The vitamin D and calcium controversy: an update

Author Identifier (ORCID)

Marc Sim

https://orcid.org/0000-0001-5166-0605

Abstract

PURPOSE OF REVIEW: Calcium and vitamin D supplementation is widely recommended for prevention of falls and fracture, particularly in the elderly where calcium intakes and vitamin D levels are often inadequate. A number of meta-analyses have questioned the benefits of untargeted or 'holistic' supplementation for falls and fracture, and raised the possibility of adverse cardiovascular effects. This review provides an update on these controversies.

RECENT FINDINGS: Recent advances have largely centred around new trials of vitamin D and meta-analyses of published trials and observational studies. These articles have identified holistic vitamin D supplementation with or without calcium is unlikely to be an effective primary prevention strategy for falls or fracture. There has also been high-quality evidence that vitamin D, daily or as a bolus, does not reduce the risk of cardiovascular events.

SUMMARY: The benefits of vitamin D and calcium supplements for holistic fall and fracture prevention remain uncertain. Recent evidence supports the concept that high-dose vitamin D has adverse musculoskeletal effects. Future studies should focus on moderate daily doses. Finally, there remain inconsistent findings for adverse cardiovascular effects of calcium supplements with or without vitamin D. This uncertainty should be taken into account when evaluating the risk/benefits of supplementation.

Document Type

Journal Article

Date of Publication

3-1-2019

ISSN

1531-6963

Volume

31

Issue

2

PubMed ID

30601231

Publication Title

Current Opinion in Rheumatology

Publisher

NLM (Medline)

School

School of Medical and Health Sciences

RAS ID

27866

Grant Number

NHMRC : 1107474

Comments

Lewis, J. R., Sim, M., & Daly, R. M. (2019). The vitamin D and calcium controversy: An update. Current Opinion in Rheumatology, 31(2), 91-97. Available here

Copyright

subscription content

First Page

91

Last Page

97

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Link to publisher version (DOI)

10.1097/BOR.0000000000000584

Link to publisher version (DOI)

10.1097/BOR.0000000000000584