CALCIUM-ABSORPTION IN ELDERLY SUBJECTS ON HIGH-FIBER AND LOW-FIBER DIETS - EFFECT OF GASTRIC-ACIDITY

In vitro studies suggest that the effect of fiber in inhibiting calcium absorption is pH dependent. In nine normal, elderly control subjects and eight elderly subjects with achlorhydria, Ca47 was ingested with three test meals: a low-fiber meal (0.5 g dietary fiber), a high-fiber meal (10.5 g), and a high-fiber meal with 120 mL of 0.1 mol HC/L. In control subjects calcium retention, measured in a whole-body counter, was 25.7 +/- 4.0% (xBAR +/- SD) with the low-fiber meal, 19.1 +/- 1.9% with the high-fiber meal (P < 0.002 vs low fiber), and 18.9 +/- 3.3% with the high-fiber-plus-acid meal (P < 0.002 vs low fiber, NS vs high fiber). Calcium absorption in achlorhydric subjects was not different from control subjects: 26.2 +/- 8.0% with low fiber, 19.6 +/- 4.1% with high fiber (P < 0.04 vs low fiber), and 21.0 +/- 5.8% with high fiber plus acid (P < 0.04 vs low fiber, NS vs high fiber). We conclude that, in humans, the reduction in calcium absorption with high fiber intake is unaffected by gastric pH.