[Vitamin D supplementation in the elderly: guidelines and practice]

Ned Tijdschr Geneeskd. 2013;157(33):A5779.
[Article in Dutch]

Abstract

Objective: In 2008, the Health Council of the Netherlands published an advice on vitamin D supplementation for the elderly. Nevertheless, suspicion arose at the Ministry of Health, Welfare and Sport and the Netherlands Nutrition Centre that vitamin D supplementation in the elderly is still insufficient. We aimed to determine the extent to which general practitioners and elderly care physicians actually followed the advice of the Health Council.

Design: Questionnaire study.

Method: Brief questionnaires were sent to all elderly care physicians in the Netherlands. Some questions were also posed to general practitioners at a network meeting of the Academic Network of GP Practices of the VU University Medical Center in Amsterdam.

Results: More than two-thirds of the respondents, both elderly care physicians and general practitioners, are familiar with the guidelines of the Health Council of the Netherlands on vitamin D supplementation in the elderly, but about half do not prescribe vitamin D when the guideline advises to do so. When supplementation is prescribed, about half of the elderly care physicians and a fifth of the general practitioners uses an insufficient dose.

Conclusion: The guidelines of the Health Council of the Netherlands on vitamin D supplementation in the elderly are not sufficiently followed by elderly care physicians and general practitioners. Awareness of and support for the vitamin D supplementation guidelines among health care providers is still limited.

MeSH terms

  • Aged
  • Aging / physiology*
  • Dietary Supplements
  • Elder Nutritional Physiological Phenomena*
  • Female
  • General Practitioners / psychology*
  • Health Knowledge, Attitudes, Practice*
  • Health Services for the Aged / standards
  • Health Services for the Aged / statistics & numerical data
  • Humans
  • Male
  • Nutrition Policy
  • Nutritional Requirements
  • Practice Patterns, Physicians'
  • Surveys and Questionnaires
  • Vitamin D / administration & dosage*
  • Vitamin D Deficiency / prevention & control

Substances

  • Vitamin D