Show Summary Details
Page of

Calcium and vitamin D deficiency and therapy 

Calcium and vitamin D deficiency and therapy
Chapter:
Calcium and vitamin D deficiency and therapy
Author(s):

Gordon A. Campbell

DOI:
10.1093/med/9780198713340.003.0006
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2020. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 07 April 2020

Calcium intake of <400 mg/day is likely to be deleterious to skeletal growth and normal skeletal integrity. In adults, low calcium intake, associated vitamin D deficiency, and secondary hyperparathyroidism contribute further to poor skeletal health.

Vitamin D deficiency is common, especially in the frail housebound elderly population, but also in younger adults with chronic diseases.

Vitamin D deficiency is an important and easily correctable factor in falls and fracture prevention as well as in the rehabilitation of patients with long-term conditions.

At least 1 g of calcium and 800 IU of colecalciferol each day should be given to the housebound or mobile institutionalized elderly to reduce the risk of falls and fractures. 25-hydroxyvitamin D levels of >75 nmol/L (30 µg/L) may be required for fracture prevention, necessitating the initial use of high-dose vitamin D supplementation.

Provision of patient education and the availability of different calcium and vitamin D preparations on formularies are essential to facilitate adherence to therapy, particularly in the elderly.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.