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Care of the older person
Randomised controlled trial
Implementation of a feasible monthly vitamin D intervention in homebound older adults using a Meals-on-Wheels programme
  1. Violet S. Lagari1,2,
  2. Silvina Levis1,2
  1. 1University of Miami School of Medicine, Miami, Florida, USA;
  2. 2Miami Veterans Affairs Healthcare System, Miami, Florida, USA
  1. Correspondence to : Dr Violet Lagari, Division of Endocrinology, Diabetes, and Metabolism, University of Miami Health System, 1450 NW 10th Ave Suite 805 Miami, FL 33136, USA; vlagarilibhaber{at}med.miami.edu
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http://dx.doi.org/10.1136/eb-2016-102331

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    Commentary on: Houston DK, Tooze JA, Demons JL, et al. Delivery of a vitamin D intervention in homebound older adults using a Meals-on-Wheels program: a pilot study. J Am Geriatr Soc 2015;63:1861–7.OpenUrlCrossRefPubMed

    Implications for practice and research

    • Delivery of a monthly vitamin D supplement as part of a Meals-on-Wheels programme for homebound older adults who have low baseline 25(OH) vitamin D (25(OH)D) levels was effective in improving 25(OH)D levels and decreasing the rate of falls.

    • Future studies should focus on larger sample sizes, use of a double-blind or random route method for inclusion in the statistical analysis, and use of variable dosing schemes for the vitamin D intervention.

    Context

    Studies of vitamin D and falls prevention have demonstrated variable results. …

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