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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.
Legenda (pronta para colar)
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. Fontes: 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 Verificado em: 2026-10-17 Os cards e roteiros são informações gerais de educação em saúde, organizadas a partir de diretrizes clínicas públicas. Eles não são aconselhamento médico individual e não substituem a avaliação do seu médico, farmacêutico ou nutricionista. Ao compartilhar, mantenha as fontes e este aviso; esta página traz a versão mais atual. https://beyondckd.com/pt/cards/falls-not-calcium
Roteiro de vídeo curto de 60 segundos
Lista de cenas e narração. Vertical 9:16; legendas recomendadas no terço inferior. Cada fala corresponde às fontes na coluna da esquerda.
| s | Tela | Narração |
|---|---|---|
| 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. |
Fontes (cada ponto do card corresponde a uma)
- 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
Verificado em: 2026-10-17