Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Fall prevention and vitamin D in the elderly: an overview of the key role of the non-bone effects | Annweiler et al. Journal of NeuroEngineering and Rehabilitation 2010 7 50 http content 7 1 50 l dl JOURNAL OF NEUROENGINEERING NCR AND REHABILITATION REVIEW Open Access Fall prevention and vitamin D in the elderly an overview of the key role of the non-bone effects 1 2 3 4 1 1 Cedric Annweiler Manuel Montero-Odasso Anne M Schott Gilles Berrut Bruno Fantino Olivier Beauchet Abstract Preventing falls and fall-related fractures in the elderly is an objective yet to be reached. There is increasing evidence that a supplementation of vitamin D and or of calcium may reduce the fall and fracture rates. A vitamin D-calcium supplement appears to have a high potential due to its simple application and its low cost. However published studies have shown conflicting results as some studies failed to show any effect while others reported a significant decrease of falls and fractures. Through a 15-year literature overview and after a brief reminder on mechanism of falls in older adults we reported evidences for a vitamin D action on postural adaptations - . muscles and central nervous system - which may explain the decreased fall and bone fracture rates and we underlined the reasons for differences and controversies between published data. Vitamin D supplementation should thus be integrated into primary and secondary fall prevention strategies in older adults. Introduction Falls in the elderly are a public-health problem due to their high prevalence of 30 among subjects aged 65 and over and their adverse outcomes 1-3 . In particular fall-related fractures are associated with excess morbidity and mortality and substantial financial cost 1-3 . In order to delay the occurrence of falls for as long as possible and to reduce its individual and public health impact effective preventive interventions and strategies must be identified. Falls can be prevented as their incidence could be reduced by 18 by application of interventions in elderly community-dwelling .
