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Calcium Dashboard – Details by Country

Netherlands (the)


Country Typology: Low disease risk, high intervention/policy environment

Health Data

Preterm Births:

  • Lancet Estimates: Preterm Birth Rate per 100 Live Births: 6.8 [6.5-7.0] 1
  • GBD Estimates: DALYS per 100,000 [CI]: 165 [136, 193] 2

Maternal Hypertensive Disorders - Preclampsia & Eclampsia Incidence: 3

  • % of Eclampsia Cases: <0.01%
  • % of Combined Preeclampsia and Eclampsia: NR

Maternal Hypertensive Disorders - DALYS & Deaths: 4

  • DALYs per 100,000: 1.80 [1.21, 2.55]
  • Deaths per 100,000: 0.01 [0.01, 0.02]

Bone Fractures Incidence Rate per 100,000 [CI]: 4239 [3855.2, 4669.2] 5

Diet and Food Supply

Calcium Intake: 886mg/day (445.9) 6

Apparent Calcium Intake: 1458.4 mg/day 7

Policies

Calcium Fortification:
No fortification policy

Antenatal Care Guidelines: 8

  • Supplementation Recommendation:
    1 g/day of calcium for women who do not consume enough calcium-rich products after 20 weeks of gestation
  • Food-Based Recommendation:
    • Milk
    • Yogurt
    • Cheese
    • Other dairy products
    If No Dairy:
    • Choose calcium-fortified plant-based alternatives

References:

1 Preterm Births - Lancet Estimates
Ohuma EO, Moller A-B, Bradley E, et al. National, regional, and global. estimates of preterm birth in 2020, with trends from 2010: a systematic analysis. Lancet 2023; 402: 1261–71.

2 Preterm Births - GBD Estimates
Institute for Health Metrics and Evaluation (IHME). GBD Compare Data Visualization. Global Burden of Disease (GBD) Study 2021. Seattle, WA: IHME, University of Washington, 2023. Available from http://vizhub.healthdata.org/gbd-compare. (Accessed 7/23/2025). For terms and conditions of use, please visit http://www.healthdata.org/about/terms-and-conditions

3 Maternal Hypertensive Disorders - Preclampsia & Eclampsia Incidence
Schaap, T. P., van den Akker, T., Zwart, J. J., van Roosmalen, J., & Bloemenkamp, K. W. (2019). A national surveillance approach to monitor incidence of eclampsia: The Netherlands Obstetric Surveillance System. Acta obstetricia et gynecologica Scandinavica, 98(3), 342-350.

4 Maternal Hypertensive Disorders - DALYS & Deaths
Institute for Health Metrics and Evaluation (IHME). GBD Compare Data Visualization. Global Burden of Disease (GBD) Study 2021. Seattle, WA: IHME, University of Washington, 2023. Available from http://vizhub.healthdata.org/gbd-compare. (Accessed 9/16/2024).

5 Bone Fractures
Global Burden of Disease Collaborative Network. Global Burden of Disease Study 2021 (GBD 2021). Seattle, United States: Institute for Health Metrics and Evaluation (IHME), 2022. Available from https://vizhub.healthdata.org/gbd-results/. (Accessed 7/18/2025).

6 Calcium Intake
Willemse JPMM, Meertens LJE, Scheepers HCJ, Achten NMJ, Eussen SJ, van Dongen MC, Smits LJM. Calcium intake from diet and supplement use during early pregnancy: the Expect study I. Eur J Nutr. 2020 Feb;59(1):167-174.

7 Apparent Calcium Intake
Updated for 2022 based on: Lividini, K., Masters, W.A. Tracing global flows of bioactive compounds from farm to fork in nutrient balance sheets can help guide intervention towards healthier food supplies. Nat Food 3, 703–715 (2022).

8 Antenatal Care Guidelines
Voedingscentrum. Voedingsadviezen tijdens de zwangerschap. Published online 2024. Accessed September 3, 2024. https://mobiel.voedingscentrum.nl/Assets/Uploads/voedingscentrum/Documents/Professionals/Zwanger/Factsheet%20Zwangerschap%20en%20voeding_2024.pdf