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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.
- 1JAMA 2017 (33 RCTs): calcium, vitamin D or both — no significant reduction in hip or total fractures
- 2The cost of calcium pills: kidney stones, gut symptoms
- 3Cochrane 2019 (108 RCTs): exercise cuts fall rate by 23%, high certainty
- 4Balance and functional training works best; tai chi may cut falls 19%
- 5WHO: about 684,000 fall deaths a year worldwide, most in people 60+
- 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.
Légende (prête à coller)
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 Vérifié le: 2026-10-17 Cartes et scripts sont des informations d'éducation à la santé issues de recommandations cliniques publiques. Ce ne sont pas des conseils médicaux individuels et ils ne remplacent pas l'évaluation de votre médecin, pharmacien ou diététicien. Conservez les sources et cet avertissement lors du partage ; cette page fait foi pour la version la plus récente. https://beyondckd.com/fr/cards/falls-not-calcium
Script vidéo courte 60 s
Plans et voix off. Vertical 9:16 ; sous-titres dans le tiers inférieur. Chaque phrase renvoie aux sources à gauche.
| s | Image | Voix off |
|---|---|---|
| 0–5 | Calcium bottle | Getting older — daily calcium to prevent fractures? |
| 5–25 | JAMA 2017 numbers | Thirty-three randomised trials, over fifty thousand older adults: calcium, vitamin D or both — fractures did not fall. |
| 25–45 | Tai chi and balance training | Cochrane, 108 trials: exercise cuts falls by 23%, high certainty. Fracture equals bone times fall. |
| 45–60 | Kidney + blood test | Kidney patients: calcium is decided from your blood work. Supplement on your own and your vessels may calcify first. |
Sources (chaque point de la carte y renvoie)
- 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
Vérifié le: 2026-10-17