Curtain, CM and Williams, M and Cousins, JM and Peterson, GM and Winzenberg, T, Vitamin D supplementation in Tasmanian nursing home residents, Drugs and Aging, 33, (10) pp. 747-754. ISSN 1170-229X (2016) [Refereed Article]
Copyright 2016 Springer International Publishing Switzerland
OBJECTIVE: The aim of this study was to determine the prevalence of vitamin D supplementation amongst nursing home residents in Tasmania, Australia.
METHODS: Resident data, including demographics, medical conditions and medications (including vitamin D and calcium supplement use), exercise and sun exposure, were obtained from residents' files and staff in consenting nursing homes. Dietary calcium intake was estimated from the weekly menu of one nursing home and total calcium intake estimated from this and calcium supplement use. The prevalence of vitamin D supplementation was compared by resident characteristics and fracture risk factors.
RESULTS: Of 811 residents, 409 (50 %) received daily vitamin D supplementation of at least 1000 IU. Residents receiving vitamin D supplementation were slightly younger (mean 83 vs. 85 years for supplemented and unsupplemented groups, respectively, p = 0.003) and more likely to have osteoporosis (29 vs. 22 % for supplemented and unsupplemented groups, respectively, p = 0.019). Only 43 % of residents with osteoporosis received vitamin D supplements. Most residents (86 %) did not have regular sunlight exposure. The median estimated total calcium intake of 800 ± 275 mg daily was below guideline recommendations of 1000-1300 mg daily.
CONCLUSIONS: The prevalence of vitamin D supplementation in nursing home residents was relatively low, suggesting poor adherence to the relevant clinical guidelines. Additionally, most residents do not access sunlight. Interventions addressing this evidence-practice gap are needed.
|Item Type:||Refereed Article|
|Research Division:||Medical and Health Sciences|
|Research Group:||Clinical Sciences|
|Research Field:||Rheumatology and Arthritis|
|Objective Group:||Clinical Health (Organs, Diseases and Abnormal Conditions)|
|Objective Field:||Skeletal System and Disorders (incl. Arthritis)|
|UTAS Author:||Curtain, CM (Mr Colin Curtain)|
|UTAS Author:||Williams, M (Dr Mackenzie Williams)|
|UTAS Author:||Cousins, JM (Mr Justin Cousins)|
|UTAS Author:||Peterson, GM (Professor Gregory Peterson)|
|UTAS Author:||Winzenberg, T (Professor Tania Winzenberg)|
|Web of Science® Times Cited:||1|
|Deposited By:||Menzies Institute for Medical Research|
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