Letters

Calcium, vitamin D, and hip fractures Incidence of falls may have decreased

BMJ 1994; 309 doi: https://doi.org/10.1136/bmj.309.6948.193 (Published 16 July 1994) Cite this as: BMJ 1994;309:193
  1. T Mets
  1. Academic Hospital, Free University of Brussels, B-1090 Brussels, Belgium
  2. Health Economics Research Unit, Health Services Research Unit, University of Aberdeen, Medical School, Aberdeen AB9 2ZD.

    EDITOR, - Maric C Chapuy and colleagues report that treatment with cholecalciferol and calcium prevents non-vertebral fractures in elderly women and suggest that this is due to an improvement in bone metabolism.1 As they mentioned in a previous report of this study, however, the resulting increase in bone density is low.2 A more likely explanation for the results might be a decrease in the incidence of falls in the active treatment group. This incidence, however, was not reported.

    A difference in the incidence of falls between the two groups could be explained by the muscular effects of cholecalciferol treatment. Indeed, …

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