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UK Osteoporosis Society (inadequate) guidelines for vitamin D and bone health – Nov 2014

National Osteoporosis Society Practical Clinical Guideline on Vitamin D and Bone Health

Maturitas: November 27, 2014, DOI: http://dx.doi.org/10.1016/j.maturitas.2014.11.018
R.M. Francisemail, T.J. Aspray, C.E. Bowring, W.D. Fraser, N.J. Gittoes, M.K. Javaid, H.M. Macdonald, S. Patel, P.L. Selby, N. Tanna
 Download the PDF from VitaminDWiki.

There is growing interest in the importance of vitamin D in the maintenance of bone health and the prevention of falls and fractures. Although there is no universal consensus on the criteria for vitamin D deficiency, this is common in the UK, particularly in frail older people [1]. This has resulted in a marked increase in requests for serum 25 hydroxyvitamin D (25OHD) estimation, but there has been confusion about the indications for these measurements, interpretation of the results and the management of vitamin D deficiency.

Quotes from PDF with comments by VitaminDWiki

  • For average adult
    They do not mention dark skin, obese, pregnant, child, or senior
  • “Serum 25OHD measurements are not recommended in asymptomatic healthy individuals with no evidence of bone disease.”
  • >20 ng is sufficient for almost the whole population
  • “Patients with a serum 25OHD above 50 nmol/L should be reassured and given advice on maintaining adequate vitamin D levels through safe sunlight exposure and diet. “
    No suggestion about supplementing: just sunlight and diet
    No comment about the cofactors REQUIRED for bone health
  • “Vitamin D2 may be preferred by vegetarians and patients who wish to avoid vitamin D of animal origin because of religious or cultural beliefs”
    They appear to be unaware of the availability of vitamin D3 made from plants
  • “ Oral administration of vitamin D is recommended, because of unpredictable bioavailability and slower correction of vitamin D deficiency with intramuscular preparations (7,8).”
    Appear to be unaware of topical, vaginal, sublingual, etc
  • “Loading doses should provide a total of approximately 300,000 IU (7,500 µg) vitamin D, given either as weekly or daily doses.
    Overview Loading of vitamin D has many other opinions on loading doses around the world
  • “Maintenance treatment should be considered one month after loading, with doses equivalent to 800 to 2,000 IU”
    half of seniors got ZERO improvement from 1600 IU
  • The only references in the PDF after 2010 were to Vitamin D2 studies

See also VitaminDWiki

Attached files

ID Name Comment Uploaded Size Downloads
4649 UK Osteo society.pdf admin 29 Nov, 2014 135.54 Kb 1938