Osteoporose – gibt es Indikationen für eine Vitamin-D-Therapie?

Abstract

Adequate intake of vitamin D and calcium are fundamental for the treatment of osteoporosis. A normal vitamin D status is required for optimal intestinal calcium absorption. However, general calcium and vitamin D supplementation is not sufficient for prevention of osteoporotic fractures in persons older than 50 years. Nevertheless, vitamin D deficiency should be avoided and corrected. In particular, parts of the population with increased risk for vitamin D deficiency (immobilized or older individuals, swarthy, migrants) should be tested. Secondary causes of vitamin D deficiency should be identified and treated.

Dass Osteoporose mit Kalzium zu tun hat, ist inzwischen in der Allgemeinbevölkerung bekannt – vielleicht sogar auch, dass Vitamin D wichtig ist. Der Praktiker sollte jedoch fundierte Kenntnisse haben. Wussten Sie schon, dass eine zu hohe Vitamin-D-Dosierung das Sturzrisiko erhöht? Oder wann es sinnvoll ist, den Vitamin-D-Status zu überprüfen? Dieser Beitrag frischt Ihr Basiswissen auf und bringt Sie auf den aktuellen Stand.

Schlüsselwörter

Osteoporose - Vitamin D - Kalzium - Knochen - Fraktur

Key words

osteoporosis - vitamin D - calcium - bone - fracture

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