemia when severe, is not extremely common in developed countries but can occur under certain circumstances. Factors contributing to calcium deficiency include inadequate dietary intake, conditions affecting calcium absorption (such as vitamin D deficiency or gastrointestinal disorders), and hormonal changes (such as during pregnancy or menopause).

Certain population groups may be more at risk, such as:

•              Postmenopausal Women: Decreased estrogen levels can lead to bone loss and increased risk of calcium deficiency.

•              Elderly Individuals: Aging can affect calcium absorption and bone health.

•              People with Malabsorption Issues: Conditions like celiac disease or Crohn's disease can impair calcium absorption.

•              Vegetarians and Vegans: Depending on dietary choices, they may need to carefully plan calcium intake.

•              Those with Chronic Kidney Disease: Kidney function plays a crucial role in maintaining calcium balance.

Complications of calcium deficiency in women

Calcium deficiency has been linked with:

•              Dental issues

•              Depression

•              Various skin problems

•              Chronic pain in joints and muscles

•              Bone fractures

•              Seizures

•              Reduced mobility

Diagnosis of Calcium Deficiency Diseases

Diagnosing calcium deficiency involves several steps and considerations:

•              Medical History: Your doctor will ask about your symptoms and medical history, including any conditions or medications that could affect calcium levels.

•              Physical Examination: A physical exam may help identify signs of calcium deficiency, such as muscle spasms or brittle nails.

•              Blood Tests: A blood test measuring total calcium, ionized calcium (free calcium in the blood), and sometimes parathyroid hormone (PTH) levels can indicate calcium status. Low total or ionized calcium levels may suggest deficiency.

•              Bone Density Test (DEXA): This test measures bone mineral density and can diagnose osteoporosis or osteopenia, conditions often linked to long-term calcium deficiency.

•              Additional Tests: Depending on symptoms and findings, your doctor may order tests to evaluate vitamin D levels, kidney function (since kidneys regulate calcium balance), and other relevant factors.

Lifestyle Changes

In addition to keeping calcium and vitamin D levels in check, there are lifestyle adjustments you can make to support bone health:

•              Keeping a healthy weight

•              Being physically active on a regular basis

•              Limiting tobacco and alcohol consumption

Conclusion

It is a wise step to consult a nutritionist to know the calcium-rich foods suitable for your diet in addition to the supplements prescribed by them. Multivitamin supplements may not have all the calcium required for you and hence a good calcium supplement enriched with Vitamin D may be a necessary addition to women’s diet.

Dr. Meenakshi Surve Pawar

MS (OBGYN), MBBS, DNB(OBGYN), FICS (UK), FPAI, FMAS

Sr. Consultant (Obstetrician and Gynecologist)

Aashirwad Clinic and Sonography Center

Website: www.aashirwadclinic.net

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Location: Pimpri-Chinchwad, Maharashtra, India

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