topicCalcium Fracture Prevention Randomized Trial
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 Randomized Trial
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 Randomized Trial
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 Randomized Trial
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 Randomized Trial
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 Randomized Trial
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 Randomized Trial
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 Randomized Trial
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