A new study, published in the November Journal of the American Geriatrics Society, has found that 22 percent of hostel residents and a staggering 45 percent of residents in nursing homes suffer from vitamin D deficiency. Vitamin D is synthesized in the skin during sun exposure. It helps to absorb dietary calcium and is vital in forming and maintaining strong bones. "Most of us are able to get our daily requirement for vitamin D from sun exposure plus a small amount from our diets. For elderly people in residential care, this is more problematic as most have impaired mobility, therefore more difficulty getting outdoors," said chief investigator, Professor John Wark.
"In addition, the skin of elderly people is less effective at producing vitamin D, further compounding the problem. In Australia, there are few dietary sources for vitamin D, so it is very difficult to make up for the lack of vitamin D production in the skin of people with very restricted sunlight exposure," he says.
"Vitamin D supplements should generally prevent this problem and should be used more widely," he says.
It has been known that adequate vitamin D levels are needed for healthy bones. While other conditions such as impaired cognition and medications are known risk factors for falls, this new study, along with other recent research, indicates that muscle strength and avoidance of falls also require adequate vitamin D stores in the body.
As vitamin D levels decrease, the chance that a fall will occur increases. Vitamin D deficiency is doubly risky, because it increases the risk of falling and it reduces the strength of bone to withstand breaking due to falls.
Vitamin D deficiency can lead to bone diseases, including osteoporosis, that weaken bone. Osteoporosis is the progressive thinning of bone tissue. It is common among the ageing and elderly, with studies estimating that 50 year old women have an almost 60% chance of suffering from an osteoporosis-related fracture in the remainder of their lives.