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Older Swedish Adult...
Older Swedish Adults with High Self-Perceived Health Show Optimal 25-Hydroxyvitamin D Levels Whereas Vitamin D Status Is Low in Patients with High Disease Burden
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- Carlsson, Martin (författare)
- Linnéuniversitetet,Institutionen för medicin och optometri (MEO),County Hospital Kalmar, Sweden; Linnaeus University, Sweden,DISA;DISA-IDP
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- Wanby, Pär (författare)
- County Hospital Kalmar, Sweden
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- Brudin, Lars (författare)
- Linköpings universitet,Avdelningen för kardiovaskulär medicin,Medicinska fakulteten,County Hospital, Sweden
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- Lexne, Erik (författare)
- County Hospital Kalmar, Sweden
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- Mathold, Karin (författare)
- County Hospital Kalmar, Sweden
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- Nobin, Rebecca (författare)
- County Hospital Kalmar, Sweden
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- Ericson, Lisa (författare)
- Linnéuniversitetet,Institutionen för medicin och optometri (MEO),DISA;DISA-IDP,Linnaeus University, Sweden
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- Nordqvist, Ola (författare)
- Kalmar County Council, Sweden,DISA;DISA-IDP
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- Petersson, Göran (författare)
- Linnéuniversitetet,Institutionen för medicin och optometri (MEO),eHälsoinstitutet;eHealth Institute;DISA;DISA-IDP,Linnaeus University, Sweden
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(creator_code:org_t)
- 2016-11-11
- 2016
- Engelska.
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Ingår i: Nutrients. - : MDPI AG. - 2072-6643. ; 8:11
- Relaterad länk:
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https://doi.org/10.3...
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https://www.mdpi.com...
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https://liu.diva-por... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.3...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- Controversy pervades the definition of adequate and optimal vitamin D status. The Institutes of Medicine have recommended serum 25(OH) D levels above 50 nmol/L based upon evidence related to bone health, but some experts, including the Endocrine Society and International Osteoporosis Foundation, suggest a minimum serum 25(OH) D level of 75 nmol/L to reduce the risk of falls and fractures in older adults. In a cross-sectional study, we compared vitamin D status in people >= 75 years selected from four groups with a frailty phenotype, combined with a control group free from serious illness, and who considered themselves completely healthy. Only 13% of the 169 controls were vitamin D deficient (S-25(OH) D) < 50 nmol/L), in contrast with 49% of orthopedic patients with hip fractures (n = 133), 31% of stroke patients (n = 122), 39% of patients visiting the hospital's emergency department >= 4 times a year (n = 81), and 75% of homebound adult residents in long-term care nursing homes (n = 51). The mean vitamin D concentration of the healthy control group (74 nmol/L) was similar to a suggested optimal level based on physiological data and mortality studies, and much higher than that of many officially recommended cut-off levels for vitamin D deficiency (< 50 nmol/L). The present study provides a basis for planning and implementing public guidelines for the screening of vitamin D deficiency and vitamin D treatment for frail elderly patients.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Näringslära (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nutrition and Dietetics (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Nyckelord
- vitamin D
- 25-hydroxyvitamin D
- Sweden
- emergency care
- frail older adult
- Medicin
- Medicine
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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