PILL Series. Vitamin D deficiency

Singapore Med J. 2015 Aug;56(8):433-6; quiz 437. doi: 10.11622/smedj.2015119.

Abstract

Vitamin D deficiency is common and may contribute to osteopenia, osteoporosis and falls risk in the elderly. Screening for vitamin D deficiency is important in high-risk patients, especially for patients who suffered minimal trauma fractures. Vitamin D deficiency should be treated according to the severity of the deficiency. In high-risk adults, follow-up serum 25-hydroxyvitamin D concentration should be measured 3-4 months after initiating maintenance therapy to confirm that the target level has been achieved. All patients should maintain a calcium intake of at least 1,000 mg for women aged ≤ 50 years and men ≤ 70 years, and 1,300 mg for women > 50 years and men > 70 years.

Keywords: elderly; osteoporosis; vitamin D.

MeSH terms

  • Aged
  • Bone Density
  • Bone Diseases, Metabolic / prevention & control
  • Calcium, Dietary / therapeutic use
  • Cholecalciferol / administration & dosage
  • Female
  • Hip Fractures / complications
  • Hip Fractures / epidemiology
  • Humans
  • Male
  • Middle Aged
  • Osteoporosis / prevention & control
  • Practice Guidelines as Topic
  • Prevalence
  • Primary Health Care / methods
  • Risk Factors
  • Vitamin D / analogs & derivatives
  • Vitamin D / blood
  • Vitamin D Deficiency / diagnosis*
  • Vitamin D Deficiency / epidemiology*

Substances

  • Calcium, Dietary
  • Vitamin D
  • Cholecalciferol
  • 25-hydroxyvitamin D