Vitamin D supplements don't improve bone health, major study finds
Vitamin D supplements |
Vitamin D supplements do not improve bone mineral density or prevent fractures or falls in adults, finds a large study that advises health professionals to stop recommending the supplements to most patients
The vitamin has long been associated with a decreased risk of a number of conditions, such as osteoporosis and hypertension, in addition to keeping bones strong by helping the body absorb calcium which is why many use it during the dark winter months.
But the study's authors say there is "little
justification" in doing so when it comes to bone health.
"Our meta-analysis finds that vitamin D does not
prevent fractures, falls or improve bone mineral density, whether at high or
low dose," lead author Dr. Mark J. Bolland, associate professor at the
University of Auckland in New Zealand, said in a statement.
The findings add to previous research suggesting that
vitamin D supplements do not prevent disease for the majority.
The research, published in the Lancet Diabetes &
Endocrinology, analyzed data from 81 randomized controlled trials -- involving
more than 53,000 people -- that studied whether the over-the-counter supplement
helped in fractures, falls and bone density. Most studies included women over the
age of 65.
The team concluded that vitamin D does not prevent fractures
or falls, or have a meaningful effect on bone mineral density, concluding that
there is little justification in taking them to "maintain or improve
musculoskeletal health," adding that there is no need for more trials to
explore this.
But the research also concludes the supplement is helpful in
preventing rare conditions such as rickets and osteomalacia in high risk
groups, which can occur after a prolonged lack of exposure to sunshine, resulting
in deficiency.
Not a cure-all
Bolland suggests doctors and health officials currently
recommending the vitamin to older patients as a way to prevent osteoporosis or
brittle bones should stop. "Clinical guidelines should be changed to
reflect these findings," he said.
In a related comment article, J. Chris Gallagher of the
Creighton University Medical Center in Omaha, Nebraska said "the context
for this analysis lies in the fact that many patients (and doctors) have been
persuaded by various studies and social media that vitamin D is a
cure-all."
"This thinking is reminiscent of the fervour that
supported the widespread use of vitamin A, vitamin C and vitamin E years ago,
and all of those vitamin trials later proved to be clinically negative."
The suggested extra-skeletal health benefits include cancer
and heart disease, which previous research has shown to be inconclusive.
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