Greupner T; Schneider I; Hahn A. - - J Am Coll Nutr 2017; 36(5): 386-90.

Calcium Bioavailability from Mineral Waters with Different Mineralization in Comparison to Milk and a Supplement

Objective: The aim of the present study was to compare the bioavailability of calcium from 3 mineral waters with different concentrations of minerals with that of milk and a calcium supplement.

Methods: A single-center, randomized controlled trial with a crossover design with 21 healthy men and women was conducted at the Institute of Food Science and Human Nutrition, Leibniz University Hannover. The participants consumed the 5 test products providing 300 mg of calcium each on 5 examination days with 1-week wash-out phases in between. Primary outcome variables were the area under the curve of serum calcium levels for 10-hour (AUC0?10h) and 24-hour urinary calcium excretion.

Results: In all groups, no significant differences in the AUC0-10h of serum calcium levels as well as in the 24-hour urinary calcium excretion were observed. Likewise, mean changes in serum phosphate and urinary phosphate, as well as serum parathormone, showed no differences between the groups.

Conclusion: Given an equivalent bioavailability of calcium in all test products, neither a high concentration of SO42? or of HCO3 influenced the bioavailability of calcium. Accordingly, the use of mineral water with high concentrations of calcium constitutes a calorie-free calcium source that can improve calcium supply.

Keywords: Mineral water, calcium, bioavailability, mineralization, general nutrition