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Calcium and Vitamin D Supplementations: 2015 Position Statement of the Korean Society for Bone and Mineral Research

최한석|정호연|최미자|김경민
대한골대사학회 (The Korean Society of Bone Metabolism)|2015.11|대한골대사학회지 (Journal of Bone Metabolism)|제22권 제4호|pp. 143-149

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참고문헌

키워드

OsteoporosisCardiovascular diseasesVitamin DCalciumBoneFractures
주제분류정형외과학

초록

Calcium and vitamin D are essential components for bone health, thus calcium and vitamin D supplementation is an important strategy in the management of osteoporosis. However, the benefit of calcium and vitamin D supplementation on bone health is still controversial. Moreover, potentially harmful effects of excessive calcium supplementation on cardiovascular health are recently suggested. Too high a level of vitamin D has been also reported to have several, possibly related, harmful events. Korea is well known for low dietary calcium intake and vitamin D deficiency in its population. This position statement developed the following recommendation for adequate levels of calcium and vitamin D intake in Korean, postmenopausal women and men older than 50 years: Adequate calcium intake and optimal vitamin D level are essential for preventing and treating osteoporosis in postmenopausal women and men older than 50 years. We recommend a daily calcium intake of 800 to 1,000 mg/day. Food remains the best source of calcium; however calcium supplements should be considered when dietary intake of calcium is inadequate. We recommend dietary vitamin D intake of more than 800 IU per day, a level which appears to reduce the risk of fractures. When vitamin D deficiency is suspected, serum 25-hydroxy-vitamin D (25-[OH]D) level should be tested. We suggest that a serum 25-(OH)D level greater than 20 ng/mL is generally appropriate for prevention of osteoporosis. However, a serum 25-(OH)D level greater than 30 ng/mL is probably helpful for management of osteoporosis and prevention of fractures.

Abstract

Calcium and vitamin D are essential components for bone health, thus calcium and vitamin D supplementation is an important strategy in the management of osteoporosis. However, the benefit of calcium and vitamin D supplementation on bone health is still controversial. Moreover, potentially harmful effects of excessive calcium supplementation on cardiovascular health are recently suggested. Too high a level of vitamin D has been also reported to have several, possibly related, harmful events. Korea is well known for low dietary calcium intake and vitamin D deficiency in its population. This position statement developed the following recommendation for adequate levels of calcium and vitamin D intake in Korean, postmenopausal women and men older than 50 years: Adequate calcium intake and optimal vitamin D level are essential for preventing and treating osteoporosis in postmenopausal women and men older than 50 years. We recommend a daily calcium intake of 800 to 1,000 mg/day. Food remains the best source of calcium; however calcium supplements should be considered when dietary intake of calcium is inadequate. We recommend dietary vitamin D intake of more than 800 IU per day, a level which appears to reduce the risk of fractures. When vitamin D deficiency is suspected, serum 25-hydroxy-vitamin D (25-[OH]D) level should be tested. We suggest that a serum 25-(OH)D level greater than 20 ng/mL is generally appropriate for prevention of osteoporosis. However, a serum 25-(OH)D level greater than 30 ng/mL is probably helpful for management of osteoporosis and prevention of fractures.

참고문헌 (50)

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관련 논문AI추천

Position Statement: Vitamin D Intake to Prevent Osteoporosis and Fracture in Adults한안나, Clara Yongjoo Park, So Young Park, Yongsoon Park, Young-Kyun Lee대한골대사학회 · 대한골대사학회지2022 · 제29권 제4호Korean Society for Bone and Mineral Research Task Force Report: Perspectives on Intermittent High-dose Vitamin D Supplementation김경민, 김범준, 민용기, 변동원, 오기원, 최한석, 한명훈대한골대사학회 · 대한골대사학회지2017 · 제24권 제3호Vitamin D Status and Response to Initial Vitamin D Supplementation in Korean Women with Osteoporosis김성수, 김종성, 김진주, 윤석준, 정진규대한골대사학회 · 대한골대사학회지2014 · 제21권 제4호The Effect of Education and Vitamin D Supplementation on the Achievement of Optimal Vitamin D Level in Korean Postmenopausal Women김성수, 김종성, 서원윤, 서유리, 양현정, 윤석준, 이채진, 정진규대한골대사학회 · 대한골대사학회지2019 · 제26권 제3호Association between vitamin D intake and bone mineral density in Koreans aged ≥ 50 years: analysis of the 2009 Korea National Health and Nutrition Examination Survey using a newly established vitamin D databaseKyoung-Ok Yoo, Mi-Ja Kim, Sun Yung Ly한국영양학회 · Nutrition Research and Practice2019 · 제13권 제2호Vitamin D intake and bone mineral density in Korean adults: analysis of the 2009–2011 Korea National Health and Nutrition Examination SurveyLy Sun Yung, Shin Hye Ran, Song SuJin, You Hyejin한국영양학회 · Nutrition Research and Practice2022 · 제16권 제6호

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