The C.A.M. Report
Complementary and Alternative Medicine: Fair, Balanced, and to the Point
  • About this web log

    This blog is intended as an objective and dispassionate source of information on the latest CAM research. Since my background is in pharmacy and allopathic medicine, I view all CAM as advancing through the development pipeline to eventually become integrated into mainstream medical practice. Some will succeed while others fail. But all are treated fairly here.

  • About the author

    John Russo, Jr., PharmD, is president of The MedCom Resource, Inc. Previously, he was senior vice president of medical communications at, a complementary and alternative medicine website.

  • Common sense considerations

    The material on this weblog is for informational purposes. It is not medical advice or counsel. Be smart, consult your health professional before using CAM.

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    Maintaining vitamin D levels in nursing home patients

     In older adults, 25-hydroxyvitamin D (aka vitamin D3) blood levels of 75 nmol/L reduce the risk of fracture.

    Eating a fortified bun once daily is all it takes to meet this goal, according to researchers Canada and Romania.

    First, the details.

    • 45 nursing home residents ate 1 bun daily that was fortified with 125 µg (5000 IU) vitamin D3 and 320 mg elemental calcium.

    And, the results.

    • At the start of the study, the average vitamin D blood level was 29 nmol/L.
    • 12 months later, the vitamin D blood level was 126 nmol/L, and exceeded 74 nmol/L in 92% of patients.
    • Z-scores for bone mineral density at the lumbar spine and the hip both increased significantly.
      • A Z-score measures a patient’s bone mineral density compared to the average for their age, sex, and ethnicity.

    The bottom line?
    The authors came to 2 conclusions for older adults living in a nursing home.

    • Fortifying bread with more vitamin D produced no bad effects and improved bone density.
    • This approach provides a way to ensure that vitamin D–deficient older adults attain desirable vitamin D levels.

    3/18/09 22:02 JR

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