Document Detail


Inadequate dietary calcium intake in elderly patients with hip fractures.
MedLine Citation:
PMID:  18043839     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Calcium supplementation and pharmacotherapy are recommended in the preventive management of osteoporosis. Many previous studies report of underdiagnosis and undertreatment of osteoporosis among elderly patients with hip fractures. We undertook this study to determine the dietary calcium levels in our local elderly population who were admitted with hip fractures. METHODS: 77 patients, between the ages of 60 and 98 years of age, and admitted to our department between January 2001 and September 2001 for hip fractures, were studied. The dietary calcium intakes of these patients were determined by a food frequency questionnaire and a detailed diet history. Bone mineral density (BMD) studies were performed on 55 of these patients to confirm the diagnosis of osteoporosis. RESULTS: The mean daily calcium intake was found to be 650 mg. Only six of our hip fracture patients (7.8 percent) had a daily calcium intake above the recommended levels of 1,000 mg per day. For the 55 patients who had BMD performed, only one patient had a BMD within the normal range. 34 patients (64.2 percent) had hip T-scores in the osteoporotic range and 18 patients (33.9 percent) had hip T-scores in the osteopenic range. We found that the patients with BMD in the osteoporotic and osteopenic ranges had no significant difference in the dietary calcium intake. CONCLUSION: The dietary calcium intake of our elderly patients with hip fractures is insufficient. They would benefit from dietary education and calcium supplements to prevent deterioration in bone density and subsequent osteoporotic fractures.
Authors:
Y H D Lee; Y W Lim; P S Ling; Y Y Tan; M Cheong; K S Lam
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Singapore medical journal     Volume:  48     ISSN:  0037-5675     ISO Abbreviation:  Singapore Med J     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2007-11-28     Completed Date:  2008-01-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0404516     Medline TA:  Singapore Med J     Country:  Singapore    
Other Details:
Languages:  eng     Pagination:  1117-21     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, Changi General Hospital, 2 Simei Street 3, Singapore 529889. davelyh@singnet.com.sg
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Aged
Aged, 80 and over
Bone Density / drug effects*,  physiology
Calcium, Dietary / administration & dosage*
Cohort Studies
Dietary Supplements / statistics & numerical data
Female
Fractures, Spontaneous / epidemiology,  physiopathology,  prevention & control*
Geriatric Assessment
Hip Fractures / epidemiology,  physiopathology,  prevention & control*
Humans
Male
Middle Aged
Nutritional Requirements
Nutritional Status
Osteoporosis / epidemiology,  physiopathology,  prevention & control*
Risk Assessment
Sex Factors
Singapore
Chemical
Reg. No./Substance:
0/Calcium, Dietary

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