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Vitamin D supplements unlikely to prevent falls/fractures

The US Preventative Services Task Force task force recommends against vitamin D supplements for fall and fracture prevention in healthy older adults, and instead suggests exercise and osteoporosis screening for better bone health

Vitamin D supplements, with or without calcium, do not prevent falls or fractures in older adults.

According to a new draft recommendation from the US Preventative Services Task Force, vitamin D supplementation is unnecessary and has no impact on the severity of injuries from falls in healthy postmenopausal women and men aged 60 and older. However, this recommendation does not apply to people with osteoporosis, vitamin D deficiency or those taking the supplements for other medical reasons. The recommendation is based on an analysis of 20 randomised, controlled trials across 54 publications.

While vitamin D and calcium are essential for bone health, immune function and overall wellness, the task force found no evidence to support their effectiveness in preventing fractures or falls. “The task force recommends other effective preventive services related to falls and fractures, including screening for osteoporosis in women and structured exercise programmes to prevent falls in older adults who are at increased risk of falling," said a task force member.

Adequate physical activity and exercise, including strength training, can improve bone density, prevent muscle loss, strengthen the body and reduce the risk of falls.