The C.A.M. Report
Complementary and Alternative Medicine: Fair, Balanced, and to the Point
  • About this web log

    This blog is intended as an objective and dispassionate source of information on the latest CAM research. Since my background is in pharmacy and allopathic medicine, I view all CAM as advancing through the development pipeline to eventually become integrated into mainstream medical practice. Some will succeed while others fail. But all are treated fairly here.

  • About the author

    John Russo, Jr., PharmD, is president of The MedCom Resource, Inc. Previously, he was senior vice president of medical communications at www.Vicus.com, a complementary and alternative medicine website.

  • Common sense considerations

    The material on this weblog is for informational purposes. It is not medical advice or counsel. Be smart, consult your health professional before using CAM.

  • Support this site

    If you found the information here helpful, please consider supporting this site.If you found the information here helpful, please consider supporting this site.

  • Recent Posts

  • Recent Comments

    Review: Vitamin D supplements fail to change bone density

    vitamind-150x150Almost half of older adults take vitamin D with or without calcium.

    Researchers at the University of Tasmania, Hobart, in Australia, reviewed the evidence.

    First, the details.

    • Data from 23 studies averaging 23.5 months in 4082 participants (92% women, averaging 59 years) were combined for a meta-analysis.
    • 19 studies had mainly Caucasian populations.
    • The effects of vitamin D (D3 or D2, but not vitamin D metabolites) on bone mineral density were evaluated.
    • The primary endpoint was the percentage change in bone mineral density measured at 1 to 5 sites (lumbar spine, femoral neck, total hip, trochanter, total body, or forearm) in each study.

    And, the results.

    • Average starting 25-hydroxyvitamin D blood level was less than 50 nmol/L in 8 studies.
    • In 10 studies the vitamin D dose was less than 800 IU per day.
    • Findings out of 70 tests of statistical significance across the studies
      • 6 findings of significant benefit
      • 2 of significant detriment
      • The rest were non-significant
    • Only 1 study showed benefit at more than 1 site.
    • There was small but significant benefit at the femoral neck.
    • No effect at any other site was reported, including the total hip.
    • There was a bias toward positive results at the femoral neck and total hip.

    And, the results.

    The authors concluded, “Continuing widespread use of vitamin D for osteoporosis prevention in community-dwelling adults without specific risk factors for vitamin D deficiency seems to be inappropriate.”

    Dr. Clifford Rosen from the Maine Medical Research Institute in the USA placed these finding into perspective. “Supplementation to prevent osteoporosis in healthy adults is not warranted. However, maintenance of vitamin D stores in the elderly combined with sufficient dietary calcium intake (800 to 1200 mg per day) remains an effective approach for prevention of hip fractures.”

    More recommendations from the National Osteoporosis Foundation to reduce the risk of fracture in older adults are here.

    10/11/13 10:26 JR

    Leave a Comment

    XHTML: Line-breaks are automatic. Available tags are <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <s> <strike> <strong>