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Dr. Shella Sukova, MSc, ANutr

Soda and Bone Growth in Children

Introduction

Proper nutrition is crucial for children’s bone growth and overall health. Calcium, vitamin D, and protein play vital roles in bone development, but certain dietary choices may hinder this process. One such concern is the consumption of bicarbonate-containing soft drinks, which include carbonated beverages such as cola and other sodas. Emerging research suggests that these drinks may negatively impact bone growth, increasing the risk of fractures in childhood and osteoporosis in later life.

The Link Between Soft Drinks and Bone Health

Several studies indicate a negative correlation between soft drink consumption and bone health in children and adolescents. Research conducted in Germany found that higher consumption of soft drinks is associated with poorer bone modeling and remodeling (Sicherer et al., 2008). This means that children who frequently drink carbonated beverages may develop weaker bones, making them more prone to fractures.

A separate study by Tufts University revealed that women who consumed more cola had lower Bone Mineral Density (BMD). Interestingly, these women did not necessarily drink less milk, but their overall calcium intake was lower. This suggests that soft drink consumption does not directly replace milk but may still contribute to poorer calcium absorption or bone quality.

How Bicarbonate and Phosphates Affect Bone Growth

One potential reason for this negative effect is the phosphate content in many carbonated beverages. Children’s Hospital Colorado (2016) reported that phosphates in soda may decrease calcium absorption in the bones. Calcium is essential for strong bones, and any factor that interferes with its absorption can have long-term consequences for bone health.

Furthermore, a 2017 case report highlighted that daily cola consumption could contribute to hypocalcemia (low calcium levels in the blood), which may be difficult to correct even with high-dose calcium supplements (Frontiers in Endocrinology, 2017). This underscores the potential dangers of excessive soft drink consumption in disrupting the body’s calcium balance.

Long-Term Consequences: Fracture Risk and Osteoporosis

Reduced calcium absorption and poor bone modeling during childhood can have severe consequences later in life. If bones do not develop optimally during childhood and adolescence, the risk of fractures increases. Additionally, this could lead to osteoporosis in adulthood, a condition characterized by weak and brittle bones that are prone to fractures. Since bone density peaks in early adulthood, poor bone development during childhood may have irreversible effects.

Conclusion

The evidence strongly suggests that regular consumption of bicarbonate-containing soft drinks may negatively impact children’s bone health. While occasional consumption may not cause immediate harm, frequent intake can interfere with calcium absorption, weaken bone structure, and increase the risk of fractures and osteoporosis. Parents and caregivers should encourage children to choose healthier beverages, such as milk or water, to support optimal bone growth and long-term health.

Key Takeaways:

✔️ Soft drinks are negatively associated with bone modeling and remodeling.

✔️ High phosphate levels in soda may interfere with calcium absorption.

✔️ Long-term soft drink consumption may increase the risk of fractures in childhood and osteoporosis in later life.

✔️ Encouraging calcium-rich diets and reducing soft drink intake can help promote strong and healthy bones.

By making informed dietary choices, we can help children build a solid foundation for lifelong bone health.

https://doi.org/10.3389/fendo.2017.00007