Title: Calcium and Vitamin D Supplementation on Bone Health: Current Evidence and Recommendations
Authors: Chen, Li-Ru
Wen, Yu-Tang
Kuo, Chih-Lin
Chen, Kuo-Hu
Department of Mechanical Engineering
Keywords: calcium;cancer;fracture;myocardial infarction;vitamin D
Issue Date: 1-Dec-2014
Abstract: Population aging and osteoporosis are global public health challenges. Osteoporosis markedly increases the risk of fractures, and further morbidity and mortality. Calcium is a major constituent of the bone and vitamin D helps maintain calcium homeostasis. Calcium and vitamin D supplements have long been recognized as the cornerstones for prevention and management of osteoporosis and fractures. Although the associations between calcium and vitamin D supplementation and bone mineral density, fracture prevention, and potential adverse outcomes from available evidence are inconsistent, the Institute of Medicine Committee and the American Geriatrics Society support a key role of calcium and vitamin D in skeletal health. There is insufficient evidence to conclude that calcium with or without vitamin D supplementation increases the risk of cardiovascular events and cancer. Older adults should obtain at least 1000 IU/day of vitamin D with 1000-1200 mg/day of calcium to reduce the risk of fractures. The actual supplementation levels of calcium and vitamin D should be advised individually to specific patient or situation. Copyright (C) 2014, Taiwan Society of Geriatric Emergency & Critical Care Medicine. Published by Elsevier Taiwan LLC. All rights reserved.
URI: http://dx.doi.org/10.1016/j.ijge.2014.06.001
ISSN: 1873-9598
DOI: 10.1016/j.ijge.2014.06.001
Journal: International Journal of Gerontology
Begin Page: 183
End Page: 188
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