Falls are common among older people. Seniors living in long-term care facilities are particularly prone to fall. Seniors in such facilities also suffer from more serious consequences, such as fractures, which further expose seniors to surgery and its complications such as pulmonary embolism, infection, and physical deterioration.
Falls are also very costly. They result in more injuries, longer hospital stays, and more lawsuits. They cost more than $4,000 in excess charges per hospitalization.
Drs Gilbert Chua and Roger Wong, of the University of British Columbia, recently did a needed meta-analysis of falls and vitamin D dosing schedules. They looked at daily dosing versus monthly or quarter year dosing. They wanted to know if huge monthly or three month “Stoss” doses that physicians use in Europe, Australia, and New Zealand, are effective or as good as daily dosing?
Drs Chua and Wong analyzed 79 studies to find 28 studies with four randomized controlled trials on falls and vitamin D that met their selection criteria. They found that daily dosing reduced falls 16% more than Stoss dosing. The authors concluded,
“As far as we know, this is the first systematic review that takes dosing regimen of vitamin D into account in fall prevention among LTC seniors. We found that intermittent supratherapeutic doses could possibly undermine the effectiveness of vitamin D in fall prevention. In this systematic review of four double-blinded, randomized, controlled trials, vitamin D at all doses was found to be effective in reducing rate of falls, with statistical significance, by 28%. Exclusion of the study using 100,000 IU quarterly was found to have a further increase of effectiveness by 16%.”
I believe the same thing is true with flu and cold prevention. A high monthly dose of 100,000 IU/month did not prevent flus and colds.
However, a daily dose of 4,000 IU/day did.
Vitamin D needs to be taken every day, not once a month or even once a week. When we were evolving, we got vitamin D every day. I advise that you do the same.