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University of Lynchburg DMSc Doctoral Project Assignment Repository

University of Lynchburg DMSc Doctoral Project Assignment Repository

Specialty

Family Medicine

Advisor

Elyse Watkins

Abstract

This article will review recommendations for appropriate vitamin D levels and will present a summary of fall and fracture outcomes for older women.A PubMed and Medline literature search was conducted with search terms: women, vitamin D, falls, and fracture. Ninety-eight pertinent articles were retrieved for the foundation of this clinical review.Current daily recommendations will generally achieve the modest recommendations for vitamin D levels; however, intermittent dosing regimens will also reach these recommended levels. The literature is equivocal as to whether intermittent vitamin D levels for post-menopausal women will decrease falls and fractures.Vitamin D is well established in its role of bone formation and calcium resorption. Recommendations for minimal levels of vitamin D to maintain optimal bone mass are established. Maintenance doses are established but contested. Optimal loading dosing regimens are not. Furthermore, assessment of vitamin D and its impact on falls and fractures is not well established. Further research is needed to establish optimal loading dose regimens, as well as vitamin D’s long-term effects on falls and fractures.

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