1. Is vitamin-D supplementation not useful in patients at risk of fractures and falls?
- Author
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del Rey, JA, Gimeno, EJ, Baztan, FB, Alonso, CG, Lama, YG, Sierra, JM, Borrego, RS, de la Morena, JS, Perez, JAS, and Llorca, CVY
- Subjects
risk of falls ,Risk of fractures ,vitamin-D supplementation - Abstract
To evaluate numerous publications that question the bone and extraosseous benefits of vitamin D diet supplementation based on results, which often transcend to public opinion, but are not well interpreted. This may have negative consequences on compliance of patients under vitamin D supplementation. Critical appraisal of several articles on vitamin D supplementation and its relationship with fractures, falls, cardiovascular diseases, and cancer incidence. Such publications have certain limitations (i.e. patients excluded because of a diagnosis of osteoporosis, or at a higher risk for fractures and falls, or because they have a vitamin D deficiency, etc.), and conclusions and/or subsequent recommendations should be approached with caution. Our research shows that patients with osteoporosis, vitamin D deficiency, and at high risk of fractures and falls should not discontinue vitamin D supplementation (often associated with calcium). It is becoming increasingly evident that patients with hypovitaminosis D are those that gain a maximal benefit from vitamin D supplementation.
- Published
- 2020