Exercise, not vitamins, urged to prevent falls in seniors

April 17, 2018
Credit: Peter Griffin/Public Domain

Falling is the leading cause of injury-related death among people over age 65, and seniors who want to avoid falls should exercise, not rely on supplements like vitamin D, US guidelines said Tuesday.

The new recommendations from the US Preventive Services Task Force update those last issued in 2012, when the independent medical advisory group was favorable to taking supplements containing vitamin D as a way of preventing fall-related injury.

But unless a person has vitamin D deficiency or a frail bone condition known as osteoporosis, the 's latest review of clinical trials on the topic found no benefit for average seniors, and even an of kidney stones for those who take vitamin D and .

"The USPSTF found adequate evidence that vitamin D supplementation has no benefit in preventing falls in older adults," said the guidelines published in the Journal of the American Medical Association.

Instead, the USPSTF "recommends exercise interventions to prevent falls" in those 65 years or older who are at increased risk of falling.

Such exercise may include "supervised individual and group classes and physical therapy," said the guidelines.

The update was based on a review of 11 randomized, involving more than 51,000 people.

"Vitamin D supplementation alone or with calcium was not associated with reduced fracture incidence" among adults without vitamin D deficiency, osteoporosis, or prior fracture, said the report.

According to the most recent data from 2014, nearly 29 percent of US adults 65 years or older reported falling.

Nearly 38 percent "needed medical treatment or restricted activity for a day or longer," said the JAMA report.

Some 33,000 people died due to falls in 2015.

An accompanying editorial in JAMA said the new recommendation, with its "increased emphasis on exercise, warrants adoption and should prove helpful, especially because exercise interventions reduce injurious falls."

Getting more can also improve health by lowering the risk of heart disease, stroke, type 2 diabetes, dementia and cancer, it said.

However, for elders "at increased risk for osteoporosis, those with vitamin D deficiency, or both, it remains reasonable to consider D supplementation (800-1000 IU/d or more), consistent with recommendations of other professional societies such as the US Endocrine Society and National Osteoporosis Foundation," the editorial said.

Explore further: Preventing fractures and falls: Shedding light on the USPSTF's new recommendations

More information: undefined undefined et al. Interventions to Prevent Falls in Community-Dwelling Older Adults, JAMA (2018). DOI: 10.1001/jama.2018.3097

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megamarc1
not rated yet Apr 17, 2018
Vitamin D and/or calcium supplementation may not increase bone strength, but there is one habit that dramatically reduces the risk of fractures, and that is sun exposure. A Spanish study shows that women who seek the sun have one-eleventh the hip-fracture risk as those who avoid sun. Most vitamin D supplementation studies use tiny amounts of vitamin D, anywhere from 600 IU to 1400 IU. Full-body sun exposure, however can produce up to 20,000 IU in 20 minutes. Perhaps the supplement studies needed to use 3-5,000 IU to produce a positive result.
Other interesting facts about sun exposure:
•A 20-year Swedish study showed that women who actively seek the sun have half the risk of death compared with those who avoid the sun.
•An Iranian study showed that women who avoid the sun have 10-times the risk of breast cancer as those who embrace the sun.
•Sun exposure increases the production of BDNF, essential to the nervous system.
For more information: sunlightinstitute.org
Anonym857507
not rated yet Apr 21, 2018


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