Vitamin D not recommended for preventing fractures in older people: research

Vitamin D, a crucial nutrient for bone health, has long been recommended for seniors to prevent falls and fractures. However, a recent draft recommendation from the U.S. Preventive Services Task Force (USPSTF) challenges this notion for postmenopausal women and men over 60. The panel of medical experts reviewed the benefits of vitamin D with or without calcium supplements for independent individuals.

The USPSTF concluded that there is no “net benefit” in using vitamin D supplements to prevent falls and fractures in generally healthy individuals without deficiencies or medical conditions. This recommendation is based on recent randomized clinical trials that showed no significant difference in fall or fracture risk between those taking supplements and those who did not.

Vitamin D is essential for bone health as it helps the body absorb calcium, the primary component of bones. It also regulates cellular functions, acts as an anti-inflammatory, and supports immune health and muscle function. However, the new research suggests that routine supplementation may not effectively prevent falls or fractures in aging adults.

Katy Dubinsky, a pharmacist and CEO of Vitalize, emphasized the importance of evaluating older adults for factors like osteoporosis that may increase their risk of falls or fractures. She recommended prioritizing physical activity and regular doctor’s visits as reliable measures to maintain bone health and prevent injury.

The USPSTF recommends at least 150 minutes of moderate-intensity physical activity per week, along with strength training exercises, to protect bone health and reduce the risk of falls. Falls are a significant concern among older adults, with about 14 million reporting falling at least once in the previous year.

Unintentional falls are the leading cause of injury among older adults, causing 78 deaths per 100,000 people in 2021. The USPSTF’s recommendations are independent of the U.S. government and aim to provide evidence-based guidance on preventive health measures.

In conclusion, while vitamin D is essential for bone health, supplementation may not be effective in preventing falls and fractures in all seniors. Prioritizing physical activity, strength training, and regular medical check-ups are key strategies to maintain bone health and reduce the risk of injury in older adults.