Calcium and vitamin D in the prevention and treatment of osteoporosis - a clinical update

被引:86
作者
Boonen, S.
Vanderschueren, D.
Haentjens, P.
Lips, P.
机构
[1] Leuven Univ, Ctr Metab Bone Dis, B-3000 Louvain, Belgium
[2] Katholieke Univ Leuven, Div Geriatr Med, Louvain, Belgium
[3] Katholieke Univ Leuven, Div Endocrinol, Louvain, Belgium
[4] Vrije Univ Brussel, Dept Orthopaed & Traumatol, Brussels, Belgium
[5] Vrije Univ Amsterdam Med Ctr, Dept Endocrinol, Amsterdam, Netherlands
关键词
calcium; osteoporosis; vitamin D;
D O I
10.1111/j.1365-2796.2006.01655.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Combined calcium and vitamin D supplementation is an essential component of the management of osteoporosis, supported by a strong scientific rationale. The types of individuals who should receive calcium and vitamin D supplements are those: (i) patients with documented osteoporosis receiving antiresorptive or anabolic treatment; (ii) patients receiving glucocorticoids; and (iii) individuals with or at high risk of calcium and/or vitamin D insufficiencies, in particular older women and men. This article describes the evidence base that supports targeting these groups. Benefits are most apparent when 800 IU day(-1) vitamin D is complemented with a dose of 1000-1200 mg day(-1) elemental calcium. Compliance is also key to optimizing clinical efficacy.
引用
收藏
页码:539 / 552
页数:14
相关论文
共 122 条
[71]   Vitamin D and attainment of peak bone mass among peripubertal Finnish girls:: a 3-y prospective study [J].
Lehtonen-Veromaa, MKM ;
Möttönen, TT ;
Nuotio, IO ;
Irjala, KMA ;
Leino, AE ;
Viikari, JSA .
AMERICAN JOURNAL OF CLINICAL NUTRITION, 2002, 76 (06) :1446-1453
[72]   Epidemiology and direct medical costs of osteoporotic fractures in men and women in Switzerland [J].
Lippuner, Kurt ;
Golder, Matthias ;
Greiner, Roger .
OSTEOPOROSIS INTERNATIONAL, 2005, 16 (Suppl 2) :S8-S17
[73]   A global study of vitamin D status and parathyroid function in postmenopausal women with osteoporosis: Baseline data from the multiple outcomes of raloxifene evaluation clinical trial [J].
Lips, P ;
Duong, T ;
Oleksik, A ;
Black, D ;
Cummings, S ;
Cox, D ;
Nickelsen, T .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2001, 86 (03) :1212-1221
[74]   Quality of life as outcome in the treatment of osteoporosis: The development of a questionnaire for quality of life by the European foundation for osteoporosis [J].
Lips, P ;
Cooper, C ;
Agnusdei, D ;
Caulin, F ;
Egger, P ;
Johnell, O ;
Kanis, JA ;
Liberman, U ;
Minne, H ;
Reeve, J ;
Reginster, JY ;
deVernejoul, MC ;
Wiklund, I .
OSTEOPOROSIS INTERNATIONAL, 1997, 7 (01) :36-38
[75]   Vitamin D deficiency and secondary hyperparathyroidism in the elderly: Consequences for bone loss and fractures and therapeutic implications [J].
Lips, P .
ENDOCRINE REVIEWS, 2001, 22 (04) :477-501
[76]   Vitamin D supplementation and fracture incidence in elderly persons - A randomized, placebo-controlled clinical trial [J].
Lips, P ;
Graafmans, WC ;
Ooms, ME ;
Bezemer, PD ;
Bouter, LM .
ANNALS OF INTERNAL MEDICINE, 1996, 124 (04) :400-+
[77]   VERTEBRAL FRACTURES IN STEROID DEPENDENT ASTHMA AND INVOLUTIONAL OSTEOPOROSIS - A COMPARATIVE-STUDY [J].
LUENGO, M ;
PICADO, C ;
DELRIO, L ;
GUANABENS, N ;
MONTSERRAT, JM ;
SETOAIN, J .
THORAX, 1991, 46 (11) :803-806
[78]   Redefining vitamin D insufficiency [J].
Malabanan, A ;
Veronikis, IE ;
Holick, MF .
LANCET, 1998, 351 (9105) :805-806
[79]   Incidence and cost of osteoporotic fractures in France during 2001. A methodological approach by the national hospital database [J].
Maravic, M ;
Le Bihan, C ;
Landais, P ;
Fardellone, P .
OSTEOPOROSIS INTERNATIONAL, 2005, 16 (12) :1475-1480
[80]   Effects of cyclical etidronate combined with calcitriol versus cyclical etidronate alone on spine and femoral neck bone mineral density in postmenopausal osteoporotic women [J].
Masud, T ;
Mulcahy, B ;
Thompson, AV ;
Donnelly, S ;
Keen, RW ;
Doyle, DV ;
Spector, TD .
ANNALS OF THE RHEUMATIC DISEASES, 1998, 57 (06) :346-349