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Volume 348:1816-1818 May 1, 2003 Number 18
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Preventing Falls in Elderly Persons

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 by Tinetti, M. E.
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To the Editor: Tinetti (Jan. 2 issue)1 discusses the benefit of targeted interventions in reducing the occurrence of falls in elderly persons. We believe vitamin D status deserves greater emphasis. Myopathy associated with vitamin D insufficiency contributes to gait instability, increased body sway, and falls.2 Despite the fortification of dairy products and other foods in North America, moderate-to-severe vitamin D insufficiency affects up to 50 percent of elderly women with disability who live in the community3 and was found in 72 percent of elderly persons attending a fall clinic.4 Although there is probably little effect of supplementation on healthy elderly . . . [Full Text of this Article]




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