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BONES, JOINTS & MUSCLESPrevent fractures: preventfalls first, not calciumfirst1JAMA 2017 (33 RCTs): calcium, vitamin D or both —no significant reduction in hip or total fractures2The cost of calcium pills: kidney stones, gutsymptoms3Cochrane 2019 (108 RCTs): exercise cuts fall rateby 23%, high certainty4Balance and functional training works best; tai chimay cut falls 19%5WHO: about 684,000 fall deaths a year worldwide,most in people 60+6Diagnosed osteoporosis on treatment: calcium and Das prescribed alongside your medicationKidney patients: calcium is decided by your nephrologist from bloodcalcium, phosphate and PTH — self-supplementing can speedvascular calcification.BBeyond CKDbeyondckd.com/en/cards/falls-not-calciumSources: Zhao JG et al. Calcium/vitamin D and fracture · Sherrington C et al.…Compiled from public clinical guidelines · General education, not individual medical advice
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Bones, joints & muscles

Prevent fractures: prevent falls first, not calcium first

A meta-analysis of 51,145 people: calcium pills didn’t reduce fractures in community-dwelling older adults. Something else did.

  1. 1JAMA 2017 (33 RCTs): calcium, vitamin D or both — no significant reduction in hip or total fractures
  2. 2The cost of calcium pills: kidney stones, gut symptoms
  3. 3Cochrane 2019 (108 RCTs): exercise cuts fall rate by 23%, high certainty
  4. 4Balance and functional training works best; tai chi may cut falls 19%
  5. 5WHO: about 684,000 fall deaths a year worldwide, most in people 60+
  6. 6Diagnosed osteoporosis on treatment: calcium and D as prescribed alongside your medication

Kidney patients: calcium is decided by your nephrologist from blood calcium, phosphate and PTH — self-supplementing can speed vascular calcification.

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A meta-analysis of 51,145 people: calcium pills didn’t reduce fractures in community-dwelling older adults. Something else did.

1. JAMA 2017 (33 RCTs): calcium, vitamin D or both — no significant reduction in hip or total fractures
2. The cost of calcium pills: kidney stones, gut symptoms
3. Cochrane 2019 (108 RCTs): exercise cuts fall rate by 23%, high certainty
4. Balance and functional training works best; tai chi may cut falls 19%
5. WHO: about 684,000 fall deaths a year worldwide, most in people 60+
6. Diagnosed osteoporosis on treatment: calcium and D as prescribed alongside your medication

Kidney patients: calcium is decided by your nephrologist from blood calcium, phosphate and PTH — self-supplementing can speed vascular calcification.

Sources: Zhao JG et al. Calcium/vitamin D and fracture — JAMA 2017; Sherrington C et al. Exercise for preventing falls — Cochrane 2019; WHO — Falls fact sheet
Verified: 2026-10-17

Cards and scripts are general health education compiled from public clinical guidelines. They are not individual medical advice and do not replace assessment by your doctor, pharmacist or dietitian. Please keep the sources and this notice when sharing; this page holds the latest version.
https://beyondckd.com/en/cards/falls-not-calcium
60-second short-video script

Shot list and voice-over. Vertical 9:16; put captions in the lower third. Every line maps to the sources on the left.

secScreenVoice-over
0–5Calcium bottleGetting older — daily calcium to prevent fractures?
5–25JAMA 2017 numbersThirty-three randomised trials, over fifty thousand older adults: calcium, vitamin D or both — fractures did not fall.
25–45Tai chi and balance trainingCochrane, 108 trials: exercise cuts falls by 23%, high certainty. Fracture equals bone times fall.
45–60Kidney + blood testKidney patients: calcium is decided from your blood work. Supplement on your own and your vessels may calcify first.

Sources (every point on the card maps to one)

Verified: 2026-10-17