JAMDA
Volume 8, Issue 3, Supplement 2 , Pages e19-e23 , March 2007

A Quality Improvement Study on Calcium and Vitamin D Supplementation in Long-term Care

  • Jawad Munir, MD

      Affiliations

    • Department of Internal Medicine, Washington University School of Medicine, St Louis, MO
    • ,
  • Rebecca J. Wright, PharmD

      Affiliations

    • Interlock Pharmacy Systems (Omnicare Inc.).
    • ,
  • David B. Carr, MD

      Affiliations

    • Department of Internal Medicine, Washington University School of Medicine, St Louis, MO
    • Division of Geriatrics and Nutritional Science, Washington University School of Medicine, St Louis, MO
    • Corresponding Author InformationAddress correspondence to David B. Carr, MD, Division of Geriatrics and Nutritional Science, Washington University School of Medicine, 4488 Forest Park Boulevard, Suite 201, St Louis, MO 63108.

References 

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  2. Cali CM, Kiel DP. An epidemiologic study of fall-related fractures among institutionalized older people. J Am Geriatr Soc. 1995;43:1336–1340
  3. Chandler JM, Zimmerman SI, Girman CJ, et al. Low bone mineral density and risk of fracture in white female nursing home residents. JAMA. 2000;284:972–977
  4. Zimmerman SI, Girman CJ, Buie VC, et al. The prevalence of osteoporosis in nursing home residents. Osteoporos Int. 1999;9:151–157
  5. Pfeifer M, Begerow B, Minne HW, Abrams C, Nachtigall D, Hansen C. Effects of a short-term vitamin D and calcium supplementation on body sway and secondary hyperparathyroidism in elderly women. J Bone Miner Res. 2000;15:1113–1118
  6. Chapuy MC, Pamphile R, Paris E, et al. Combined calcium and vitamin D3 supplementation in elderly women: confirmation of reversal of secondary hyperparathyroidism and hip fracture risk: The Decalyos II study. Osteoporos Int. 2002;13:257–264
  7. Bischoff HA, Stahelin HB, Dick W, et al. Effects of vitamin D and calcium supplementation on falls: a randomized controlled trial. J Bone Miner Res. 2003;18:343–351
  8. Nieves JW. Osteoporosis: The role of micronutrients. Am J Clin Nutr. 2005;81:1232S–1239S
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  10. MacLaughlin J, Holick MF. Aging decreases the capacity of human skin to produce vitamin D3. J Clin Invest. 1985;76:1536–1538
  11. Mosekilde L. Vitamin D and the elderly. Clin Endocrinol (Oxf). 2005;62:265–281
  12. Pattanaungkul S, Riggs BL, Yergey AL, Vieira NE, O’Fallon WM, Khosla S. Relationship of intestinal calcium absorption to 1,25-dihydroxyvitamin D [1,25(OH)2D] levels in young versus elderly women: evidence for age-related intestinal resistance to 1,25(OH)2D action. J Clin Endocrinol Metab. 2000;85:4023–4027
  13. Morrison NA, Qi JC, Tokita A, et al. Prediction of bone density from vitamin D receptor alleles. Nature. 1994;367:284–287
  14. Komar L, Nieves J, Cosman F, Rubin A, Shen V, Lindsay R. Calcium homeostasis of an elderly population upon admission to a nursing home. J Am Geriatr Soc. 1993;41:1057–1064
  15. Stein MS, Scherer SC, Walton SL, et al. Risk factors for secondary hyperparathyroidism in a nursing home population. Clin Endocrinol (Oxf). 1996;44:375–383
  16. Liu BA, Gordon M, Labranche JM, Murray TM, Vieth R, Shear NH. Seasonal prevalence of vitamin D deficiency in institutionalized older adults. J Am Geriatr Soc. 1997;45:598–603
  17. Gupta G, Aronow WS. Underuse of procedures for diagnosing osteoporosis and of therapies for osteoporosis in older nursing home residents. J Am Med Dir Assoc. 2003;4:200–202
  18. Lyles KW, Colon-Emeric C. Treating vitamin D deficiency in long-term care: It should be done yesterday, but how?. J Am Med Dir Assoc. 2004;5:416–417
  19. Dawson-Hughes B, Heaney RP, Holick MF, Lips P, Meunier PJ, Vieth R. Estimates of optimal vitamin D status. Osteoporos Int. 2005;
  20. Vieth R, Ladak Y, Walfish PG. Age-related changes in the 25-hydroxyvitamin D versus parathyroid hormone relationship suggest a different reason why older adults require more vitamin D. J Clin Endocrinol Metab. 2003;88:185–191
  21. Sambrook PN, Chen JS, March LM, et al. Serum parathyroid hormone is associated with increased mortality independent of 25-hydroxy vitamin D status, bone mass, and renal function in the frail and very old: A cohort study. J Clin Endocrinol Metab. 2004;89:5477–5481

PII: S1525-8610(06)00611-6

doi: 10.1016/j.jamda.2006.12.004

JAMDA
Volume 8, Issue 3, Supplement 2 , Pages e19-e23 , March 2007

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