Background Inadequate dietary intake of calcium and vitaminD may contribute to the high prevalence of osteoporosis amongolder persons.
Methods We studied the effects of three years of dietary supplementationwith calcium and vitamin D on bone mineral density, biochemicalmeasures of bone metabolism, and the incidence of nonvertebralfractures in 176 men and 213 women 65 years of age or olderwho were living at home. They received either 500 mg of calciumplus 700 IU of vitamin D3 (cholecalciferol) per day or placebo.Bone mineral density was measured by dual-energy x-ray absorptiometry,blood and urine were analyzed every six months, and cases ofnonvertebral fracture were ascertained by means of interviewsand verified with use of hospital records.
Results The mean (±SD) changes in bone mineral densityin the calciumvitamin D and placebo groups were as follows:femoral neck, +0.50±4.80 and -0.70±5.03 percent,respectively (P = 0.02); spine, +2.12±4.06 and +1.22±4.25percent (P = 0.04); and total body, +0.06±1.83 and -1.09±1.71percent (P< 0.001). The difference between the calciumvitaminD and placebo groups was significant at all skeletal sites afterone year, but it was significant only for total-body bone mineraldensity in the second and third years. Of 37 subjects who hadnonvertebral fractures, 26 were in the placebo group and 11were in the calciumvitamin D group (P = 0.02).
Conclusions In men and women 65 years of age or older who areliving in the community, dietary supplementation with calciumand vitamin D moderately reduced bone loss measured in the femoralneck, spine, and total body over the three-year study periodand reduced the incidence of nonvertebral fractures.
Source Information
This article does not necessarily reflect the views or policies of the U.S. Department of Agriculture, nor does mention of trade names, commercial products, or organizations imply endorsement by the U.S. government.
From the Jean Mayer U.S. Department of Agriculture Human Nutrition Research Center on Aging at Tufts University, 711 Washington St., Boston, MA 02111, where reprint requests should be addressed to Dr. Dawson-Hughes.
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