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Taking vitamin D and calcium supplements may not help foreclose bone cracking in postmenopausal adult female , according to a new study from a government - name panel of experts .
The news report found no evidence that taking up to 400 external unit ( IUs ) of vitamin vitamin D and 1,000 mg of calcium supplement a day quash the risk of crack in healthy postmenopausal women . In fact , the report chance that these doses of vitamin D and calcium slightly increased the jeopardy of kidney stones . Because of this lack of benefit , the jury , known as the U.S. Preventive Services Task Force , said healthy postmenopausal charwoman should not take vitamin D andcalcium supplementsat or below these dosage levels ( 400 IUs for vitamin D and 1,000 atomic number 12 for atomic number 20 ) for the purpose of preventing fractures .
However , more research is require to determine whether or not gamey supplement dosage can prevent fractures , the task force play say .
There was also insufficient grounds to urge for or against use ofvitamin Dand Ca supplements at any dose level to foreclose fractures in humankind , or in women before they enter change of life , the task forcefulness said .
The recommendations are only intended for healthy mass , and not for individuals living in nursing domicile or other institutionalised background , the task force play said .
Ultimately , the conclusion about whether or not take vitamin D or calcium supplements should be made between a patient and his or her doctor , suppose Dr. Linda Baumann , a prof emerita at the University of Wisconsin - Madison School of Nursing , and a member of the task force control board .
The Institute of Medicine read people need between 600 and 800 IUs of vitamin D a twenty-four hours , and between 700 and 1,300 mg of calcium a day , depending on their age . While most people in the United States get enough vitamin cholecalciferol and calcium , older adults sometimes fall little of the passport and need to increase their intake through solid food or with a supplement . [ SeeNew Rules on Vitamin D and Calcium : Most citizenry Get Enough . ]
The task force recommend taking a vitamin ergocalciferol supplement containing about 800 IUs for the bar of surrender in older adults ages 65 and over who are at risk for fall because they are vitamin D deficient or because they have a history of a late fall .
The job military unit also commend screening women ages 65 and elder for osteoporosis as well as younger charwoman who are at an increased risk for fractures .
About 50 percent ofpostmenopausal womenwill digest a fracture related to osteoporosis during their life , and fractures in old adults increase the peril of destruction , the task force-out said .
Because calcium helps build up pearl , and vitamin D helps bones absorb atomic number 20 , doctors oftentimes urge taking vitamin ergocalciferol and calcium supplements to foreclose fractures . survey estimate that close to 60 percent of cleaning woman ages 60 and over take vitamin 500 supplement or Ca supplements . However , whether these postscript actually prevent crack was not clear-cut .
The unexampled report refresh the results of six trial in which adult were every which way set apart to take everyday vitamin calciferol and calcium supplements or a placebo .
The largest written report imply 36,282 postmenopausal women age 50 to 79 who took either 400 IUs of vitamin calciferol and 1,000 mg of atomic number 20 day by day or a placebo . After seven eld , fair sex who bring vitamin D and calcium supplements were just as likely to maintain a fracture as women who took the placebo . somebody in the supplement mathematical group were slightly more potential to develop a kidney stone compared with those in the placebo chemical group ( 2.5 percent versus 2.1 per centum ) . For every 273 women who took the supplements , one developed a kidney stone , the researchers said .
After the development of the new chore force recommendations , a new inspection survey was published that suggested that vitamin viosterol doses of 800 IUs or more reduce the risk of fractures in the great unwashed long time 65 and sure-enough . But this finding did not always support when the researchers take into business relationship other factor that may have influenced the risk of cracking , such as whether or not participants were take atomic number 20 addendum as well . More written report need to be conduct with higher vitamin viosterol Cupid’s disease to confirm the results , Baumann order .
An across - the - control board testimonial for vitamin calciferol and atomic number 20 supplementation in adults is hard to make because people differ in their risk for fractures and kidney stones , say Dr. Neil Roth , an orthopedic surgeon at Lenox Hill Hospital in New York who was not postulate in the new report . Among MD , recommending these supplements seemed lucid because they are lowly - cost , relatively low - risk , and provide a potential welfare , Roth say . But before recommending supplements , doc should take into circumstance how much vitamin 500 patients get from their dieting , from multivitamins and from time spend in the Sunday , as well as their risk of future fault and kidney Stone , Roth said .
The best elbow room to get vitamin D is through food such as milk , yoghurt , Malva sylvestris and foods fortified with calcium , concord to the American Society for Bone and Mineral Research . hefty adults who get enough vitamin D through their diet and sunlight exposure do n’t require to take supplements for bone health , said Dr. Cliff Rosen , preceding prexy of the ASBMR . But those at gamey risk of facture , such as elderly adults living in nursing home who get little sunlight pic , should be taking supplements , Rosen tell .
The novel project military group recommendation will be published tomorrow ( Feb. 26 ) in the diary Annals of Internal Medicine .
fall it on : Postmenopausal cleaning woman should not take low doses of vitamin five hundred ( 400 IUs or less ) and calcium ( 1000 mg or less ) to forbid fractures .
