Calcium intake is one of the most important predictors of the amount of bon
e mass gained during growth. Therefore, this study was designed to estimate
the dietary calcium intake of Costa Rican urban and rural adolescents ages
13-18 years old. Calcium dietary intake was determined using prospective 3
-d diet records. Two-thirds (or 66.7%) or less of the Adequate Intake (AI)
was used as the criterion for inadequate calcium intake as suggested by sev
eral authors. Reported mean daily calcium intake was 573 mg +/- 290. On ave
rage 82% of the adolescents did not meet two-thirds of the Al for calcium.
A higher percentage of rural than urban youngsters reported inadequate calc
ium intake (92% and 75% respectively, p=0.000). Likewise a higher percentag
e of girls (91%) than boys (77%) reported marginal calcium intake, This stu
dy shows evidence that nutritional interventions and educational strategies
are urgent for increasing calcium consumption among adolescents in order t
o reduce the future burden of osteoporosis in old age.