- Author:
Linsey Utami GANI
1
;
Choon How HOW
2
Author Information
- Publication Type:Journal Article
- Keywords: elderly; osteoporosis; vitamin D
- MeSH: Aged; Bone Density; Bone Diseases, Metabolic; prevention & control; Calcium, Dietary; therapeutic use; Cholecalciferol; administration & dosage; Female; Hip Fractures; complications; epidemiology; Humans; Male; Middle Aged; Osteoporosis; prevention & control; Practice Guidelines as Topic; Prevalence; Primary Health Care; methods; Risk Factors; Vitamin D; analogs & derivatives; blood; Vitamin D Deficiency; diagnosis; epidemiology
- From:Singapore medical journal 2015;56(8):433-quiz 437
- CountrySingapore
- Language:English
- Abstract: Vitamin D deficiency is common and may contribute to osteopenia, osteoporosis and falls risk in the elderly. Screening for vitamin D deficiency is important in high-risk patients, especially for patients who suffered minimal trauma fractures. Vitamin D deficiency should be treated according to the severity of the deficiency. In high-risk adults, follow-up serum 25-hydroxyvitamin D concentration should be measured 3-4 months after initiating maintenance therapy to confirm that the target level has been achieved. All patients should maintain a calcium intake of at least 1,000 mg for women aged ≤ 50 years and men ≤ 70 years, and 1,300 mg for women > 50 years and men > 70 years.