Frequently Asked Questions
June 2007
By Althea Zanecosky, MS, RD, LDN
Mid-Atlantic Dairy Association
Q: I’ve read that a calcium build-up in the arteries can cause a heart attack, and now some mall and health fair screenings offer imaging tests for detecting calcium in the heart. What is the relationship between calcium and heart disease?
A: Calcium is a mineral found mostly in bones but is also in other parts of the human body. The cells in the heart and blood vessels contain calcium, which helps the cardiovascular system function normally. As calcium moves into and out of the heart cells, it triggers the contraction of the heart muscles that cause the heart to pump. Calcium also generates the squeezing action of the blood vessels that help move blood through the body.
Deposits of fatty plaque in the arteries, called atherosclerosis, contribute to the production of a protein that binds very small amounts of calcium circulating in the blood. And the body responds to inflammation by depositing calcium in the area of damage. This applies to all parts of the body, including the coronary arteries. Thus, artery walls can become “calcified.”
Heart attacks often come with no warning. Because calcium shows up easily on X-rays, and particularly on CAT scans, an imaging technology called coronary calcium scan can examine the heart in just minutes and may provide some advance notice of problems. Heart scans may indicate if you're at higher risk of a heart attack or other problems well before you have any outward symptoms of disease.
But the calcium that can build up in arteries is independent of the calcium you consume — dietary calcium has no effect on atherosclerosis. While calcium detection may aid in the diagnosis of atherosclerosis, the treatment of coronary artery disease is not about reducing calcium. In fact, the DASH Diet (Dietary Approaches to Stop Hypertension) has shown that calcium from nonfat or lowfat dairy products helps lower blood pressure, reducing cardiac risk. The American Heart Association (AHA) recommendation is for adults to consume between 1,000 and 1,200 milligrams of calcium each day. Fat-free milk and lowfat dairy products are recommended by AHA as excellent sources of calcium.
For more information about the DASH diet, visit:
http://www.nhlbi.nih.gov/health/public/heart/hbp/dash/new_dash.pdf
For American Heart Association’s calcium and dairy and recommendations, log on to:
http://www.americanheart.org/presenter.jhtml?identifier=4453 and
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