Gani Linsey Utami, How Choon How
Department of Endocrinology, Changi General Hospital, Singapore.
Health and Care Integration, Changi General Hospital, Singapore.
Singapore Med J. 2015 Aug;56(8):433-6; quiz 437. doi: 10.11622/smedj.2015119.
Vitamin D deficiency is common and may contribute to osteopenia, osteoporosis and falls risk in the elderly. Screening for vitamin D deficiency is important in high-risk patients, especially for patients who suffered minimal trauma fractures. Vitamin D deficiency should be treated according to the severity of the deficiency. In high-risk adults, follow-up serum 25-hydroxyvitamin D concentration should be measured 3-4 months after initiating maintenance therapy to confirm that the target level has been achieved. All patients should maintain a calcium intake of at least 1,000 mg for women aged ≤ 50 years and men ≤ 70 years, and 1,300 mg for women > 50 years and men > 70 years.
维生素D缺乏症很常见，可能会导致老年人骨质减少、骨质疏松和跌倒风险。对高危患者进行维生素D缺乏症筛查很重要，尤其是对于发生轻微创伤性骨折的患者。应根据维生素D缺乏的严重程度进行治疗。对于高危成年人，在开始维持治疗3-4个月后应测量血清25-羟维生素D浓度，以确认是否达到目标水平。所有患者，年龄≤50岁的女性和≤70岁的男性应保持至少1000毫克的钙摄入量，年龄>50岁的女性和>70岁的男性应保持1300毫克的钙摄入量。
