Hip fractures rates have been increasing since 2012

Created February 2018

A Perfect Storm for Broken Bones New York Times

Age-adjusted hip fracture rates were decreasing until 2012, but have since been increasing

Bisphosphonates (Fosomax) were started in mid 90’s may have led to the decline before 2012. Problems were found with it, such that prescriptions were reduced by 50% after 2010.

Possible reasons for increased hip fractures

Reduced use of Bisphosphonates
- Want to avoid side effects
- Cost of drug - especially with higher deductables
Sharply reduced Medicare reimbursements for bone density testing
Lower vitamin D (not mentioned as a possibility)
Taking too much Calcium – not mentioned in NYT, see below

A Crisis in the Treatment of Osteoporosis 2016 editorial is referenced

📄 Download the PDF from VitaminDWiki

Vitamin D has been proven to do all of the following 1. Reduce chance of falling by increasing muscle speed 1. Reduce chance of breaking bones by making them stronger 1. Improve the recovery from hip fracture * Overview Fractures and vitamin D * Overview Osteoporosis and vitamin D * Healthy bones need: Calcium, Vitamin D, Magnesium, Silicon, Vitamin K, and Boron – 2012 * Overview Fractures and Falls and Vitamin D contains the following * 1 gram more of Calcium increases Hip Fracture risk by 30% *

* 1 in 3 died after hip fracture but only 1 in 14 if add Vitamin D and exercise – RCT April 2017 * Hip fractures reduced 2X to 6X with just 10 minutes of sunlight daily – RCT 2003-2010 * Healthy hips need at least 30 ng of vitamin D (Shanghai) – Dec 2017 * Bone fractures 2.8 X more likely among cancer survivors (perhaps low vitamin D) – Dec 2017 * Wonder if increased Cancer rates results in increased hip fracture rates * Few Fractures if high Magnesium intake – 2X fewer for men, 2.6X for women – June 2017 * Fast twitch muscles increased by Vitamin D in athletes and seniors (reduce falling) – Oct 2016 * Bisphosphonates 4.5 X more likely to work when vitamin D level above 33 ng – Sept 2011 * Vitamin D 2nd most recommended way to prevent next hip fracture – Nov 2010 * Fractures reduced with any amount of vitamin D and some Calcium - Cochraine April 2014 * Osteoporosis 4X more likely if poor gut (probably poor vitamin D absorption) – Aug 2017 * Many forms of gut-friendly Vitamin D can be used * 20X increase in vitamin D sold and 36 percent decrease in osteoporosis business in Australia – Nov 2013 * Osteoporosis helped by Vitamin D, still not willing to recommend exact dose size – Nov 2016 * Perhaps they fear losing their jobs due to subsequent decrease in Osteoporosis * Vitamin D levels increasing 7 percent per year, bones denser in Japan (probably supplementation) - June 2015 Pages listed in BOTH the categories Falls/Fracture and Meta-analysis {category} Falls and Fractures category contains the following summary {include}

Hip fractures rates have been increasing since 2012

A Perfect Storm for Broken Bones New York Times

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