| Peer-Reviewed

Relevance of Calcium and Vitamin D in Supporting Bone Health: An Expert Panel Recommendation in Indonesia

Received: 22 August 2019     Accepted: 23 April 2020     Published: 14 May 2020
Views:       Downloads:
Abstract

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.

Published in International Journal of Nutrition and Food Sciences (Volume 9, Issue 2)
DOI 10.11648/j.ijnfs.20200902.13
Page(s) 54-62
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Calcium, Vitamin D, Indonesia, Supplement, Osteoporosis, Pregnancy

References
[1] B. campus Open text, “6.1 The Functions of the Skeletal System – Anatomy and Physiology.” [Online]. Available: https://opentextbc.ca/anatomyandphysiology/chapter/6-1-the-functions-of-the-skeletal-system/. [Accessed: 07-May-2019].
[2] “Johns Hopkins Bayview News - The Importance of Bone Health.” [Online]. Available: https://www.hopkinsmedicine.org/news/publications/jh_bayview_news/summer_2013/the_importance_of_bone_health. [Accessed: 07-May-2019].
[3] “Osteoporosis,” nhs.uk, 03-Oct-2018. [Online]. Available: https://www.nhs.uk/conditions/osteoporosis/. [Accessed: 07-May-2019].
[4] “Pregnancy, Breastfeeding and Bone Health | NIH Osteoporosis and Related Bone Diseases National Resource Center.” [Online]. Available: https://www.bones.nih.gov/health-info/bone/bone-health/pregnancy. [Accessed: 07-May-2019].
[5] “Osteoporosis in Rehabilitation.” [Online]. Available: https://www.aapmr.org/about-physiatry/conditions-treatments/musculoskeletal-medicine/osteoporosis-in-rehabilitation. [Accessed: 07-May-2019].
[6] Y. Dionyssiotis, G. Skarantavos, and P. Papagelopoulos, “Modern Rehabilitation in Osteoporosis, Falls, and Fractures,” Clin. Med. Insights Arthritis Musculoskelet. Disord., vol. 7, pp. 33–40, Jun. 2014.
[7] E. M. C. Lau, “Osteoporosis–a worldwide problem and the implications in Asia.,” Ann. Acad. Med. Singapore, vol. 31, no. 1, pp. 67–68, 2002.
[8] “Asian_regional_audit_Indonesia.pdf.”.
[9] “Vitamin D, calcium homeostasis and aging.” [Online]. Available: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5068478/. [Accessed: 22-Apr-2019].
[10] “Office of Dietary Supplements - Calcium.” [Online]. Available: https://ods.od.nih.gov/factsheets/Calcium-HealthProfessional/. [Accessed: 16-Apr-2019].
[11] M. Brini, T. Calì, D. Ottolini, and E. Carafoli, “Intracellular calcium homeostasis and signaling,” Met. Ions Life Sci., vol. 12, pp. 119–168, 2013.
[12] E. Carafoli and J. Krebs, “Why Calcium? How Calcium Became the Best Communicator,” J. Biol. Chem., vol. 291, no. 40, pp. 20849–20857, Sep. 2016.
[13] M. P. Blaustein, “Intracellular Calcium as a Second Messenger,” in Calcium in Biological Systems, R. P. Rubin, G. B. Weiss, and J. W. Putney, Eds. Boston, MA: Springer US, 1985, pp. 23–33.
[14] S. Mohammad-Alizadeh-Charandabi, M. Mirghafourvand, A. Mansouri, M. Najafi, and F. Khodabande, “The Effect of Vitamin D and Calcium plus Vitamin D during Pregnancy on Pregnancy and Birth Outcomes: a Randomized Controlled Trial,” J. Caring Sci., vol. 4, no. 1, pp. 35–44, Mar. 2015.
