Vitamin D May Not Prevent Falls Or Fractures, But Here’s What Actually Will

Time and again, we've been told to soak up the sun for our daily dose of vitamin D, also known as the 'Sunshine Vitamin.' This essential nutrient plays a key role in building and strengthening our bones by helping the body absorb calcium, the primary component of bone health.

However, there are many misconceptions about vitamin D, particularly the belief that it can prevent fractures. A recent draft recommendation from the U.S. Preventive Services Task Force (USPSTF) challenges this idea, providing clarity and debunking the myth. Here's what we know so far.

Also Read: Myth vs Fact: Does Low Vitamin D Impact Your Chances of Getting Pregnant?

Vitamin D May Not Prevent Falls or Fractures

Recent findings from the USPSTF debunk the common belief that vitamin D supplementation can help prevent fractures or falls in older adults aged 60 or above, including postmenopausal women.

Despite widespread recommendations, the health panel conducted a systematic review of research on the role of calcium, vitamin D, and falls in older adults and concluded that vitamin D supplementation, either alone or combined with calcium, does not offer benefits in preventing fractures or falls in this age group. Instead, the researchers found that the supplementation could increase the risk of kidney stones.

But while the evidence does not support the use of vitamin D for fracture prevention, it’s important to note that maintaining adequate intake of both vitamin D and calcium is still crucial for overall bone health.

The National Academy of Medicine advises that adults aged 65 and older should ensure they meet the Recommended Daily Intake (RDI) of vitamin D (600-800 IU) and calcium (1,000-1,200 mg), which can come from food or supplements as needed.

Understanding The Risk Factors For Falls In Older Adults

Falls and fractures are inevitable, meaning they can occur at any time, without a warning. In addition, there are multiple causes of falls, and each cause can vary from person to person. However, falls in older adults can be caused by a variety of factors.

As we age, our eyesight, hearing, and reflexes may not be as sharp, which can impact balance and coordination. Health conditions such as diabetes, heart disease, thyroid issues, and problems with nerves, feet, or blood vessels can also affect stability, increasing the risk of a fall.

According to the National Institute on Aging (NIA), certain situations, like rushing to the bathroom due to incontinence, can lead to falls as well. Older adults with mild cognitive impairment or dementia face a higher risk of falling due to cognitive and physical changes.

Muscle loss, also known as sarcopenia, difficulties with balance and walking, and a drop in blood pressure when standing up, medically referred to as postural hypotension, are common age-related issues that contribute to falls. Certain foot problems, painful conditions, and inappropriate footwear can also increase the risk.

Also Read: Can Vitamin D Deficiency Cause Low Blood Pressure? Expert Answers

Tips To Prevent Falls Or Fractures In Older Adults

While there is no way to predict an immediate fall or fracture, there are certain measures people can take to reduce their risk. Here are some recommendations:

• Exercise regularly and stay active.
• Maintain home safety measures and fall-proof your homes.
• Wear proper footwear that fully supports your feet, is nonskid, rubber-soled, and low-heeled.
• Improve bone health with scientifically-backed approaches, like a healthy diet, staying active, and getting the right amount of vitamin D and calcium.
• Check your vision and hearing, as they are linked to an increased risk for falls.

Conclusion

The recent draft recommendation from the USPSTF clears up a common misconception about vitamin D—that it prevents falls and fractures in older adults. While vitamin D is essential for bone health when combined with calcium, it does not directly prevent falls or fractures. Preventing falls and injuries requires more than just proper nutrition; it involves staying active, fall-proofing your home, and wearing appropriate footwear to avoid accidents. Additionally, older adults should have their vision and hearing checked regularly, as impairments in these areas can increase the risk of falling. Consult your doctor to discuss other measures that can help manage your risk of falls and fractures.