Impact of Vitamin D Status and Nutrition on the Occurrence of Long Bone Fractures Due to Falls in Elderly Subjects in the Vojvodina Region of Serbia.
Bone fractures are a significant public health issue among elderly subjects. This study examines the impact of diet and vitamin D status on the risk of long bone fractures due to falls in elderly subjects in Vojvodina, Serbia. Conducted at the University Clinical Center of Vojvodina in autumn/winter...
| Publicado en: | Nutrients Vol. 16; no. 16; pp. 2702 - 2732 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
MDPI
Aug2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=179355702&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 179355702 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 20726643 B0TT jtl: Nutrients issn: 20726643 maglogo: N pubinfo: dt: Aug2024 vid: 16 iid: 16 pid: 97109 pub: MDPI artinfo: ui: 179355702 179355702 179355702 10.3390/nu16162702 179355702 ppf: 2702 ppct: 30 formats: tig: atl: Impact of Vitamin D Status and Nutrition on the Occurrence of Long Bone Fractures Due to Falls in Elderly Subjects in the Vojvodina Region of Serbia. aug: au: Gvozdenović, Nemanja Šarac, Ivana Ćorić, Andrijana Karan, Saša Nikolić, Stanislava Ždrale, Isidora Milešević, Jelena affil: Faculty of Medicine, University of Novi Sad, 21137 Novi Sad, Serbia sug: subj: Femoral Fractures Risk Factors Accidental Falls In Old Age Vitamin D Blood Nutrition Risk Assessment Human Serbia Female Male Aged Case Control Studies Sample Size Determination Socioeconomic Factors Life Style Anthropometry Food Intake Frailty Syndrome Calcium, Dietary Dietary Proteins Dairy Products Eggs Fish Logistic Regression Analysis of Covariance Mann-Whitney U Test Spearman's Rank Correlation Coefficient ROC Curve Data Analysis Software T-Tests Funding Source Descriptive Statistics Aged: 65+ years Female Male ab: Bone fractures are a significant public health issue among elderly subjects. This study examines the impact of diet and vitamin D status on the risk of long bone fractures due to falls in elderly subjects in Vojvodina, Serbia. Conducted at the University Clinical Center of Vojvodina in autumn/winter 2022–2023, the study included 210 subjects >65 years: 105 (F: 80/M: 15) with long bone fractures due to falls and 105 (F: 80/M: 15) controls. Groups were similar regarding age and BMI. Dietary intakes (by two 24-h recalls) and serum vitamin D levels were analyzed. The fracture group had a significantly lower median daily vitamin D intake (1.4 μg/day vs. 5.8 μg/day), intake of calcium, energy, proteins, fats, fibers, dairy products, eggs, fish, edible fats/oils, and a higher intake of sweets (p < 0.001 for all). Serum vitamin D levels were significantly lower in the fracture group (40.0 nmol/L vs. 76.0 nmol/L, p < 0.001). Logistic regression identified serum vitamin D as the most important protective factor against fractures, and ROC curve analysis indicated that serum vitamin D levels > 50.5 nmol/L decreased fracture risk. Nutritional improvements (increased intake of vitamin D and protein sources such as fish, eggs, and dairy), increased sun exposure, and routine vitamin D supplementation during winter are advised. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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