« To D or not to D » : pourquoi et comment traiter l’hypovitaminose D chez les personnes âgées [To D or not to D ? Why and how to treat vitamin D deficiency in older patients]

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State: Public
Version: Final published version
License: CC BY-NC-ND 4.0
Serval ID
serval:BIB_819D16133ADA
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
« To D or not to D » : pourquoi et comment traiter l’hypovitaminose D chez les personnes âgées [To D or not to D ? Why and how to treat vitamin D deficiency in older patients]
Journal
Revue medicale suisse
Author(s)
Cantista M., Quiaios L., Nguyen S., Büla C., D'Amelio P.
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Publication state
Published
Issued date
03/11/2021
Peer-reviewed
Oui
Volume
17
Number
757
Pages
1894-1897
Language
french
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Vitamin D deficiency is so frequent in older patients (aged 65 years and older) that the international consensus does not recommend routine vitamin D measurement. Assessment of overall health status is a cornerstone before considering vitamin D supplementation, as the effect of vitamin D supplementation has only been demonstrated in vulnerable or dependent but not for robust older patients. The effect of the different modalities of oral vitamin D supplementation are equivalent : 800-1'200 IU/day, 10'000 IU/week or 30'000-50'000 IU/month. Monitoring of vitamin D blood level monitoring is not necessary because of a large therapeutic margin. In the presence of osteoporosis, a dietary or supplementation intake of 1'200 mg per day of calcium should be added.
Keywords
Administration, Oral, Aged, Dietary Supplements, Humans, Vitamin D/therapeutic use, Vitamin D Deficiency/drug therapy, Vitamin D Deficiency/epidemiology, Vitamins/therapeutic use
Pubmed
Create date
16/11/2021 10:17
Last modification date
15/08/2022 14:11
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