Dietary calcium intake among Iranian adults: Iranian Multicenter Osteoporosis Study (IMOS-2021)

PLoS One. 2024 Oct 25;19(10):e0310135. doi: 10.1371/journal.pone.0310135. eCollection 2024.

Abstract

Background: Adequate dietary consumption of calcium is crucial in the preservation of bone health and the prevention of osteoporosis. This study investigated the prevalence of insufficient dietary calcium intake among individuals aged ≥50 years in Iran.

Methods: We analyzed data from the Iranian Multicenter Osteoporosis Study (IMOS-2021). Participants aged 50 years and older completed a 168-item food frequency questionnaire. Insufficient dietary calcium intake was characterized as a daily calcium intake of <1000 mg for men aged 50-70 years, and <1200 mg for men over 70 years and women over 50 years and older. Stata v17 statistical software facilitated a survey set analysis to estimate the population's mean and median dietary calcium intake and the prevalence of insufficient dietary calcium intake.

Results: The study included 1450 participants with a mean age of 60.7±7.9 years. The estimated mean dietary calcium intake in Iran was 1062.7 mg/day (95% CI: 1029.6-1095.8), with a median intake of 943.5 mg/d (95% CI: 910.5-976.4). The prevalence of insufficient dietary calcium intake in Iran was estimated to be 62.9% (95% CI: 60.0%-65.7%). Notably, the prevalence was higher among women at 75.5% (95% CI: 71.9%-78.8%), compared to men at 47.8% (95% CI: 43.4%-52.3%) with a significant difference (P<0.001). In age-related findings, individuals aged 65 years and older had a higher prevalence of insufficient intake, at 69.0% (95% CI: 63.9%-74.0%), versus those under 65 years, at 60.3% (95% CI: 56.9%-63.8%), with this difference being statistically significant (P = 0.007). Furthermore, a significant inverse relationship was identified between both educational years and socioeconomic status and the prevalence of insufficient dietary calcium intake (Ps for trends<0.001).

Conclusion: Our findings revealed a significant prevalence of insufficient dietary calcium intake in women and those aged 65 and older. We advocate for targeted public health strategies to ensure sufficient dietary calcium intake across these populations.

Publication types

  • Multicenter Study

MeSH terms

  • Aged
  • Calcium, Dietary* / administration & dosage
  • Female
  • Humans
  • Iran / epidemiology
  • Male
  • Middle Aged
  • Osteoporosis* / epidemiology
  • Osteoporosis* / prevention & control
  • Prevalence

Substances

  • Calcium, Dietary

Grants and funding

The Iranian Multicenter Osteoporosis Study (IMOS) received joint funding from the Iranian National Institute for Medical Research Development (NIMAD) and the Endocrinology and Metabolism Research Institute (EMRI) at Tehran University of Medical Sciences. Some of the researchers from the present study are affiliated to the EMRI; However, the grant body is independent to the researchers and funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.