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Overview Fractures and Falls and Vitamin D

It appears that at least 2,000 IU of vitamin D and 500 mg of Calcium are needed to substantially reduce falling

It appears that as little as 800 IU of vitamin D without any Calcium will reduce falling


See also Overview Fractures and vitamin D

See falling at VitaminDWiki


Papers which are meta-analysis of Falls/Fractures and Vitamin D in VitaminDWiki are


20 Most-visited pages in Fractures & Falls category in VitaminDWiki

Id Page Hits Last modification Creator Categories
1344 Overview Fractures and vitamin D 42183
25 Nov, 2017 13:59
admin Bone - Health
Osteoporosis
Vitamin D and Calcium
Overviews
Falls and Fractures
3406 Falls and Fractures 23224
22 Nov, 2017 11:20
ricks99 Falls and Fractures
Category
1260 Overview Fractures and Falls and Vitamin D 13974
05 Nov, 2017 16:40
admin Seniors
Overviews
Falls and Fractures
4274 Vitamin D and Muscles – Major review: Feb 2013 8547
08 Mar, 2017 19:14
admin Sports and Vitamin D
Falls and Fractures
4647 Yet again, 800 IU of vitamin D was found to be barely enough to help bones – Lancet Oct 2013 7300
12 Nov, 2015 04:18
admin Osteoporosis
Top news
Falls and Fractures
1525 Vitamin D – vitamin K – bittle bones – hardened arteries – LEF Sept 2010 6697
21 Dec, 2013 14:43
admin Cardiovascular
Vitamin D and Vitamin K
Falls and Fractures
1063 Fewer falls and fractures as vitamin D is increased – 1800 to 4000 IU July 2010 6102
04 Oct, 2017 00:29
admin How much Vitamin D
Osteoporosis
Falls and Fractures
5142 Parkinson's patients having more vitamin D had better balance control – July 2013 5691
08 Mar, 2014 18:59
admin Parkinson
Falls and Fractures
1380 Wrist fracture is also associated with vitamin D inadequacy 5547
23 Jun, 2012 23:49
admin Bone - Health
Falls and Fractures
6811 2X fewer Senior falls in group getting 100,000 IU vitamin D monthly via Meals-on-Wheels – RCT Aug 2015 5055
20 Jul, 2017 15:12
admin Intervention
Falls and Fractures
Fortification with Vitamin D
Intervention - non daily
6703 Calcium supplements proven to NOT reduce fractures, but are proven to INCREASE heart problems – July 2015 4936
24 Jul, 2015 16:51
admin Osteoporosis
Vitamin D and Calcium
Top news
Falls and Fractures
3663 Guideline following hip fracture – 50000 IU vitamin D daily for 7 days – Jan 2013 4761
30 Aug, 2016 17:17
admin Loading dose for Vitamin D
Top news
Falls and Fractures
2166 Fraser Health in Canada will be giving 20000 IU vitamin D weekly to reduce falls – Nov 2011 4660
07 Jan, 2015 12:46
admin Seniors
Cost savings with Vitamin D
Vitamin D in Canada
Falls and Fractures
618 1000 IU minimum to decrease falls and fractures Swiss - 2009 4553
24 Jun, 2012 00:03
admin Meta-analysis of Vitamin D
Falls and Fractures
2988 Hip fractures reduced 30 percent with 800 IU of vitamin D – meta-analysis July 2012 4306
07 Aug, 2015 17:28
admin Bone - Health
Osteoporosis
Meta-analysis of Vitamin D
Falls and Fractures
4389 Following a stroke, a hip fracture is 6X more likely if low vitamin D – July 2001 4246
04 Mar, 2017 14:58
admin Top news
Falls and Fractures
Stroke
5521 UK would save as least 636 million dollars annually by giving 800 IU vitamin D free to all seniors – June 2014 4130
29 Sep, 2015 21:16
admin Cost savings with Vitamin D
Top news
Falls and Fractures
974 Many abstracts on fewer stress and bone fractures with vitamin D 4096
24 Nov, 2015 01:49
admin Sports and Vitamin D
Osteoporosis
Falls and Fractures
2174 Risk of falls minimized with just 24 ng of vitamin D – June 2011 4044
23 Jun, 2012 23:46
admin Falls and Fractures
3458 Hip fractures greatly reduced by sunshine, vitamin D, and vitamin K – meta-analysis Sept 2012 3989
01 Jul, 2014 10:18
admin Parkinson
Meta-analysis of Vitamin D
Vitamin D and Vitamin K
Falls and Fractures

See fractures at VitaminDWiki

Following paper range of vitamin D considered was from 66 IU to 1000 IU, with Median of 800 IU

Only 6 of their studies added Calcium to the vitamin D

Primary Care–Relevant Interventions to Prevent Falling in Older Adults:

A Systematic Evidence Review for the U.S. Preventive Services Task Force - Dec 2010

1. Yvonne L. Michael, ScD, SM; 2. Evelyn P. Whitlock, MD, MPH; 3. Jennifer S. Lin, MD, MCR; 4. Rongwei Fu, PhD;
5. Elizabeth A. O'Connor, PhD; and 6. Rachel Gold, PhD, MPH
1. From Drexel University School of Public Health, Philadelphia, Pennsylvania, and Kaiser Permanente Center for Health Research and Oregon Health & Science University, Portland, Oregon.

