Vitamin D status in relation to one-year risk of recurrent falling in older men and women.
BACKGROUND
Falls frequently occur in the elderly and are a major cause of morbidity and mortality.


OBJECTIVE
The objective of the study was to prospectively investigate the association between serum 25-hydroxyvitamin D [25(OH)D] levels and risk of recurrent falling in older men and women.


METHODS
This was a prospective cohort study.


METHODS
An age- and sex-stratified random sample of the Dutch older population was determined.


METHODS
Subjects included 1231 men and women (aged 65 yr and older) participating in the Longitudinal Aging Study Amsterdam.


METHODS
Baseline serum 25(OH)D was determined by a competitive protein binding assay. During 1 yr, falls were prospectively recorded by means of a fall calendar.


RESULTS
Low 25(OH)D (<10 ng/ml) was associated with an increased risk of falling. After adjustment for age, sex, education level, region, season, physical activity, smoking, and alcohol intake, the odds ratios (95% confidence interval) were 1.78 (1.06-2.99) for subjects who experienced two falls or more as compared with those who did not fall or fell once and 2.23 (1.17-4.25) for subjects who fell three or more times as compared with those who fell two times or less. There was a statistically significant effect modification by age, and stratified analyses (<75 and > or = 75 yr) showed that the associations were particularly strong in the younger age group; the odds ratios (95% confidence interval) were 5.21 (2.03-13.40) for two falls or more and 4.96 (1.52-16.23) for three falls or more.


CONCLUSIONS
Poor vitamin D status is independently associated with an increased risk of falling in the elderly, particularly in those aged 65-75 yr.
Snijder
Marieke B
MB
Institute of Health Sciences, Faculty of Earth and Life Sciences, Vrije Universiteit Amsterdam, De Boelelaan 1085, 1081 HV Amsterdam, The Netherlands. marieke.snijder@falw.vu.nl
van Schoor
Natasja M
NM
Pluijm
Saskia M F
SM
van Dam
Rob M
RM
Visser
Marjolein
M
Lips
Paul
P