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J. J. Body, P. Bergmann, S. Boonen, Y. Boutsen, O. Bruyere, J. P. Devogelaer, S. Goemaere, N. Hollevoet, J. M. Kaufman, K. Milisen, S. Rozenberg and J. Y. Reginster, "Non-pharmacological management of osteoporosis: a consensus of the Belgian Bone Club," Osteoporos International, Vol. 22, 2011, pp. 2769-2788.

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• TITLE: Vitamin D and Number of Falls in a Long-Term Care Facility

  AUTHORS: Robert B. Raffa, Frank Breve, Robert Taylor Jr., Joseph V. Pergolizzi Jr.

  KEYWORDS: Falls; Bone Fracture; Vitamin D; Long-Term Care Facility

  JOURNAL NAME: Pharmacology & Pharmacy, Vol.3 No.4, October 29, 2012

  ABSTRACT: Falls represent a significant contribution to the morbidity and mortality of the elderly population. Because vitamin D is important in bone physiology, the use of vitamin D to restore deficient bone and ameliorate the effects of bone fractures due to falls has become a common practice in recent years. Following introduction of widespread use, reports began to emerge that vitamin D not only aided in repair of fall-induced bone fractures, but that it also reduced the occurrence of falls. Vitamin D now has become a routine intervention as a fall-prevention measure. Early analyses found evidence of prevention efficacy (reduced falls), but recent analyses are more equivocal. We retrospectively examined the records of 350 patients in a long-term care facility in which vitamin D administration and the number of falls were recorded as part of a comprehensive database of care. We found a dramatic rise in vitamin D use over the period covered (2006 – 2011) and a corresponding dramatic decrease in the number of falls. However, the number of falls continued to decline after 2008, despite a plateau in number of patients on vitamin D, particularly females. It appears that other factors contribute to the overall decline.