Background: Falls among older adults are both prevalent and preventable.

Purpose: To describe the benefits and harms of interventions that could be used by primary care practitioners to prevent falling among community-dwelling older adults.

Data Sources: The reviewers evaluated trials from a good-quality systematic review published in 2003 and searched MEDLINE, the Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, and CINAHL from the end of that review's search date to February 2010 to identify additional English-language trials.

Study Selection: Two reviewers independently screened 3423 abstracts and 638 articles to identify randomized, controlled trials (RCTs) of primary care–relevant interventions among community-dwelling older adults that reported falls or fallers as an outcome. Trials were independently critically appraised to include only good- or fair-quality trials; discrepancies were resolved by a third reviewer.

Data Extraction: One reviewer abstracted data from 61 articles into standardized evidence tables that were verified by a second reviewer.

Data Synthesis: Overall, the included evidence was of fair quality.
In 16 RCTs evaluating exercise or physical therapy, interventions reduced falling (risk ratio, 0.87 [95% CI, 0.81 to 0.94]).
In 9 RCTs of vitamin D supplementation, interventions reduced falling (risk ratio, 0.83 [CI, 0.77 to 0.89]).
In 19 trials involving multifactorial assessment and management, interventions with comprehensive management seemed to reduce falling, although overall pooled estimates were not statistically significant (risk ratio, 0.94 [CI, 0.87 to 1.02]). Limited evidence suggested that serious clinical harms were no more common for older adults in intervention groups than for those in control groups.

Limitations: Interventions and methods of fall ascertainment were heterogeneous. Data on potential harms of interventions were scant and often not reported.

Conclusion: Primary care–relevant interventions exist that can reduce falling among community-dwelling older adults.

Primary Funding Source: Agency for Healthcare Research and Quality.

CLICK HERE to see PDF

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Average of all levels of Vitamin D decreased falls by 17%

Imagine how much decrease there would have been with 4,000 IU, as reported in other papers above

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It has been known since year 2000 that nerve conduction velocity speeds up with increased vitamin D - see following graph

Chart from ency editor Feldman 2005. Shows that those with slow muscle twitch are able to speed up response by taking vitamin D supplements.  PROOF
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Whole Body Vibration is another excellent way to prevent falls.

Random Controlled Trials found that with just 5 minutes a day the amount of elderly falls was reduced by 2X.

Such a low amplitude of vibration was used that the participants could not notice if the platform was vibrating or not.

The wife of the administrator of this web site takes 10,000 IU of vitamin D AND uses the Whole Body Vibration Platform while doing dishes several times per week.
Parts cost of the platform is less than $200


Juvent Micro-Impact Platform - $3,500 - Nov 2017

  • Computer and software find the resonant frequency of the user in a safe range of frequencies (32Hz-37Hz) and therefore is able to use a very small level of energy (.3g) to deliver a physiologically effective energy pulse.
  • "Simply standing on the Juvent Platform for 10 to 20 minutes a day. You’ll feel a subtle, pleasant stimulation. Starting at your feet and legs, it extends upward through your torso, arms, and upper body. Using our platform just three days a week has been shown to help improve blood flow, ease joint, knee and back pain, and increase stability."

 JAMA 2016 report of trial: 11% increase in Bone density


Vitamin D supplementation and falls: a trial sequential meta-analysis July 2014

did NOT find that vitamin D affected rate of falls.
All of the detail is behind a $28 paywall, so it is impossible to understand the conclusion.
Suspect that a majority of the trials considered used

  1. Small doses of vitamin D
  2. Small time intervals.
  3. No or little Calcium

1 gram more of Calcium increases Hip Fracture risk by 30%

CCBYNC Open access BMJ 2011
-   full text free online. the phrase 'vitamin D" occurs 25 times
Image


Vitamin D: a review on its effects on muscle strength, the risk of fall, and frailty - 2015

 Download the PDF from VitaminDWiki


Vitamin D Supplementation for the Prevention of Falls and Fractures in Residents in Long-Term Care Facilities: A Review of the Clinical Effectiveness, Cost-Effectiveness, or Guidelines - 2016

Meta-analysis from Canada with mixed results
Many of the studies used just 800 IU of vitamin D, so not much can be expected
 Download the PDF from VitaminDWiki


Great 5 minute video about Vitamin D for seniors - reduce falls, etc - March 2017

https://nutritionfacts.org/video/should-vitamin-d-supplements-be-taken-to-prevent-falls/

Overview Fractures and Falls and Vitamin D        

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Attached files

ID Name Comment Uploaded Size Downloads
8639 Juvent JAMA - ST. JUDE.pdf admin 05 Nov, 2017 16:36 106.60 Kb 13
6712 Falls Canada.pdf PDF 2016 admin 30 May, 2016 14:34 437.03 Kb 346
6406 muscle strength, the risk of fall, and frailty.pdf PDF 2015 admin 16 Feb, 2016 16:13 950.65 Kb 374
5143 Hip Fracture Calcium.jpg admin 08 Mar, 2015 03:02 54.05 Kb 1406
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