TY - JOUR PY - 2020// TI - Vitamin D megadose: definition, efficacy in bone metabolism, risk of falls and fractures JO - Open access rheumatology : research and reviews A1 - Narvaez, Jemina A1 - Maldonado, Genessis A1 - Guerrero, Roberto A1 - Messina, Osvaldo Daniel A1 - Rios, Carlos SP - 105 EP - 115 VL - 12 IS - N2 - INTRODUCTION: Currently, approximately more than one billion people around the world are considered to have deficient levels of vitamin D. International consensus recommends vitamin D supplementation to high-risk patients (advanced age, osteoporosis, liver failure, malabsorption syndromes, etc.) and those with levels below 30 ng/mL. There are several vitamin D formulations and dosages available, including megadoses. At the moment, there is no consensus on the definition of megadoses. The purpose of this review is to define what is a megadose and analyze its effectiveness in bone metabolism, risk of fractures and falls. Conclusion: The administration of doses higher than 100,000 IU of vitamin D is considered a megadose. It is evident that the use of megadoses increases serum concentrations of vitamin D; however, there has been no evidence of a decrease in the risk of falls, vertebral fractures or changes in bone mineral density.

Language: en

LA - en SN - 1179-156X UR - http://dx.doi.org/10.2147/OARRR.S252245 ID - ref1 ER -