Relevance of Calcium and Vitamin D in Supporting Bone Health: An Expert Panel Recommendation in Indonesia
International Journal of Nutrition and Food Sciences
Volume 9, Issue 2, March 2020, Pages: 54-62
Received: Aug. 22, 2019;
Accepted: Apr. 23, 2020;
Published: May 14, 2020
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Saptawati Bardosono, Department of Nutrition, Faculty of Medicine, University of Indonesia/ Cipto Mangunkusumo Hospital, Jakarta, Indonesia
Andon Hestiantoro, Department of Obstetrics & Gynecology, University of Indonesia/ Cipto Mangunkusumo Hospital, Jakarta, Indonesia
Andri Maruli Tua Lubis, Department of Orthopaedic Faculty of Medicine, Universitas Indonesia / Cipto Mangunkusumo Hospital, Jakarta, Indonesia
Siti Setiati, Department of Internal Medicine Faculty of Medicine, Universitas Indonesia / Cipto Mangunkusumo Hospital, Jakarta, Indonesia
Ani Retno Prijanti, Department Biochemistry and Molecular Biology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
Purwantyastuti, Department of Pharmacology, Faculty of Medicine, Universitas Indonesia / Cipto Mangunkusumo Hospital, Jakarta, Indonesia
Luciana Sutanto, Department of Nutrition, Universitas Kristen Kr, Jakarta, Indonesia
Maria Regina Rachmawati, Faculty of Medicine, Universitas Gunadarma / Pasar Minggu Municipal Hospital, Jakarta, Indonesia
Sheryl Tan, Medical & Clinical Development, Bayer Consumer Care, Singapore
Osteoporosis is a bone health related condition that weakens the bones, making individuals fragile and prone to breaks. Nutrients such as calcium and vitamin D are essential for bone health. Calcium helps in building and maintaining bone mass while vitamin D aids in the absorption and utilization of calcium. According to WHO, 28.8% men and 32.3% women in Indonesia have osteoporosis, and this is inspite of the international recommendations for the daily intake of calcium and vitamin D intake. This could be attributed to low community awareness on how to prevent and care for osteoporosis. Several high-risk population groups have been identified such as those with osteopenia, undergoing rehabilitation and pregnancy/lactation periods. Therefore, in this review, an expert panel comprising of specialties of dietetics, rehabilitation medicine, orthopaedic, obstetrics & gynaecology, pharmacology, and geriatrics, convened to provide an evidence-based guidance on the prevention and care for osteoporosis. The recommendations are as follows: (i) It is important to know that calcium and vitamin D work synergistically to maintain bone health. (ii) The intake of calcium and vitamin D must start early. (iii) We should be aware that our diet and lifestyle today does not allow us to meet the recommended daily intake of calcium and vitamin D required for optimal bone health. (iv) Supplementation can compensate for the deficits in both calcium and vitamin D intake, thereby strengthening bone health. This study could guide the primary health care team, who plays a critical role in community care, to encourage early bone health awareness and care in Indonesia.
Andri Maruli Tua Lubis,
Ani Retno Prijanti,
Maria Regina Rachmawati,
Relevance of Calcium and Vitamin D in Supporting Bone Health: An Expert Panel Recommendation in Indonesia, International Journal of Nutrition and Food Sciences.
Vol. 9, No. 2,
2020, pp. 54-62.
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