Fraser Health adding 20,000 IU vitamin D weekly to reduce fractures Press Release

HMOs will save millions of dollars with vitamin D related work by VitaminDWiki

HMO forum Started Nov 2011
  which includes notes of phone conversation with Fraser Health Nov 24, 2011

Many studies support adding vitamin D to reduce falls and fractures

• Overview Falling, Fractures and Vitamin D extensive proof
• All items in category Falls and Fractures 258 items
• Task force for senior fall prevention finally recommends 800 IU of vitamin D – May 2012
• Ankle strength and vitamin D lowest in winter, and were associated with more elderly falls – May 2012
• Kaiser working to decrease hip and other fractures – Nov 2011
• Risk of falls minimized with just 24 ng of vitamin D – June 2011
• Vitamin D reduces falls – meta-analysis Oct 2011
• 2X more falls for senior men with less than 20ng of vitamin D – April 2011
• Hip fractures worse if very low on vitamin D – Mar 2011
• Review of non-bone effects of vitamin D on fall prevention – Oct 2010
• 75 % of hip fractures associated with vitamin D deficiency - Jan 2011
• Wrist fracture is also associated with vitamin D inadequacy – Feb 2011
• Vitamin D 2nd most recommended way to prevent the next hip fracture – Nov 2010
• Fewer falls and fractures as vitamin D is increased – 1800 to 4000 IU July 2010
• Vitamin D One of Few Things that Help Prevent Falls – Cochraine Jan 2010

See also VitaminDWiki - Evidence that many Canadians are low on vitamin D

• All items in category Canadians 51 items
• 75 % of Canadians less than 30 ng vitamin D in winter – Aug 2010
• Many vitamin D articles by Schwalfenberg in Canada - 2010
• Autism is a big problem for people with dark skin living a long way from equator - example Somali in Alberta Canada
• Economic burden of premature deaths due to vitamin D deficiency in Canada
• Dark Skinned youths and vitamin D in Southern Canada - Dissertation 2011
• Vitamin D could save More than 10,000 Canadian lives annually LEF
• 50 % of Quebec kids had less than 20 ng of vitamin D – Milk and movement did not help – Mar 2011
• Economic burden of premature deaths due to vitamin D de?ciency in Canada PDF
• BC elderly median 400 IU only only 3 % exceed 2000 IU vitamin D – June 2010
• Canadian Vitamin D deficiency – May 2011
• Race vs vitamin D level - Veith May 2011
• Some Canadian elderly achieved 30 ng with just 560 IU – Jan 2010

Additional benefits of raising senior vitamin D levels: Movement

• Senior women more physically able if vitamin D higher than 30 ng – Sept 2011
• Seniors with more than 30ng of vitamin D walked better – May 2011
• Seniors with more than 20 ng of vitamin D were 14 percent stronger – May 2011
• Seniors who increased vitamin D got more physical exercise – Feb 2011
• Seniors low on vitamin D walk slower – April 2011
• Lack of vitamin D may result in elderly physical decline – Dec 2010
• Vitamin D improves muscle strength if deficient – meta-analysis - Oct 2010

Additional benefits of raising senior vitamin D levels: Mental

• Overview Cognition and vitamin D
• All items in category Cognition and vitamin D 391 items
• Less than 20 ng vitamin D increases depression by 80 percent – Dec 2010
• Many articles on Senior depression - 35 percent with less than 10 ng – Sept 2010
• Risk of cognitive decline 50 percent higher if <15 ng vitamin D – Aug 2011
• Vitamin D and dementia - 2010 a file, not a web page
• Cognition and vitamin D - Review 2009.PDF a file, not a web page
• Vitamin D might might reduce dementia – Mar 2011
• Elderly with more than 257 IU vitamin D daily had less cognitive impairment – Nov 2010
• Do Vitamin D Deficiency and Cognitive Decline Go Hand-in-Hand? – Jan 2010
• Cognitive impairment 4X more likely when vitamin D less than 10 ng – Nov 2010
• Vitamin D less than 10ng associated with cognitive decline – July 2010
• Vitamin D and Risk of Cognitive Decline in Elderly Persons – June 2011
• Influence diagram for vitamin D and cognition - 2008
• Elderly men lacking vitamin D tend to be depressed – Sept 2010

