Journal of Food and Nutrition Research, 2017, Vol. 5, No. 5, 347-353
Available online at http://pubs.sciepub.com/jfnr/5/5/10
©Science and Education Publishing
DOI:10.12691/jfnr-5-5-10
Calcium Knowledge and Consumption Pattern of
Calcium-rich Foods among Female University
Students in South-west Nigeria
Oluyemisi Folake Folasire
1,2,*
, Eyitayo Victoria Akinrinde
1
1
Department of Human Nutrition, University of Ibadan, Ibadan, Nigeria
2
Family Medicine Department, University College Hospital, Ibadan, Nigeria
*Corresponding author: yemisifolasire2011@gmail.com
Abstract Calcium plays a vital role in the prevention of Osteoporosis; Peak bone mass is attained in the early
years of life before 30 years. The study assessed the calcium knowledge and consumption pattern of calcium-rich
foods by female University students. This cross-sectional study involved 400 randomly selected female
undergraduate students of the University of Ibadan, Nigeria. Information collected included; socio-
demography/economy, the source of calcium information and 20-calcium knowledge questions from literature.
Consumption pattern of calcium-rich foods was assessed with a modified food frequency questionnaire. Our study
showed mean age was 19.8 ± (2.2) years; calcium knowledge score was 10.1(±3.7). Half (51.5%) of the respondents
had good knowledge about calcium, while 48.5% had poor knowledge. The majority (47.3%) of the respondents got
information on calcium from academic sources, 14.0% from family/friends, about 7.0% from health personnel and
1.0% from the media. Only 18.4% frequently consumed milk/dairy products, about 20% frequently consumed
calcium-rich fish and fish products, while 8.9% and 5.8% frequently consumed legumes/nuts and fruits/vegetables
that are rich sources of calcium. Receiving calcium information from academic sources was associated with
significantly higher calcium knowledge scores (X
2
=9.535, p=0.002). Having lower calcium knowledge was
significantly associated with infrequent consumption of spinach (X
2
=5.227, p=0.022) and okra (X
2
=6.337, p=0.012).
The respondents that received calcium information from non-academic sources (family/friends, health personnel,
media) were 0.6 times less likely to have good calcium knowledge, (OR=0.548, 95% C.I. =0.316 to 0.951, p=0.033).
A high percentage of the respondents had poor calcium knowledge, infrequently consumed calcium-rich foods and
were not knowledgeable about the role of calcium in the prevention of osteoporosis. Thus, there is a need to intensify
calcium education interventions through the non-academic avenues, especially the media.
Keywords: calcium knowledge, consumption pattern, osteoporosis, female adolescent, young adults
Cite This Article: Oluyemisi Folake Folasire, and Eyitayo Victoria Akinrinde, “Calcium Knowledge and
Consumption Pattern of Calcium-rich Foods among Female University Students in South-west Nigeria.” Journal
of Food and Nutrition Research, vol. 5, no. 5 (2017): 347-353. doi: 10.12691/jfnr-5-5-10.
1. Introduction
Calcium is one of the essential micro-nutrients for bone
health. It is a vital mineral in human metabolism, making
up about 1-2% of an adult human body weight. In the
body, the reservoir for calcium is bone tissue. The roles of
calcium in the body include; building bones and keeping
them healthy, blood clotting, muscle contraction, aid nerve
in sending messages and maintenance of acid/base balance
in the bloodstream [1]. Calcium homoeostasis is maintained
by keeping the level of circulating ionised calcium within
a narrow physiological range. The day to day regulation of
serum calcium levels is supported by an endocrine system
involving the parathyroid hormone and 1,25 (OH)
2
D [2].
The body cannot produce new calcium, and so when an
individual does not take in enough from dietary sources,
the calcium needs of the body is supplied by the bones.
The stored calcium in bones acts as a source for metabolic
need through the process of remodelling. Persistent deficiency
of calcium in the diet can lead to bone loss which results
in decreased bone mass and increases the risk development
of osteoporosis and fractures. The absorption of calcium is
influenced by vitamin D sufficiency, the presence of
calcium binders in the diet (oxalate, phosphate, and
phytate), age group and physiological state. Calcium
deficiency presents as rickets in children, poor bone mass
accrual, low peak bone mass due to poor accrual in
childhood and adolescence, abnormal foetal programming
during pregnancy, postmenopausal osteoporosis and
osteoporosis in the elderly [3]. Bones need plenty of
vitamin D and calcium throughout early life especially
during childhood and adolescent periods to reach the peak
strength and calcium content because, in adult life, bone
modelling occurs less than remodelling [4].
Previous studies have shown that adolescents retain
calcium more than adults with the same calcium intake [1].