Sains Malaysiana, 2018;47:1801-1810.

Abstract

The prevalence of osteoporosis is increasing in Asian countries. Optimum calcium intake and vitamin D level are
important to prevent osteoporosis. The attitude of the society towards calcium food sources and supplements, as well
as sun exposure, influence their bone health practices. This review aimed to summarize the current literature on the
attitude of Asians on calcium and vitamin D rich foods and supplements to understand the barriers among the Asians
in achieving adequate calcium intake and vitamin D level. Studies showed that most Asians have a negative attitude
towards calcium-rich foods, mainly dairy products due to lactose intolerance, aversion to the taste of dairy products or
the absence of motivation. Although they took supplements to fill the gap in their diet, they were not aware of the daily
recommended intake of calcium. Besides, the majority of them have a negative attitude towards sun exposure due to the
fear of getting skin cancer or tanning. As a conclusion, most of Asians are still not aware of the importance of calcium
and vitamin D for their health and their negative attitude must be corrected to prevent the rise of osteoporosis.