By Matt Brignall, ND
Healthnotes Newswire (July 26, 2001)—Stroke patients with low blood levels
of vitamin D are far more likely to have hip fractures than those patients with
normal levels of the vitamin, according to a study published this month in the
journal Stroke.1
The authors studied 216 Japanese men and women who had suffered a stroke in
the past but were not completely bedridden. Vitamin D levels were measured at
the beginning of the study, and patients were followed for two years to
determine the incidence of hip fractures.
Over the two years of follow-up, seven of the 88 participants with the most
severe vitamin D deficiency suffered a hip fracture. In contrast, none of the 72
patients with sufficient levels of vitamin D fractured a hip during this period.
Osteoporosis is prevalent in the aging population, with as many as 40% of
elderly women destined to sustain a fracture in their lifetimes.2 Risk of hip
fracture is at least twice as high in stroke survivors as in the rest of the
population.3 Some of this increase in risk is undoubtedly due to osteoporosis.
However, in the majority of stroke victims who suffer a hip fracture, the
fracture results from a fall.
While the importance of vitamin D for preventing osteoporosis is well known,
it is less well appreciated that maintaining adequate vitamin D levels may help
prevent elderly people from falling down. In a double-blind trial of elderly
women, supplementing with 800 international units of vitamin D per day for eight
weeks significantly reduced “body sway,” a measure of how well someone
maintains balance.4 More importantly, vitamin D supplementation reduced the
number of falls during a one-year follow-up period by 47%.
Vitamin D is produced in the skin upon exposure to sunlight. It is also found
in many foods, including fish, liver, and fortified milk. Vitamin D blood levels
tend to be low in the elderly population.
Matt Brignall, ND, is in practice at the
Seattle Cancer Treatment and Wellness Center and at the Evergreen Integrative
Medicine Clinic in Kirkland, WA. He specializes in integrative treatment of
cancer. He is a contributor to Healthnotes Online and Healthnotes
Newswire.