400 IU of Vitamin D is too little and annual is too infrequent to prevent falls-fractures (no news) USPSTF

[https://www.uspreventiveservicestaskforce.org/Page/Document/draft-recommendation-statement/falls-prevention-in-older-adults-interventions1| Draft Recommendation Statement

Falls Prevention in Community-Dwelling Older Adults: Interventions]

[https://www.uspreventiveservicestaskforce.org/Page/Document/draft-recommendation-statement/vitamin-d-calcium-or-combined-supplementation-for-the-primary-prevention-of-fractures-in-adults-preventive-medication| Draft Recommendation Statement

Vitamin D, Calcium, or Combined Supplementation for the Primary Prevention of Fractures in Adults: Preventive Medication]

Report on the US Prevention Services Task Force Proposals

USPSTF Draft Statement: Vitamin D Supplements No Longer Recommended to Prevent Falls in Seniors

• “The group again recommends against postmenopausal women taking 400 IU or less of vitamin D and 1000 mg or less of calcium daily because there's no effect on fracture prevention (grade D). There was less certainty about higher doses (grade I).”

  The USPSTF has finally noticed that quarterly and annual dosing of Vitamin D increases falls.

See also VitaminDWiki

• Overview Fractures and vitamin D

• Overview Fractures and Falls and Vitamin D

• Vitamin D and fractures – 24 meta-analyses and counting – Dec 2014

• Elderly falls reduced 3.6 times by 900 IU of vitamin D and simple exercise – RCT Nov 2016

• 1000 IU minimum to decrease falls and fractures Swiss - 2009

  • Task Force later noticed that 400 IU did not help
• 1 in 3 died after hip fracture but only 1 in 14 if add Vitamin D and exercise – RCT April 2017