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Millions take calcium and vitamin D for stronger bones. A major review finds little benefit
A comprehensive review published in The BMJ suggests that calcium supplements, vitamin D supplements, or taking both together provide little to no clinically meaningful benefit in preventing fractures or falls for most older adults.
Falls are a major health concern among seniors. Nearly one in three people age 65 and older experiences a fall each year, and many of these incidents result in fractures. Such injuries can lead to pain, reduced independence, lower quality of life, and, in some cases, the need for long term residential care. As populations age, preventing falls and fractures remains an important public health goal worldwide.
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Is it forbidden to take these supplements together?
A listener on a radio program shared that her doctor recommended she separate vitamin D from calcium. It is possible she was confused, but a piece of data was missing – regarding which supplement she takes and what else it contains. On one hand, vitamin D actually helps with calcium absorption. On the other hand – if the supplement itself contains calcium, then it is advisable to separate. A calcium overload all at once reduces absorption to a certain extent, and it is a shame to lose out. Let us clarify the matter:
Vitamin D is essential for the absorption of calcium from food. Without vitamin D, the body finds it very difficult to transfer calcium from the intestine to the blood. One of the central roles of vitamin D is to activate special proteins in the intestine that allow calcium to be absorbed more efficiently. This is precisely the reason why a significant deficiency in vitamin D can lead to a decrease in bone density, even if enough calcium is consumed in the diet.
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