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Fracture prevention in care home residents: is vitamin D supplementation enough?
  Most low trauma fractures occur in older people, where they are ssociated with excess mortality, morbidity and health and social service expenditure. The incidence of fractures is highest in elderly care home residents, with hip fracture rates of up to 5% per year [1]. Care home residents have a 3- to 4-fold higher incidence of fractures than people of the same age living in the community [1], reflecting their lower bone mineral density (BMD) and greater risk of falls [2, 3]. Falls prevention is an intuitive way to prevent fractures, but studies have not shown a consistent benefit in this group of vulnerable elderly people. In a randomised controlled trial in elderly people with cognitive impairment who had fallen, three-quarters of whom were care home residents, multifactorial intervention failed to decrease the incidence of falls [4]. An alternative strategy to prevent fractures is to improve bone health. Vitamin D insufficiency is a potentially reversible cause of falls and fractures in older people [5]. The National Diet and Nutrition Survey reported that over one-third of care home residents above the age of 65 years had evidence of vitamin D insufficiency, using the relatively conservative threshold of a serum 25 hydroxyvitamin D (25OHD) below 25 nmol/l [6].
   
Type Journal - Bibliographic Record
Resource Type
(If applicable)
Author(s) Aspray TJ, Francis RM.
Book Publisher
Journal Publisher Age Ageing
Year 2006
Pages 455-6
Article Title
Edition Sep;35
Contact Information
(If applicable)
Comments
(If applicable)
 
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