3144 JOURNAL OF FOOD SCIENCE—Vol. 67, Nr. 8, 2002 © 2002 Institute of Food Technologists
Further reproduction prohibited without permission
Sensory and Nutritive Qualities of Food
JFS: Sensory and Nutritive Qualities of Food
Bioavailability of Calcium from Tofu as
Compared with Milk in Premenopausal Women
C.M. WEAVER, R.P. HEANEY, L. CONNOR, B.R. MARTIN, D.L. SMITH, AND S. NIELSEN
ABSTRACT: Using a cross-over design, two studies were conducted to measure calcium absorption from calcium-set
tofu compared to milk in healthy, premenopausal women. In “study 1,” calcium absorption from tofu set with
CaCl
2
was determined in Caucasian women by fecal recovery of the stable isotope,
44
Ca. In “study 2,” calcium
absorption was determined in Asian women from tofu set with CaSO
4
by appearance of
45
Ca in serum after 5 h.
Analysis of the studies, both separately and pooled, showed that calcium absorption was similar between calcium-
set tofu and milk. Calcium-set tofu is a concentrated source of bioavailable calcium.
Keywords: calcium bioavailability, tofu, humans
Introduction
M
EDIAN INTAKES OF CALCIUM IN WOMEN ARE LOWER THAN THE
recommended intakes in the U.S.A. and many other coun-
tries (Institute of Medicine 1997). While over 70% of dietary calcium
in the United States comes from dairy products, many individuals
do not consume dairy products in sufficient quantities to meet the
recommended intakes. Calcium-rich soy products are popular al-
ternative calcium choices for some populations, particularly in Asia.
Although soybeans are high in both oxalate and phytate, calcium
from whole soybeans is well tolerated by lactase-deficient individ-
uals. They also have a fractional absorption efficiency comparable
to that of milk, although inversely related to phytate content
(Heaney and others 1991). On the other hand, calcium fractional
absorption from fortified soymilk is only 75% of cow’s milk (Heaney
and others 2000).
Among the few calcium-fortified foods, tofu provides calcium in
concentrations comparable to milk in an acceptable serving-size
portion. United States Department of Agriculture (USDA) Hand-
book 8 lists the calcium content of milk as 117 mg/100g and tofu as
128 mg/100g. Poneros and Erdman (1988) found that calcium in
tofu was highly bioavailable to rats, 107% compared to 100% for
CaCO
3
. But bioavailability of calcium from tofu has not been stud-
ied in humans.
The purpose of this study was to compare in humans the bio-
availability of calcium from tofu to that for milk, using 2 different
methodologies and populations. In the 1
st
study, calcium absorp-
tion was determined in Caucasian women by fecal recovery of a
stable calcium isotope. In the 2
nd
study, calcium absorption was
determined in Asian women using a 5-h post-administration blood
sample of
45
Ca.
Materials and Methods
T
HIS STUDY’S PROTOCOLS WERE APPROVED BY THE PURDUE AND
Creighton University’s “Human Subjects in Research” Commit-
tees. Healthy Caucasian women, aged 19 to 24 at Purdue Univer-
sity and healthy Asian women, aged 20 to 38.5, at Creighton Uni-
versity were recruited from those campuses. Exclusion criteria
included individuals with predisposing conditions known to influ-
ence calcium absorption (thyroid dysfunction, diabetes mellitus,
kidney disease, hypertension, gastrointestinal disorders, steroid
therapy, pregnancy and lactation, past or current eating disorders,
and amenorrhea) as well as women who were taking medications
known to impact calcium absorption directly.
Preparation of labeled test foods
Milk. In study 1, each subject received 36 mg of
44
Ca as
44
CaCl
2
(prepared from
44
CaCO
3
by dissolving in a molar excess of HCl, fil-
tering with a Buchner funnel, and freeze-drying), added to 67.3
grams of liquid 2% lowfat milk. Extrinsic labeling with
44
CaCl
2
was
done the night before ingestion to assure equilibration of the cal-
cium. Extrinsic labeling of milk by this method previously has been
shown to give values for calcium absorption not different from in-
trinsically labeled milk (Nickel and others 1996). Six representative
samples (0.5 mL each) of labeled milk were chosen randomly and
evaluated for
44
Ca enrichment and calcium content.
Tofu. In study 2, whole milk was labeled by the addition of 5Ci
45
CaCl
2
per serving and stored at 4 °C for 14 to 16 h until administra-
tion to the subjects.
Preparation of the tofu was the same for both studies except for
the calcium salts and coagulants (Shurtleff and Aoyagi 1984). Silk-
en tofu was manufactured in individual portions to prevent ex-
pression of whey (Shen and others 1991). In study 1, silken tofu was
set with CaCl
2
containing 36 mg
44
Ca as
44
CaCl
2
and 94.5 mg glu-
cono-delta-lactone (GDL) (Griffith Labs, Scarborough, Ontario,
Canada) to maximize stable isotope recovery. In study 2,
45
CaSO
4
was used as the coagulant. Tofu was prepared the evening before
ingestion. Washed soybeans (150 g) were soaked overnight, then
made into a paste by placing the beans into an Osterizer
®
for 1.5
min on the highest setting. The paste was filtered under pressure
through 2 layers of cheesecloth to produce soymilk. Percent solu-
ble solids, relating to percent protein, were evaluated with a hand-
held refractometer. A target of 10% soluble solids in the soymilk was
set. If the soymilk soluble solids’ values were low, the soy paste was
filtered until the desired solids level was reached. Soymilk was
heated to 85 °C and held for at least 5 min to inactivate trypsin in-
hibitors. One hundred mL of the heat-treated soymilk, plus coag-
ulants, were added to a preweighed container. Covered tofu sam-
ples were tempered in an 85 °C water bath for 1 h to set the curd.
Samples were refrigerated until consumption. Containers were
weighed following consumption to determine amount of tofu con-
sumed. Subjects were asked to consume the whole portion quanti-
tatively.