Additional benefits of raising senior vitamin D levels

• Epidemic Vitamin D Deficiency in Elderly Care Rehabilitation Facility – Jan 2012
• Half of seniors with pain had low levels of vitamin D – April 2012
• Influenza, seniors and vitamin D – Jan 2012
• Women very low on vitamin D were 56 percent more likely to die in nursing home – Feb 2012
• Hearing Loss appears to be prevented and treated with vitamin D
• Pneumonia elderly death 12X more likely when vitamin D less than 12 ng – 2011
• 20000 IU vitamin D daily and MS – less fatigue and relapse Dec 2010
• 300000 IU vitamin D helped seniors in many ways – May 2011
• 70 year-olds got T2 Diabetes 2X more often when less than 20 ng of vitamin D – April 2011
• Low vitamin D associated with all-cause mortality and frailty – Mar 2011
• Elderly low on vitamin D were 2X more likely to die – Oct 2010
• Vitamin D deficiency was the best predictor of older patient death in hospital – May 2010
• Twice as likely to die of cardiovascular disease if low on vitamin D – July 2010
• “Sunlight Officers” in some Australian senior facilities – Sept 2011
• Vitamin D Omega 3 and Exercise are being used in controlled trial to support healthy ageing – Feb 2012 adding 2,000 IU

Seniors lack vitamin D

• Elderly need 2000 to 3000 IU of vitamin D– June 2010
• Vitamin D may help prevent macular degeneration in women younger than 75 – April 2011
• Half of the seniors needed more than 50,000 IU vitamin D3 monthly – April 2011
• Seniors who increased vitamin D got more physical exercise – Feb 2011
• All items in category Senior 152 items July 2012
• 65+ years old need 5,000 IU
• 4000 IU Vitamin D intervention helped elderly bones – March 2010
• 20 year review concludes that Vitamin D reduce aging – July 2010
• Dietary Guidelines vitamin D - virtually no senior gets enough - June 2010 great graph

Might consider the benefits of a Vitamin D loading dose

300,000 IU vitamin D helped seniors in many ways – May 2011

All items in category MegaDose Vitamin D 207 items

Vitamin D3 loading dose of 500,000 IU for elderly – Aug 2009
France attempts to restock vitamin D levels with 7000 or 14000 IU daily – Nov 2011

Of possible interest at VitaminDWiki

Proof that Vitamin D Works - many Random Controlled Trials, etc.
Only half of those getting 7000 IU vitamin D daily got to 30 ng level – June 2012
3X variation in response to dose of vitamin D – meta-analysis June 2012
Many reasons why vitamin D deficiency has become epidemic in past 30-40 years
Hospital stay 6 days longer for nursing home residents with low vitamin D -Oct 2011
Critical Care patients with low vitamin D were 85 percent more likely to die- Sept 2011
How you might double the benefit of your vitamin D
VitaminDWiki summarized in 1 poster
Encourage your senior parents to take more vitamin D, you will get more inheritance which has the following graphic

Possible problems with having more vitamin D

• Some residents might not be able to afford to live so long
  Vitamin D will extend the lives of the residents
  Some of the residents, who are directly paying for the care, may not funds to live longer
• Chemotherapy might be amplified by vitamin D

Elderly often trapped in vitamin D vicious circles has the following graph

Forms of vitamin D

• Low Cost vitamin D - including liquid, bulk, spray, Kosher, . .
• Vitamin D3 for Vegans - wonder about Vegans in Fraser

Cofactors

• Magnesium and Vitamin D - similar and different Venn diagram of what diseases they both prevent
• Magnesium Deficiency Reduces Vitamin D Effectiveness- Sept 2011
• Hypovitaminosis D and K are highly prevalent in institutionalized elderly – March 2010
• Low cost cofactors for vitamin D had the following July 2012

Co-factor	How Much	Benefit Bone	Bioavailability	Balance body	Notes
Calcium	<750mg	Yes	probably	Yes	Avoid getting too much
Magnesium	500mg	Yes	Yes	Yes	Very important, big range in bio-availability
Vitamin K2		Yes	maybe	?
Vitamin A		maybe	?		need some, but too much is bad
Boron	5-10mg	Yes	25%	?
Silica		Yes	no	?
Strontium		Yes	no	?	rarely available in a co-factor pill
Zinc		Yes	maybe	?

URL for this page = is.gd/fraservitamind

Following chart shows the Fraser Health dose level in context