Does vitamin D stop inpatients falling? A randomised controlled trial

Burleigh, Elizabeth; McColl, John H.; Potter, Jan

doi:10.1093/ageing/afm087

Cited by 61 publications

(55 citation statements)

References 22 publications

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“…A recent meta-analysis provided evidence that vitamin D supplementation reduces falls by 20%, with recurrent fallers appearing to benefit most from treatment [14]. This study failed to show a significant effect of 6 months vitamin D supplementation on fall risk, which is in line with other studies [24,25]. As no control group without vitamin D supplementation was included in the present study, it remains unclear to what extent postural control and fall risk would have been altered after 6 months due to the effect of age.…”

Section: Supplementationsupporting

confidence: 82%

“…No baseline differences were found between the WBV and CON groups (all p > 0.05) ( Table 2). According to the modified PPT, 21.1% of the women were considered 'not frail' (32-36 points), 62.4% were mildly frail (25-31), 15.6% were moderately frail (17)(18)(19)(20)(21)(22)(23)(24) and 0.9% of the women could no longer function independently within the community (<17) [17]. No adverse side effects of the vibration training were reported.…”

Section: Flow Of Participants (Fig 1)mentioning

confidence: 99%

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Changes in balance, functional performance and fall risk following whole body vibration training and vitamin D supplementation in institutionalized elderly women. A 6 month randomized controlled trial

Bogaerts¹,

Delecluse²,

Boonen³

et al. 2011

Gait & Posture

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Section: Supplementationsupporting

confidence: 82%

Section: Flow Of Participants (Fig 1)mentioning

confidence: 99%

Changes in balance, functional performance and fall risk following whole body vibration training and vitamin D supplementation in institutionalized elderly women. A 6 month randomized controlled trial

Bogaerts¹,

Delecluse²,

Boonen³

et al. 2011

Gait & Posture

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“…Thirty-five new trials were included in this update, 27 new ongoing trials identified and seven new studies await classification. In addition, a new subgroup analysis (Stenvall 2012) from the Stenvall 2007 trial and a cost-effectiveness analysis (Haines 2013) of Haines 2011 have been added. A flow diagram summarising the study selection process is shown in Figur 1.…”

Section: Resultsmentioning

confidence: 99%

“…Seven studies tested the effect of two interventions (Faber 2006; Haines 2011; Huang 2016; Nowalk 2001; Sambrook 2012; Saravanakumar 2014; Tuunainen 2013), and one tested three interventions (Imaoka 2016) in comparison with usual care. Donald 2000 was a 2 x 2 factorial study of supervised exercises and flooring types that has been classified as two single interventions.…”

Section: Resultsmentioning

confidence: 99%

“…Six trials (39,127 participants) examined environment or assistive technology interventions, two trials (11,153 participants) were of furnishing adaptations (Donald 2000; Haines 2010), and four (27,974 participants) were of communication aids (Mayo 1994; Shorr 2012; Tideiksaar 1993; Wolf 2013). Four trials (356 participants) were individually randomised (Donald 2000; Mayo 1994; Tideiksaar 1993; Wolf 2013), and two (38, 771 participants) were cluster randomised (Haines 2010; Shorr 2012).…”

Section: Resultsmentioning

confidence: 99%

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Interventions for preventing falls in older people in care facilities and hospitals

Cameron

Dyer²,

Panagoda

et al. 2018

Cochrane Database of Systematic Reviews

357

370

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Background Falls in care facilities and hospitals are common events that cause considerable morbidity and mortality for older people. This is an update of a review first published in 2010 and updated in 2012. Objectives To assess the effects of interventions designed to reduce the incidence of falls in older people in care facilities and hospitals. Search methods We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register (August 2017); Cochrane Central Register of Controlled Trials (2017, Issue 8); and MEDLINE, Embase, CINAHL and trial registers to August 2017. Selection criteria Randomised controlled trials of interventions for preventing falls in older people in residential or nursing care facilities, or hospitals. Data collection and analysis One review author screened abstracts; two review authors screened full‐text articles for inclusion. Two review authors independently performed study selection, 'Risk of bias' assessment and data extraction. We calculated rate ratios (RaR) with 95% confidence intervals (CIs) for rate of falls and risk ratios (RRs) and 95% CIs for outcomes such as risk of falling (number of people falling). We pooled results where appropriate. We used GRADE to assess the quality of evidence. Main results Thirty‐five new trials (77,869 participants) were included in this update. Overall, we included 95 trials (138,164 participants), 71 (40,374 participants; mean age 84 years; 75% women) in care facilities and 24 (97,790 participants; mean age 78 years; 52% women) in hospitals. The majority of trials were at high risk of bias in one or more domains, mostly relating to lack of blinding. With few exceptions, the quality of evidence for individual interventions in either setting was generally rated as low or very low. Risk of fracture and adverse events were generally poorly reported and, where reported, the evidence was very low‐quality, which means that we are uncertain of the estimates. Only the falls outcomes for the main comparisons are reported here. Care facilities Seventeen trials compared exercise with control (typically usual care alone). We are uncertain of the effect of exercise on rate of falls (RaR 0.93, 95% CI 0.72 to 1.20; 2002 participants, 10 studies; I² = 76%; very low‐quality evidence). Exercise may make little or no difference to the risk of falling (RR 1.02, 95% CI 0.88 to 1.18; 2090 participants, 10 studies; I² = 23%; low‐quality evidence). There is low‐quality evidence that general medication review (tested in 12 trials) may make little or no difference to the rate of falls (RaR 0.93, 95% CI 0.64 to 1.35; 2409 participants, 6 studies; I² = 93%) or the risk of falling (RR 0.93, 95% CI 0.80 to 1.09; 5139 participants, 6 studies; I² = 48%). There is moderate‐quality evidence that vitamin D supplementation (4512 particip...

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Vitamin D and vitamin D analogues for preventing fractures in post-menopausal women and older men

Avenell

Mak

O’Connell³

2014

Cochrane Database of Systematic Reviews

358

318

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Does vitamin D stop inpatients falling? A randomised controlled trial

Abstract: In a population of geriatric hospital inpatients, vitamin D did not reduce the number of fallers. Routine supplementation cannot be recommended to reduce falls in this group.

Cited by 61 publications

References 22 publications

Changes in balance, functional performance and fall risk following whole body vibration training and vitamin D supplementation in institutionalized elderly women. A 6 month randomized controlled trial

Changes in balance, functional performance and fall risk following whole body vibration training and vitamin D supplementation in institutionalized elderly women. A 6 month randomized controlled trial

Interventions for preventing falls in older people in care facilities and hospitals

Vitamin D and vitamin D analogues for preventing fractures in post-menopausal women and older men

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