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Nutrition

Feeding your bones

Practical food choices for calcium, vitamin D, protein and overall nourishment.

3 min read · Published by Mindful Movement Physical Therapies · Updated October 2026

General education from published sources. Discuss what applies to you with your clinician.

Key takeaways

  • BHOF daily targets: 1,000 mg calcium for women 50 and under and men up to 70; 1,200 mg for women 51+ and men 71+.
  • BHOF vitamin D guidance: 400–800 IU a day for adults under 50, and 800–1,000 IU from age 50. Vitamin D supports calcium absorption; individual needs can differ.
  • Food first — dairy, fortified plant milks, leafy greens, tinned fish with bones. Supplements fill the gap, they are not the foundation.
  • Include protein sources and enough food across your day. Osteoporosis and older-adult protein guidance differs from the general healthy-adult allowance; kidney disease needs an individual plan.
  • Don’t smoke, keep alcohol moderate, and avoid crash diets: rapid weight loss unloads the skeleton and costs bone.

BHOF’s general adult guidance is 1,000–1,200 mg of calcium and 400–1,000 IU of vitamin D a day, depending on age and reference group — the full table is below. Vitamin D supports calcium absorption. Your clinician may advise different amounts with deficiency, kidney disease or other conditions.

The BHOF daily targets

WhoCalcium / dayVitamin D / day
Women 19–491,000 mg400–800 IU
Women age 501,000 mg800–1,000 IU
Women 51+1,200 mg800–1,000 IU
Men 19–491,000 mg400–800 IU
Men 50–701,000 mg800–1,000 IU
Men 71+1,200 mg800–1,000 IU

Aim to get calcium from food first — dairy, fortified plant milks, leafy greens, tinned fish with bones. Use supplements to fill the gap, not as the foundation. Magnesium, potassium and vitamin K from a diet rich in fruit and vegetables round out a bone-friendly plate.

Protein and enough food matter too

Protein helps maintain bone and muscle. Include a source with meals — beans, lentils, tofu, eggs, dairy, fish or meat can all contribute. Calcium-fortified soy drinks and calcium-set tofu can provide both nutrients; check labels because fortification and protein content vary. Choose foods that fit your preferences, allergies and any prescribed dietary restrictions.

The general healthy-adult protein allowance is 0.8 g/kg/day. IOF osteoporosis guidance discusses at least 1.0 g/kg/day in osteoporosis management, while expert guidance for healthy adults over 65 uses 1.0–1.2 g/kg/day. These are discussion references, not an individual prescription. Kidney disease, recovery from illness or fracture, and other conditions need guidance from your clinician or dietitian.

Make room for regular meals, adequate energy, fruit and vegetables, and a variety of foods. Unintentional weight loss, a poor appetite or difficulty eating deserves attention. Ask for nutrition support rather than relying on supplements or restricting more foods. Try the food portions and protein reference tool to explore a practical meal addition and save one achievable food habit.

Calcium figures refer to food and supplements together. Count calcium already taken in supplements, multivitamins and calcium-containing antacids before discussing a shortfall. A calculated difference is not a supplement dose; ask a clinician or pharmacist about your needs and medicine interactions.
Other levers matter too: don’t smoke, keep alcohol moderate, and avoid crash diets — rapidly ‘unloading’ the skeleton through extreme weight loss costs you bone.

Frequently asked questions

How much calcium do you need for osteoporosis?

The Bone Health & Osteoporosis Foundation recommends 1,000 mg of calcium per day for women 50 and under and men up to 70, and 1,200 mg per day for women 51+ and men 71+. Get it from food first — dairy, fortified plant milks, leafy greens, and tinned fish with bones — and use supplements only to fill the remaining gap.

How much vitamin D should I take for bone health?

BHOF’s general daily reference is 400–800 IU for adults under 50 and 800–1,000 IU from age 50, counting all sources. Vitamin D supports calcium absorption. This is not an individual supplement dose; ask your clinician what fits your treatment, diet and any deficiency.

Is it better to get calcium from food or supplements?

Start with calcium-rich foods, which provide other nutrients too. If your intake falls short, review food choices and any existing supplements with your clinician or pharmacist before adding more. Supplement needs differ with kidney disease, stones and some medicines; more calcium is not necessarily better.

Sources

Put this into practice.

Explore a suggested starting plan based on your reported history, experience and equipment, with exercise demonstrations and records to discuss with your clinician. Higher-intensity resistance and impact training needs individual assessment and direct qualified supervision.

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