scholarly journals 149 Non-Pharmacological Treatment of Bone Health in Fallers

2021 ◽  
Vol 50 (Supplement_1) ◽  
pp. i12-i42
Author(s):  
E Moran

Abstract Introduction 1 in 2 women and 1 in 5 men will suffer a fragility fracture. Research into calcium and vitamin D supplements has found no consistent evidence to suggest that they reduce the risk of osteoporotic fractures. There has been little research to suggest that dietary calcium is effective at reducing the risk osteoporotic fractures, but supplements have been linked to increased risk of cardiovascular disease and urinary stones. Bisphosphonates have been shown to reduce the risk of osteoporotic fractures and are usually taken in combination with calcium and vitamin D supplements given that deficiencies must be corrected prior to starting. This study set out to assess the dietary calcium intake of patients who attend the falls clinic and explore their attitudes towards dietary change, as an alternative or adjunct to a calcium and vitamin D tablet. Methods Data was collected during private interviews conducted with patients who attended the falls clinic. The Edinburgh University Centre for Genomic and Experimental research (CGEM) food frequency calculator was used to calculate dietary calcium intake. Microsoft Excel was used to collate and analyse the data. Results No association was found between dietary calcium intake, age and sex. We did find that mean dietary calcium intake was significantly less than the recommended daily amount for adults with osteoporosis, with 80% not getting their recommended daily intake (p < 0.05). We identified patients who don’t receive a calcium and vitamin D supplement as an at-risk group who would benefit from advice on sources of dietary calcium and 83% of patients said that they would be interested in a leaflet on sources of dietary calcium. Conclusion This study has identified a group of patients who will hopefully benefit from a leaflet on sources of dietary calcium and as result improve their bone health.

Author(s):  
Nicola M Lowe ◽  
Basma Ellahi ◽  
Qudsia Bano ◽  
Sonia Ali Bangash ◽  
Soma R Mitra ◽  
...  

2019 ◽  
Vol 106 (2) ◽  
pp. 104-114 ◽  
Author(s):  
Sadaf Oliai Araghi ◽  
Jessica C. Kiefte-de Jong ◽  
Katerina Trajanoska ◽  
Fjorda Koromani ◽  
Fernando Rivadeneira ◽  
...  

Abstract Loop diuretics (LD) may affect bone health by inhibiting renal calcium reuptake. However, whether vitamin D status and dietary calcium intake modify the association between LD and bone outcome is unclear. Therefore, this study aimed to evaluate whether vitamin D level or calcium intake modify the association between LD and various indices of bone health including bone mineral density (BMD) and Trabecular Bone Score (TBS). From The Rotterdam Study, a prospective population-based cohort study, we used data from 6990 participants aged > 45 year with a DXA scan (2002–2008), 6908 participants with femoral neck (FN)-BMD, 6677 participants with lumbar spine (LS)-BMD and 6476 participants with LS-TBS measurements. Use of LD was available from pharmacy dispensing records. Vitamin D (25(OH)D) level was measured in serum, and dietary calcium intake was measured with a validated food frequency questionnaire. Almost eight percent of the participants used LD. The association between LD (past-users compared to never-users) and LS-TBS was significantly different by 25(OH)D concentrations (P for interaction = 0.04). A significantly lower LS-TBS among LD past-users was observed for 25(OH)D ≥ 50 nmol/l compared to ≤ 20 and 20–50 nmol/l (β = − 0.036, 95% CI − 0.060; − 0.013 vs. β = − 0.012, 95% CI − 0.036; 0.013 and β = − 0.031, 95% CI − 0.096; 0.034, respectively). However, no other significant effect modification by 25(OH)D and dietary calcium intake was found in the associations between LD use and bone health outcomes (P-interaction > 0.13). This study suggests that the association between LD use and indices of bone health is not consistently modified by vitamin D or dietary calcium intake.


2012 ◽  
Vol 24 (1) ◽  
pp. 349-354 ◽  
Author(s):  
S. Bourke ◽  
M. J. Bolland ◽  
A. Grey ◽  
A. M. Horne ◽  
D. J. Wattie ◽  
...  

Author(s):  
C. de Carvalho Furtado ◽  
I. Lombardi

Introduction: Currently, 10% of the Brazilian population is more than 60 years old. Calcium is an essential element to the body, it is produced endogenously and only acquired through daily intake of foods that contain it. The inadequate intake of this nutrient increases the risk of osteoporosis, as well as other diseases, such as hypertension and colon cancer. Therefore, the present study had the objective of evaluating the consumption of dietary calcium by active and sedentary elderly in the city of Santos/SP- Brazil. Methods: Seventy elderly people of both genders were evaluated, on an average age of 69 and 75 years old for active and sedentary groups respectively. For nutritional assessment, we used 24-hour Dietary Recall and the quantification of calcium intake was done by software Avanutri 4.0. Weight, height and Body Mass Index (BMI) were measured for the assessment of body composition. Results: The data of calcium intake were compared with the recommendations advocated by DRI, which is of 1,200mg/day. Both groups consumed lower amounts of the recommended. However, the group of active elderly had a greater consumption (625,3 and 546,1mg for men and women respectively) in relation to the group of sedentary elderly (517,9 and 501,5mg for men and women, respectively), but there was no statistical difference between the groups. The low consumption may reflect on bone health and other bodily mechanisms of the evaluated groups. Therefore, nutritional education work is indispensable to inform the population.


2002 ◽  
Vol 14 (5) ◽  
pp. 382-388 ◽  
Author(s):  
Antonio del Puente ◽  
Antonella Esposito ◽  
Silvia Savastano ◽  
Assunta Carpinelli ◽  
Loredana Postiglione ◽  
...  

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