prevention of fractures
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Management
- calcium supplementation, vitamin D, or combined supplementation has little to no effect on prevention of fractures & falls in adults[2]
- recommendation for long-term care residents[1]
- tailor to each resident's level of fracture risk, mobility, life expectancy, renal function & ability to swallow.
- dietary calcium supplements (up to 500 mg QD)
- recommended for high-risk patients
- suggested for low-risk patients
- Vitamin D3 supplements (800-2000 IU QD)
- recommended for high-risk
- suggested for low-risk
- weekly alendronate or weekly or monthly risedronate
- recommended for high-risk
- zoledronic acid or denosumab
- recommended for high-risk residents with dysphagia
- hip protectors* for mobile residents[1]
- recommended for high-risk adults
- suggested for low-risk
- balance, strength, & functional training exercises
- suggested for all residents
* hip protectors specifically recommended for long-term car residents[1]
- little benefit to high-risk institutionalized elderly
- no benefit to nursing home residents
More general terms
Additional terms
References
- ↑ 1.0 1.1 1.2 1.3 Papaioannou A et al Recommendations for preventing fracture in long-term care. CMAJ. September 14, 2015 <PubMed> PMID: https://pubmed.ncbi.nlm.nih.gov/26370055 <Internet> http://www.cmaj.ca/content/early/2015/09/14/cmaj.141331
- ↑ 2.0 2.1 Masse O, Mercurio CM, Dupuis S, Calcium, vitamin D, or combined supplementation to prevent fractures and falls: systematic review and meta-analysis. BMJ. 2026 May 20;393:e088050. PMID: https://pubmed.ncbi.nlm.nih.gov/42161415 PMCID: PMC13188451 Free PMC article. https://www.bmj.com/content/393/bmj-2025-088050.long