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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.
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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. 출처(카드의 각 항목과 대응): 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 확인일: 2026-10-17 카드와 대본은 공개 임상 가이드라인에 근거한 일반 건강 교육 정보이며 개인 의료 조언이 아니고 의사·약사·영양사의 평가를 대신하지 않습니다. 공유 시 출처와 이 안내를 유지해 주세요. 최신판은 이 페이지가 기준입니다. https://beyondckd.com/ko/cards/falls-not-calcium
60초 숏폼 영상 대본
장면과 내레이션. 세로 9:16, 자막은 하단 1/3에. 각 내레이션은 왼쪽 출처와 대응.
| 초 | 화면 | 내레이션 |
|---|---|---|
| 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. |