Calcium and Vitamin D Supplementation in Osteoporosis and Fragility Hip Fracture Patients: A Retrospective NHANES Study
| Autor: | Spencer H. Summers, Duc M. Nguyen, Sheila A. Conway, Evan D. Nigh |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
education.field_of_study Hip fracture business.industry Osteoporosis Population chemistry.chemical_element 030209 endocrinology & metabolism Odds ratio Calcium Logistic regression medicine.disease 03 medical and health sciences 0302 clinical medicine chemistry Dietary Reference Intake Internal medicine Vitamin D and neurology Medicine 030212 general & internal medicine business education |
| Zdroj: | The Journal of Hip Surgery. :001-006 |
| ISSN: | 2472-8454 2472-8446 |
| DOI: | 10.1055/s-0040-1722280 |
| Popis: | Adequate vitamin D and calcium supplementation therapy in osteoporosis reduces the risk of fragility fractures and correlates with improved mortality outcomes in postoperative fragility hip fracture patients. However, the prevalence of adequate supplementation in this population remains unclear. Our purpose was to describe supplement use among the adult population in United States who have been told they had osteoporosis and identify factors associated with adequate supplementation, particularly in patients with history of hip fracture. The study sample comprised a total of 15,968 respondents from the National Health and Examinations Survey (NHANES 2007–2010, 2013–2014); 1,065 self-reported a diagnosis of osteoporosis and 266 self-reported a history of hip fracture. Additional patient factors were analyzed by multivariable logistic regression to assess associated factors of adequate vitamin D (≥ 600 international unit [IU]/day) and calcium (≥ 1000 mg/day) supplementation. The prevalence of vitamin D and calcium supplementation was significantly higher in the osteoporosis group than without (p = 0.001). However, supplemental intake reached adequate levels (≥ 600 IU/day of vitamin D and ≥ 1000mg/day of calcium) in only 28.8% of individuals with osteoporosis for vitamin D, 51.6% for calcium, and 19.2% for both. Of individuals with additional history of hip fracture, only 14% reported adequate intake of both nutrients. Female sex (odds ratio [OR]: 2.35, p |
| Databáze: | OpenAIRE |
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