[15] E. M. Curtis, R. J. Moon, E. M. Dennison, and N. C. Harvey, “Prenatal Calcium and Vitamin D Intake, and Bone Mass in Later Life,” Curr. Osteoporos. Rep., vol. 12, no. 2, pp. 194–204, Jun. 2014.
[16] A. J. Phillips, S. J. Ostlere, and R. Smith, “Pregnancy-associated osteoporosis: does the skeleton recover?,” Osteoporos. Int. J. Establ. Result Coop. Eur. Found. Osteoporos. Natl. Osteoporos. Found. USA, vol. 11, no. 5, pp. 449–454, 2000.
[17] F. Dunne, B. Walters, T. Marshall, and D. A. Heath, “Pregnancy associated osteoporosis,” Clin. Endocrinol. (Oxf.), vol. 39, no. 4, pp. 487–490, Oct. 1993.
[18] “Calcium and Vitamin D: Skeletal and Extraskeletal Health.” [Online]. Available: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2669834/. [Accessed: 22-Apr-2019].
[19] R. Boland, “Role of Vitamin D in Skeletal Muscle Function,” Endocr. Rev., vol. 7, no. 4, pp. 434–448, Nov. 1986.
[20] W. B. Grant and M. F. Holick, “Benefits and Requirements of Vitamin D for Optimal Health: A Review,” Vitam. D, vol. 10, no. 2, p. 18, 2005.
[21] K. M. Kim et al., “Interactions Between Dietary Calcium Intake and Bone Mineral Density or Bone Geometry in a Low Calcium Intake Population (KNHANES IV 2008–2010),” J. Clin. Endocrinol. Metab., vol. 99, no. 7, pp. 2409–2417, Jul. 2014.
[22] O. Bruyère et al., “Effects of vitamin D in the elderly population: current status and perspectives,” Arch. Public Health, vol. 72, Sep. 2014.
[23] “Bone and nutrition in elderly women: protein, energy, and calcium as main determinants of bone mineral density. - PubMed - NCBI.” [Online]. Available: https://www.ncbi.nlm.nih.gov/pubmed/12700617. [Accessed: 22-Apr-2019].
[24] R. Rizzoli et al., “The role of dietary protein and vitamin D in maintaining musculoskeletal health in postmenopausal women: A consensus statement from the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO),” Maturitas, vol. 79, no. 1, pp. 122–132, Sep. 2014.
[25] J. A. Sunyecz, “The use of calcium and vitamin D in the management of osteoporosis,” Ther. Clin. Risk Manag., vol. 4, no. 4, pp. 827–836, Aug. 2008.
[26] “Office of Dietary Supplements - Vitamin D.” [Online]. Available: https://ods.od.nih.gov/factsheets/VitaminD-HealthProfessional/. [Accessed: 17-Apr-2019].
[27] “Nutrition Improvement.” [Online]. Available: http://www.perwatusi.or.id/index.php/id/kenali-keropos-tulang/pencegahan/perbaikan-gizi. [Accessed: 14-Jun-2019].
[28] “Calcium | International Osteoporosis Foundation.” [Online]. Available: https://www.iofbonehealth.org/osteoporosis-musculoskeletal-disorders/osteoporosis/prevention/calcium. [Accessed: 13-May-2019].
[29] “Vitamin D | International Osteoporosis Foundation.” [Online]. Available: https://www.iofbonehealth.org/osteoporosis-musculoskeletal-disorders/osteoporosis/prevention/vitamin-d. [Accessed: 13-May-2019].
[30] T. O. Carpenter, N. J. Shaw, A. A. Portale, L. M. Ward, S. A. Abrams, and J. M. Pettifor, “Rickets,” Nat. Rev. Dis. Primer, vol. 3, p. 17101, Dec. 2017.
