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Bí mật canxi: bổ sung canxi thế nào là đúng? - PharmaDi
Thẩm định bởi:
Dược sĩ – Thạc sĩ Hoàng Phương Cúc Co-Founder PharmaDi, Giám đốc PharmaDi Hà Nội
Canxi là một khoáng chất đóng vai trò quan trọng trong sự hình thành, phát triển xương và răng của cơ thể. Nó cần thiết cho hoạt động của nhiều enzym, chuyển động cơ bắp và chức năng tim mạch,… Mặc dù canxi được cung cấp chủ yếu qua chế độ ăn uống, nhưng trong những trường hợp nhu cầu canxi cao, lượng canxi trong chế độ ăn uống không đủ, việc bổ sung canxi là điều hết sức cần thiết trong việc ngăn ngừa và điều trị thiếu canxi. Bài viết dưới đây sẽ giúp bạn lựa chọn loại canxi và phương pháp bổ sung hiệu quả nhất.
Hai dạng của Canxi: Vô cơ và Hữu cơ 1.1 Canxi vô cơ là gì?
Canxi vô cơ được tạo ra bởi gốc ion Canxi kết hợp gốc ion vô cơ, được tìm thấy nhiều trong đá vôi, khoáng chất, vỏ động vật biển, thường gặp dưới dạng công thức như Canxi Carbonat, Canxi Sulfat, Canxi Chloride,… Canxi vô cơ hầu hết không tan trong nước, khi sử dụng có thể gây một số triệu chứng như táo bón, chướng bụng và khó hấp thu. Việc bổ sung dư thừa canxi vô cơ có thể làm tăng nguy cơ gây lắng cặn canxi tại thành mạch, gan, thận góp phần vào vấn đề vôi hóa mạch, sỏi thận và tình trạng táo bón, so với canxi hữu cơ.
1.2 Canxi hữu cơ là gì?
Canxi hữu cơ được tạo ra bởi gốc ion Canxi kết hợp với các hợp chất hữu cơ. Chúng ta thường gặp canxi hữu cơ trong rau củ, nhiều loại thực vật và động vật, vì vậy dường như canxi hữu cơ gần gũi và dễ dàng hấp thu hơn. Một số dạng canxi hữu cơ là Canxi citrat, canxi gluconate, canxi lactac,… Hầu hết canxi hữu cơ tan tốt trong nước ở điều kiện thường, vì vậy sẽ dễ dàng đào thải ra ngoài và hạn chế các tác dụng phụ do lắng đọng canxi tại một số cơ quan trong cơ thể hơn.
1.3 So sánh ưu và nhược điểm giữa canxi hữu cơ và vô cơ
Vì nguồn gốc canxi khác nhau nên mùi vị 2 loại này cũng có sự khác biệt. Canxi vô cơ được sản xuất từ đá vôi, vỏ một số động vật biển: vỏ tôm, sò.. nên khi sử dụng có mùi tanh, khó uống trong khi canxi hữu cơ có vị dễ chịu hơn.
Canxi vô cơ có hàm lượng nguyên tố cao hơn nên cần sử dụng với lượng ít hơn canxi hữu cơ để đạt được liều lượng mong muốn. Ví dụ như Canxi carbonat có chứa 40 % Canxi nguyên tố trong khi tỷ lệ này ở Canxi citrat là 21% hoặc canxi gluconate là 9%.
Muối canxi Canxi nguyên tố Canxi Carbonate Canxi Citrate
Canxi Citrate Malate
Canxi Lactat
Canxi Aspatat
Canxi Gluconat
40 % 21%
25 %
13 %
13 %
9 %
Canxi vô cơ hầu hết không tan được trong nước, nên có nguy cơ lắng cặn tạo sỏi thận, đầy bụng, táo bón khi sử dụng lượng nhiều trong khi canxi hữu cơ tan được trong nước, dễ dàng đào thải và hạn chế các tác dụng phụ này.
Canxi vô cơ có giá thành và chi phí sản xuất thấp hơn canxi hữu cơ, phù hợp cho nhiều đối tượng có điều kiện khác nhau. Tuy nhiên cần cân nhắc các phản ứng phụ có thể xảy ra đồng thời một số lưu ý khi sử dụng.
Nhu cầu canxi hàng ngày Canxi là một khoáng chất thiết yếu cần cho các hoạt động sống của cơ thể, vì vậy cần bổ sung hàng ngày với liều lượng khác nhau tùy theo độ tuổi, giới và các đặc điểm sinh lý. Nhu cầu canxi ở người trưởng thành là 800-900 mg/ ngày. Trẻ vị thành niên, người già >=70 tuổi có nhu cầu canxi cao hơn: 1000mg/ ngày. Đặc biệt đối với các đối tượng là phụ nữ có thai, cho con bú cần tới 1200-1300mg canxi/ngày.
Dưới đây là bảng khuyến nghị nhu cầu canxi cho người Việt Nam.
Một số lưu ý khi sử dụng canxi bổ sung Không nên sử dụng canxi cùng sắt, kẽm vì chúng ức chế hấp thu lẫn nhau, dẫn đến kém hiệu quả trong việc bổ sung canxi. Khi phải bổ sung cả canxi và sắt, nên sử dụng chúng cách nhau ít nhất 2-3h. Một số thực phẩm như rau bina, rau cải, khoai lang, hạt, một số sản phẩm đậu nành… chứa phytat, acid oxalic hoặc tanin làm giảm hấp thu canxi, vì vậy không nên bổ sung canxi cùng các loại thực phẩm này. Không nên bổ sung canxi, đặc biệt canxi vô cơ vào buổi tối để hạn chế nguy cơ lắng cặn, gây táo bón hoặc sỏi thận, đồng thời khi nên uống nhiều nước khi bổ sung. Canxi từ Calcium Citrate của Max Biocare Max Biocare là dược phẩm nổi tiếng của Australia, cung cấp nhiều sản phẩm bổ sung có nguồn gốc từ dược liệu tự nhiên như sắt, canxi, kẽm…
Canxi từ Calcium Citrate là canxi hữu cơ dễ uống, hấp thu và ít tạo lắng cặn hơn so với canxi vô cơ, an toàn cho người sử dụng. Canxi được bổ sung dưới dạng viên nang dễ nuốt thuận tiện cho việc chia liều đảm bảo hiệu quả tối đa sử dụng.
Hàm lượng canxi nguyên tố có trong 1 viên Calcium Citrate: 300mg Liều sử dụng: 2-3 viên/ ngày, nên tham khảo ý kiến bác sĩ hoặc chuyên gia trước khi bổ sung Tổng kết Việc bổ sung canxi là cần thiết khi chế độ ăn không đáp ứng đủ nhu cầu, đặc biệt với các đối tượng có nhu cầu canxi cao như phụ nữ có thai, cho con bú, trẻ ở lứa tuổi vị thành niên, người lớn tuổi có nguy cơ loãng xương,… Vì vậy cần có kiến thức đúng đắn để bổ sung Canxi một cách phù hợp nhất.
BSNT Nguyễn Minh Diệu
HINU- Giấc mơ dinh dưỡng Việt
TÀI LIỆU THAM KHẢO :
https://www.medicalnewstoday.com/articles/248958#why-we-need-calcium
https://www.researchgate.net/publication/375090001_Bone_Health_-Understanding_Calcium_Supplements_and_Benefits_of_Other_Vitamin-_Minerals
https://japi.org/q2948454/calcium-and-calcium-salts