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Is vitamin D intake, insufficiency o...

The University of Nebraska - Lincoln.

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Is vitamin D intake, insufficiency or deficiency associated with falls in community-dwelling, rural, post-menopausal women?

Record Type:	Electronic resources : Monograph/item
Title/Author:	Is vitamin D intake, insufficiency or deficiency associated with falls in community-dwelling, rural, post-menopausal women?/
Author:	Travers Gustafson, Dianne.
Description:	138 p.
Notes:	Adviser: James A. Thorson.
Contained By:	Dissertation Abstracts International68-03A.
Subject:	Gerontology. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoeng/servlet/advanced?query=3254332

Is vitamin D intake, insufficiency or deficiency associated with falls in community-dwelling, rural, post-menopausal women?
Travers Gustafson, Dianne.

Is vitamin D intake, insufficiency or deficiency associated with falls in community-dwelling, rural, post-menopausal women? - 138 p.

Adviser: James A. Thorson.

Thesis (Ph.D.)--The University of Nebraska - Lincoln, 2007.

The purpose of this experimental, prospective, longitudinal study was to investigate the association of vitamin D intake and nutritional status, as measured by the serum biomarker 25-hydroxyvitamin D [25(OH)D], with incident falls among rural mid-Western women, aged 55 years and older. Falls are a leading cause of unintentional injury in older adults. Nutritional status, especially nutritional deficiency, is often neglected as an integral factor in fall risk assessment or fall prevention. An ecological model of health determinants was used to explore the interface of biological, behavioral, and environmental factors---including nutritional deficiency---that contribute to incident falls.Subjects--Topical Terms:

533633
Gerontology.

Is vitamin D intake, insufficiency or deficiency associated with falls in community-dwelling, rural, post-menopausal women?
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035 $a (UMI)AAI3254332
035 $a AAI3254332
040 $a UMI $c UMI
100 1 $a Travers Gustafson, Dianne. $3 1030879
245 1 0 $a Is vitamin D intake, insufficiency or deficiency associated with falls in community-dwelling, rural, post-menopausal women?
300 $a 138 p.
500 $a Adviser: James A. Thorson.
500 $a Source: Dissertation Abstracts International, Volume: 68-03, Section: A, page: 1121.
502 $a Thesis (Ph.D.)--The University of Nebraska - Lincoln, 2007.
520 $a The purpose of this experimental, prospective, longitudinal study was to investigate the association of vitamin D intake and nutritional status, as measured by the serum biomarker 25-hydroxyvitamin D [25(OH)D], with incident falls among rural mid-Western women, aged 55 years and older. Falls are a leading cause of unintentional injury in older adults. Nutritional status, especially nutritional deficiency, is often neglected as an integral factor in fall risk assessment or fall prevention. An ecological model of health determinants was used to explore the interface of biological, behavioral, and environmental factors---including nutritional deficiency---that contribute to incident falls.
520 $a Eleven hundred and eighty independently living, randomly selected women participated in the study for four years. They were each randomly assigned treatment with calcium 1500 mg/d and vitamin D 1000 IU/d, calcium 1500 mg/d and vitamin D placebo, or calcium placebo and vitamin D placebo. Data relating to incident falls were collected over four years of participation.
520 $a A chi-square test for independence, two-tailed t test, univariate and stepwise logistic regression, and Pearson correlations were used to analyze data. Results indicated that there were no significant reductions in the incidence of falls, or the number of women who reported a fall, with vitamin D supplementation. There was no evidence of the efficacy of vitamin D supplementation for fall prevention in the community-dwelling, older adult, female population in this study.
520 $a Risk factors significantly associated with women reporting a fall included: taking 4+ medications a day; having hypertension, cataracts, or pneumonia; and taking medications such as antihypertensives, antiarrhythmics, antidepressants, and diuretics. Risk factors significantly associated with incident falls included: age; taking 4+ medications a day; having hypertension, cataracts, pneumonia, dizziness, or depression; taking antihypertensive, antiarrhythmic, and diuretic medications.
520 $a Recommendations for future research include the conduct of prospective, longitudinal studies with falls as the primary outcome. Studies should target populations, including women and men of different races and ethnic backgrounds, assessed as having multiple fall risks, including vitamin D deficiency.
590 $a School code: 0138.
650 4 $a Gerontology. $3 533633
650 4 $a Health Sciences, Nutrition. $3 1017801
650 4 $a Women's Studies. $3 1017481
690 $a 0351
690 $a 0453
690 $a 0570
710 2 $a The University of Nebraska - Lincoln. $3 1024939
773 0 $t Dissertation Abstracts International $g 68-03A.
790 $a 0138
790 1 0 $a Thorson, James A., $e advisor
791 $a Ph.D.
792 $a 2007
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoeng/servlet/advanced?query=3254332