Vitamin
D2 supplements may help reduce the risk of falls
among high-risk elderly women, Australian researchers
report.
"Approximately one-third of women older than 65 fall
each year, and six percent sustain a fracture as a result
of the fall. In addition, fear of falling is a major problem
in older people," according to background information
in the study, conducted by Dr. Richard L. Prince, of the
Sir Charles Gairdner Hospital in Nedlands, Australia,
and colleagues.
Because the body produces vitamin D in response to sun
exposure and because this study was conducted in a sunny
climate, the researchers recruited women with blood vitamin
D levels below the median for the area (24 nanograms per
milliliter). All the 302 women in the study were aged
between 70 and 90 and had a history of falling in the
previous year.
For the study, all the women received 1,000 milligrams
of calcium citrate per day. Half of the women also received
1,000 international units of vitamin D2 (ergocalciferol)
while the other half received a placebo.
During the study period, 80 women (53 percent) in the
vitamin D2 group and 95 women (62.9 percent) in the control
group fell at least once. After accounting for other factors,
the researchers concluded that taking vitamin D2 reduced
the risk of having at least one fall by 19 percent.
"When those who fell were grouped by the season
of first fall or the number of falls they had, ergocalciferol
treatment reduced the risk of having the first fall in
winter and spring but not in summer and autumn, and reduced
the risk of having one fall but not multiple falls,"
the study authors wrote.
The vitamin D supplementation, added to high calcium
intake, was associated with a 23 percent reduced risk
of falling in winter/spring -- to the same level as summer/autumn.
"It is interesting that the ergocalciferol therapy
effect was confined to those who were to sustain one fall
but not those destined to have more than one fall,"
they wrote. "Older people who fall frequently tend
to have more risk factors for falling, including greater
degrees of disability and poorer levels of physical function."
Boosting vitamin D levels may not be sufficient to prevent
falls in these people, the authors said.
The study was published in the Jan. 14 issue of the journal
Archives
of Internal Medicine.