Article

Preventing falls and fall-related fractures in the elderly is an objective yet to
be reached. There is increasing evidence that a supplementation of vitamin D
and/or of calcium may reduce the fall and fracture rates. A vitamin D-calcium
supplement appears to have a high potential due to its simple application and its
low cost. However, published studies have shown conflicting results as some
studies failed to show any effect, while others reported a significant decrease
of falls and fractures. Through a 15-year literature overview, and after a brief
reminder on mechanism of falls in older adults, we reported evidences for a
vitamin D action on postural adaptations - i.e., muscles and central nervous
system - which may explain the decreased fall and bone fracture rates and we
underlined the reasons for differences and controversies between published data.
Vitamin D supplementation should thus be integrated into primary and secondary
fall prevention strategies in older adults.

Langue : ANGLAIS