Hirota Takako, Hirota Kenji
Research Laboratory, Tsuji Academy of Nutrition.
Clin Calcium. 2005 May;15(5):854-7.
Subclinical vitamins deficiency is common in the elderly, especially in osteoporotic patients. However, most physicians in this area are just focused on drugs for the treatment of osteoporosis. It is already established that several vitamins influence bone turnover, bone mineral density, or even the risk of hip fractures. Improving these vitamins status may help to treat and prevent osteoporosis in elderly people. Recently higher vitamin D intake is recognized to be needed to keep not only bone health but also muscle strength. More sun exposure might be needed for improved bone health in the elderly. Deficiency of Vitamin K, C, or B(12) may be also important modifiable risk factors for osteoporosis and bone fracture. Excessive retinal supplementation may become associated with higher bone loss. Thus such diet rich in fruit and vegetables together with fish and meat could fulfill a balance among these vitamins and should be recommended for prevention or treatment of osteoporosis.
亚临床维生素缺乏在老年人中很常见,尤其是在骨质疏松患者中。然而,该领域的大多数医生只专注于治疗骨质疏松症的药物。已经证实,几种维生素会影响骨转换、骨矿物质密度,甚至髋部骨折风险。改善这些维生素状况可能有助于治疗和预防老年人的骨质疏松症。最近人们认识到,不仅保持骨骼健康,而且保持肌肉力量都需要摄入更多的维生素D。老年人可能需要更多晒太阳以改善骨骼健康。维生素K、C或B12缺乏也可能是骨质疏松症和骨折的重要可改变风险因素。过量补充视黄醇可能会导致更高的骨质流失。因此,富含水果、蔬菜以及鱼和肉的此类饮食可以在这些维生素之间实现平衡,应推荐用于预防或治疗骨质疏松症。