J Arthroplasty. 2014 Dec 18. pii: S0883-5403(14)00949-8. doi: 10.1016/j.arth.2014.12.018. [Epub ahead of print]
Wang XG1, Yang B1, Wang YH1, Cui LY1, Luo JP1.
1Department of Orthopedics, Henan Provincial People's Hospital (People's Hospital of Zhengzhou University), Zhengzhou, People's Republic of China.
The aim was to assess prognostic value of serum 25-hydroxyvitamin D (25OH D) levels in older Chinese patients with hip fracture. From June, 2012 to February, 2014, older patients with hip fracture were included. Serum 25(OH) D levels were measured at admission. The functional evaluation at the time of discharge was performed by the Barthel Index.
In the 66 patients with an unfavorable outcome, serum 25(OH) D levels were lower compared with those with a favorable outcome.
In multivariate analyses, there was an increased risk of unfavorable outcome associated with serum 25(OH) D levels ≤20 ng/ml (OR 5.25, 95% CI: 3.12-8.16). Our data supported an association between serum 25OH D levels at admission and short-term prognosis in Chinese older patients with hip fracture.
Copyright © 2014 Elsevier Inc. All rights reserved.
Vitamin D supplementation provides better outcome,
but MORE IMPORTANTLY, Vitamin D would greatly decrease the chance of hip fracture
- Overview Fractures and vitamin D
- Seniors need at least 4,000 IU vitamin D, no test needed – Consensus Jan 2014
- Guideline following hip fracture – 50000 IU vitamin D daily for 7 days – Jan 2013
Pages listed in BOTH the categories Falls/Fracture and Meta-analysis
- Increased risk of fracture if high level of Vitamin D (if continue to take Calcium) – umbrella analysis of meta-analyses Nov 2020
- Hip fractures not prevented by Vitamin D (800 IU daily or large quarterly or annual doses) – meta-analysis – Dec 2019
- Vitamin K (any amount and any kind) reduced bone fractures by 24 percent – meta-analysis – May 2019
- Vitamin D not help fractures and falls if not vitamin D deficient – meta-analysis Oct 2018
- Fractures not reduced by small amounts of vitamin D - meta-analysis Dec 2017
- Preventing Falls in Older Adults – Vitamin D combination is the best - JAMA Meta-analysis Nov 2017
- Hip fracture 58 percent more likely if low vitamin D – meta-analysis March 2017
- Fracture risk reduced somewhat by 800 IU of vitamin D and Calcium – meta-analysis Oct 2015
- Acute fracture patients – 70 percent were vitamin D deficient – meta-analysis Sept 2015
- Falls not prevented by vitamin D given every 3 months or less often – meta-analysis Jan 2015
- Vitamin D prevents falls – majority of meta-analyses conclude – meta-meta analysis Feb 2015
- Vitamin D and fractures – 24 meta-analyses and counting – Dec 2014
- Bone fractures reduced by a minimum of 800 IU vitamin D and Calcium – meta-meta-analysis March 2014
- Fractures reduced with any amount of vitamin D and some Calcium - Cochraine April 2014
- Fallers often had less than 20 ng of vitamin D – meta-analysis April 2014
- Hip fractures greatly reduced by sunshine, vitamin D, and vitamin K – meta-analysis Sept 2012
- Vitamin D may prevent falls and fractures without Calcium – an overview of 9 meta-analysis – Oct 2012
- Hip fractures reduced 30 percent with 800 IU of vitamin D – meta-analysis July 2012
- Vitamin D reduces falls – meta-analysis Oct 2011
- Active form of vitamin D (calcitriol) cut in half the fractures following organ transplant – meta-analysis Aug 2011
- 1000 IU minimum to decrease falls and fractures Swiss - 2009
- Meta-analysis of falls and 800+ IU of vitamin D found good results – June 2010
- 800 IU vitamin D reduces falls - Dec 2009