Calcium, the most abundant mineral in the body, is found in some  foods, added to others, available as a dietary supplement, and present  in some medicines (such as antacids). Calcium is required for vascular  contraction and vasodilation, muscle function, nerve transmission,  intracellular signaling and hormonal secretion, though less than 1% of  total body calcium is needed to support these critical metabolic  functions [1].  Serum calcium is very tightly regulated and does not fluctuate with  changes in dietary intakes; the body uses bone tissue as a reservoir  for, and source of calcium, to maintain constant concentrations of  calcium in blood, muscle, and intercellular fluids [1].
The remaining 99% of the body's calcium supply is stored in the bones and teeth where it supports their structure and function [1].  Bone itself undergoes continuous remodeling, with constant resorption  and deposition of calcium into new bone. The balance between bone  resorption and deposition changes with age. Bone formation exceeds  resorption in periods of growth in children and adolescents, whereas in  early and middle adulthood both processes are relatively equal. In aging  adults, particularly among postmenopausal women, bone breakdown exceeds  formation, resulting in bone loss that increases the risk of  osteoporosis over time [1].
Recommended Intakes
Intake recommendations for calcium and other nutrients are provided  in the Dietary Reference Intakes (DRIs) developed by the Food and  Nutrition Board (FNB) at the Institute of Medicine of the National  Academies (formerly National Academy of Sciences) [1].  DRI is the general term for a set of reference values used for planning  and assessing the nutrient intakes of healthy people. These values,  which vary by age and gender, include:
- Recommended Dietary Allowance (RDA): average daily level of intake sufficient to meet the nutrient requirements of nearly all (97%–98%) healthy individuals.
 - Adequate Intake (AI): established when evidence is insufficient to develop an RDA and is set at a level assumed to ensure nutritional adequacy.
 - Tolerable Upper Intake Level (UL): maximum daily intake unlikely to cause adverse health effects [1].
 
The FNB established RDAs for the amounts of calcium required for bone  health and to maintain adequate rates of calcium retention in healthy  people. They are listed in Table 1 in milligrams (mg) per day.
Table 1: Recommended Dietary Allowances (RDAs) for Calcium [1]                           
Age                     Male         Female       Pregnant    Lactating                                                         
0–6 months*      200 mg    200 mg                                                                                             
7–12 months*    260 mg    260 mg                                                                                              
1–3 years           700 mg    700 mg                                                                                                
4–8 years           1,000 mg 1,000 mg                                                                                          
9–13 years         1,300 mg 1,300 mg                                                                                        
14–18 years       1,300 mg 1,300 mg    1,300 mg 1,300 mg                                                     
19–50 years       1,000 mg 1,000 mg    1,000 mg 1,000 mg                                                     
51–70 years       1,000 mg 1,200 mg   
71+ years          1,200 mg 1,200 mg    

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