Just lately, the New England Journal of Drugs (NEJM) released a research which mentioned that “vitamin D supplementation can not avert fractures”, which caused heated discussions and media consideration. Vitamin D.”
In this regard, the Osteoporosis Affiliation of the Republic of China arrived forward to reveal, “This research is of the impression that vitamin D supplementation is not proposed for the standard general public, but not for people with osteoporosis. Individuals with osteoporosis really should keep on to complement with adequate calcium and vitamin D to avert fractures.”
Calcium and vitamin D are necessary for osteoporosis people!
The association explained that, following referring to the existing literature and expert conversations, it had revealed suggestions for calcium and vitamin D intake for sufferers with osteoporosis:
1. For postmenopausal girls with osteoporosis, the proposed every day calcium ingestion is at the very least 1200 mg. The advised day by day calcium intake for adult males with osteoporosis above the age of 50 is at the very least 1000 mg. The day by day intake of vitamin D for all patients with osteoporosis is at minimum 800 IU. (including diet program and nutritional supplements)
2. Introducing enough calcium and vitamin D at the exact time can successfully cut down the risk of bone fractures. However, there is inadequate evidence that calcium supplementation by itself or vitamin D supplementation on your own is helpful in decreasing fracture chance.
3. Excessive ingestion of calcium (more than 1500 mg) does not develop additional gains and may be associated with a attainable risk of stones or cardiovascular sickness.
4. Calcium and vitamin D supplementation can not exchange drug therapy. Osteoporosis sufferers and patients with fragility fractures need to acquire anti-osteoporotic drug treatment and enough calcium and vitamin D supplementation at the exact same time.
How to consider calcium and vitamin D adequately in individuals with osteoporosis?
According to the Affiliation, in accordance to the National Osteoporosis Foundation (NOF) and the Global Osteoporosis Foundation (IOF), grownups over the age of 50 should consume at least 1,200 mg of dietary calcium (including calcium nutritional supplements) and 800 of vitamin D for each day . ~1000 global units (IU). It is less difficult to get foods with large calcium information from “cheese”, other individuals this sort of as beans, dark inexperienced vegetables, sesame seeds, golden needles, seaweed, seaweed, shiitake mushrooms, dried fish, seaweed, nuts, and so on. In addition, the ingestion of fruits wealthy in vitamin C, such as oranges, oranges, kiwifruit, guava, etcetera., can advertise the absorption of calcium.
When adding calcium, you can refer to the simple calculation table or seek the advice of a nutritionist. If needed, you have to take calcium supplements, even so, if the each day ingestion of calcium is additional than 1200 to 1500 mg, it will not be far more beneficial to the physique, but will improve kidney stones Chance of cardiovascular disorder. The affiliation pointed out that the physiological capabilities of vitamin D involve selling calcium absorption, sustaining ordinary bone metabolism, muscle mass purpose, balance functionality and preventing falls, and studies have confirmed that inadequate intake of vitamin D will enhance bone decline and reduce bone density and fractures.
Sources of vitamin D include things like sunlight exposure, food items and supplements or remedies, the association explained. Scientific tests suggest that men and women with osteoporosis really should eat at minimum 800 IU of vitamin D every single working day. In the course of the prevention and procedure of osteoporosis and drug treatment, it is a good idea to dietary supplement with adequate calcium and vitamin D at the similar time.
Source: 2021 Consensus and Tips on the Prevention and Treatment method of Osteoporosis in Grown ups in Taiwan.
Reprinted with authorization from “Healthcare Community” / Described by reporter Yang Aiting
