topicCalcium Fracture Prevention Meta-Analysis
claimSecondary outcomes included the risk of hip fracture, non-vertebral fracture, vertebral fracture, and falling, as well as the total number of falls.
evidence level1
citationMassé O (2026)
sourceCalcium, vitamin D, or combined supplementation to prevent fractures and falls: systematic review and meta-analysis.
topicCalcium Fracture Prevention Meta-Analysis
claimPairs of reviewers independently screened trials, extracted data, and assessed risk of bias using the second version of Cochrane's risk of bias tool.
evidence level1
citationMassé O (2026)
sourceCalcium, vitamin D, or combined supplementation to prevent fractures and falls: systematic review and meta-analysis.
topicCalcium Fracture Prevention Meta-Analysis
claimParticipants in most of the trials were community dwelling (87%) and not at high risk of fractures or falls (73%).
evidence level1
citationMassé O (2026)
sourceCalcium, vitamin D, or combined supplementation to prevent fractures and falls: systematic review and meta-analysis.
topicCalcium Fracture Prevention Meta-Analysis
claimObjective To assess the effect of calcium, vitamin D, or combined supplementation on fractures and falls in adults.
evidence level1
citationMassé O (2026)
sourceCalcium, vitamin D, or combined supplementation to prevent fractures and falls: systematic review and meta-analysis.
topicCalcium Fracture Prevention Meta-Analysis
claimSupported by this biological plausibility and by observational studies demonstrating a robust inverse association between serum 25-hydroxyvitamin D (25(OH)D) levels and the risk of fractures and falls, the medical community has witnessed a global surge in vitamin D screening and empiric supplementation over the past two decades [].
evidence level3
citationKong Sung Hye (2026)
sourceRevisiting the Role of Vitamin D in Fracture Prevention in the Era of Mega-Trials
topicCalcium Fracture Prevention Meta-Analysis
claimFurthermore, updated systematic reviews and meta-analyses published in 2025 have reinforced the conclusion that vitamin D supplementation does not reduce fall risk among community-dwelling older adults, with some analyses even suggesting potential harm at higher doses [-].
evidence level3
citationKong Sung Hye (2026)
sourceRevisiting the Role of Vitamin D in Fracture Prevention in the Era of Mega-Trials
topicCalcium Fracture Prevention Meta-Analysis
claimMost notably, the 2024 Endocrine Society Clinical Practice Guideline now recommends against empiric vitamin D supplementation in healthy adults younger than 75 years, signaling a decisive transition from universal screening toward a more targeted, risk-based approach [].
evidence level3
citationKong Sung Hye (2026)
sourceRevisiting the Role of Vitamin D in Fracture Prevention in the Era of Mega-Trials
topicCalcium Fracture Prevention Meta-Analysis
claim1 2 3 Vitamin D, often termed the ‘sunshine hormone,’ has been a cornerstone of musculoskeletal preventive medicine for decades.
evidence level3
citationKong Sung Hye (2026)
sourceRevisiting the Role of Vitamin D in Fracture Prevention in the Era of Mega-Trials