Intercalibrated measurements of lead in calcium supplements indicate the im
portance of rigorous analytical techniques to accurately quantify contamina
nt exposures in complex matrices. Without such techniques, measurements of
lead concentrations in calcium supplements may be either erroneously low, b
y as much as 50%, or below the detection limit needed for new public health
criteria. In this study, we determined the lead content of 136 brands of s
upplements that were purchased in 1996. The calcium in the products was der
ived from natural sources (bonemeal, dolomite, or oyster shell) or was synt
hesized and/or refined (chelated and nonchelated calcium). The dried produc
ts were acid digested and analyzed for lead by high resolution-inductively
coupled plasma-mass spectrometry. The method's limit of quantitation averag
ed 0.06 mu g/g, with a coefficient of variation of 1.7% and a 90-100% lead
recovery of a bonemeal standard reference material. Two-thirds of chose cal
cium supplements failed to meet the 1999 California criteria for acceptable
lead levels (1.5 mu g/daily dose of calcium) in consumer products. The non
chelated synthesized and/or refined calcium products, specifically antacids
and infant formulas, had the lowest lead concentrations, ranging from nond
etectable to 2.9 mu g Pb/g calcium, and had the largest proportion of brand
s meeting the new criteria (85% of the antacids and 100% of the infant form
ulas).