Management of vitamin d depletion in postmenopausal women.
In the United States, the impact regarding the routine fortification of milk and other dairy products has been less than satisfactory in preventing vitamin D depletion in adults. As more individuals are being evaluated and treated for osteoporosis, it has become necessary to exclude vitamin D depletion as a cause, because of the likelihood that differences in vitamin D and calcium nutrition may modify the individual response to therapy. Increased prevalence of subclinical vitamin D depletion among vertebral and hip fracture patients and the beneficial effect of vitamin D therapy and calcium supplementation in preventing such fractures lend credence to this assumption. The prevalence of vitamin D depletion is increasing again, especially among older adults, precisely the group at greatest risk for osteoporotic fractures.
Rao
D Sudhaker
DS
Bone and Mineral Metabolism, Henry Ford Hospital, Room # E-1607, 2799 W. Grand Blvd., Detroit, MI 48202, USA. srao1@hfhs.org
Alqurashi
Suhad
S
D000368:Aged; D000369:Aged, 80 and over; D002136:Calcium, Dietary; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D008875:Middle Aged; D015663:Osteoporosis, Postmenopausal / Q000503:physiopathology / Q000517:prevention & control*; D011379:Prognosis; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014807:Vitamin D / Q000627:therapeutic use*; D014808:Vitamin D Deficiency / Q000175:diagnosis* / Q000188:drug therapy*
D002136:Calcium, Dietary; D014807:Vitamin D