MENA 2024 Recordings-Ca-D FRAX Controversy

Video Transcription

Video Summary

The session discusses the complex interplay of calcium and vitamin D in bone health, emphasizing vitamin D's role in preventing conditions like rickets and osteomalacia while considering the risks and benefits of supplementation in various populations. Low vitamin D leads to reduced calcium absorption, potentially increasing fracture risks, while supplementation can counteract these effects. The presentation reviews several studies and meta-analyses, concluding that while combined calcium and vitamin D supplementation can reduce fracture risks, especially in high-risk groups like the institutionalized elderly, vitamin D alone shows no significant fracture reduction. The discussion touches on megatrial findings, osteoporosis drug trials, and updated guidelines, emphasizing distinct approaches for low-risk versus high-risk populations. It advises against widespread vitamin D screening in low-risk individuals, favoring tailored supplementation strategies and cautioning about potential adverse events and the need for personalized dosages.

Asset Subtitle

Dr El-Hajj Fuleihan

Keywords

calcium

vitamin D

bone health

supplementation

fracture risk

osteoporosis