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Nutritional aspects of calcium absorption

F Bronner1, D Pansu

  • 1Department of BioStructure and Function, The University of Connecticut Health Center, Farmington, Connecticut 06030-3705, USA.

The Journal of Nutrition
|January 23, 1999
PubMed
Summary

Intestinal calcium absorption varies with intake. Low intake upregulates active duodenal transport, while high intake relies on passive jejunal/ileal absorption, influenced by vitamin D and bioavailability.

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Area of Science:

  • Gastroenterology
  • Nutritional Science
  • Human Physiology

Background:

  • Intestinal calcium absorption is crucial for maintaining calcium homeostasis.
  • Factors influencing calcium absorption include dietary intake, vitamin D status, and intestinal physiology.

Purpose of the Study:

  • To elucidate the mechanisms and influencing factors of intestinal calcium absorption.
  • To differentiate between active and passive calcium transport pathways in various intestinal segments.

Main Methods:

  • The study reviews existing literature on calcium absorption mechanisms.
  • It analyzes the roles of habitual calcium intake, bioavailability, and vitamin D in modulating absorption.

Main Results:

  • Active transcellular calcium transport is upregulated in the duodenum during low calcium intake.
  • Passive paracellular absorption predominates in the jejunum and ileum with adequate or high calcium intake.
  • Vitamin D is essential for active calcium transport via calbindin D9k synthesis.

Conclusions:

  • Intestinal calcium absorption is a dynamic process influenced by intake levels and vitamin D.
  • Both active and passive mechanisms contribute to calcium absorption, with regional and dietary-dependent variations.
  • Understanding these mechanisms is vital for addressing calcium deficiencies and optimizing absorption.

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