[31] C. F. Munns et al., “Global Consensus Recommendations on Prevention and Management of Nutritional Rickets,” J. Clin. Endocrinol. Metab., vol. 101, no. 2, pp. 394–415, Feb. 2016.
[32] S. Uday and W. Högler, “Nutritional Rickets and Osteomalacia in the Twenty-first Century: Revised Concepts, Public Health, and Prevention Strategies,” Curr. Osteoporos. Rep., vol. 15, no. 4, pp. 293–302, 2017.
[33] A. L. Bueno and M. A. Czepielewski, “The importance for growth of dietary intake of calcium and vitamin D,” J. Pediatr. (Rio J.), vol. 84, no. 5, pp. 386–394, Oct. 2008.
[34] “Healthy Bones at Every Age - OrthoInfo - AAOS.” [Online]. Available: https://www.orthoinfo.org/en/staying-healthy/healthy-bones-at-every-age/. [Accessed: 13-May-2019].
[35] R. Sugianto, J. Titus, and M. Siagian, “Risk factors of low peak bone mass in Indonesian women,” J. Gizi Klin. Indones., vol. 11, no. 2, pp. 78–84, Oct. 2014.
[36] S. Sandjaja et al., “Food consumption and nutritional and biochemical status of 0•5-12-year-old Indonesian children: the SEANUTS study,” Br. J. Nutr., vol. 110 Suppl 3, pp. S11-20, Sep. 2013.
[37] F. Soesanti, A. Pulungan, B. Tridjaja, and J. R. Batubara, “Vitamin D profile in healthy children aged 7-12 years old in Indonesia,” Int. J. Pediatr. Endocrinol., vol. 2013, no. Suppl 1, p. P167, 2013.
[38] “Universitas Gadjah Mada: Indonesian Children Susceptible to Vitamin D Deficiency.” [Online]. Available: http://ugm.ac.id/en/news/16274-indonesian.children.susceptible.to.vitamin.d.deficiency. [Accessed: 23-Apr-2019].
[39] Y. Hartriyanti, P. S. T. Suyoto, H. F. L. Muhammad, and I. R. Palupi, “Nutrient intake of pregnant women in Indonesia: a review,” Malays. J. Nutr., vol. 18, no. 1, pp. 113–124, Apr. 2012.
[40] For the International Osteoporosis Foundation Calcium Steering Committee et al., “Global dietary calcium intake among adults: a systematic review,” Osteoporos. Int., vol. 28, no. 12, pp. 3315–3324, Dec. 2017.
[41] “(PDF) Bone Density Status and Vitamin D and Calcium Concentrations in Pregnant and Non-Pregnant Women.” [Online]. Available: https://www.researchgate.net/publication/311630339_Bone_Density_Status_and_Vitamin_D_and_Calcium_Concentrations_in_Pregnant_and_Non-Pregnant_Women. [Accessed: 22-Apr-2019].
[42] M. C. Kruger and F. M. Wolber, “Osteoporosis: Modern Paradigms for Last Century’s Bones,” Nutrients, vol. 8, no. 6, Jun. 2016.
[43] N. E. Koundourakis and A. N. Margioris, “Vitamin D and Physical Activity,” Crit. Eval. Vitam. - Basic Overv., Apr. 2017.
[44] “THE GLOBAL EPIDEMIOLOGY OF VITAMIN D STATUS • JARCP The Journal of Aging Research & Clinical Practice.” [Online]. Available: http://www.jarcp.com/703-the-global-epidemiology-of-vitamin-d-status.html. [Accessed: 13-May-2019].
[45] K. R. Dewi, E. M. Hidayat, and A. Rachmawati, “Knowledge, Attitude, and Behavior Level of Women of Reproductive Age toward Calcium Intake,” Althea Med. J., p. 5.
[46] C. Wariyah, M. Astuti, S. Supriyadi, and C. Anwar, “CALCIUM ABSORPTION KINETIC ON INDONESIAN RICE,” Indones. J. Chem., vol. 8, no. 2, pp. 252–257, Jun. 2010.
[47] “Indonesian women – 95 percent do not have sufficient Vitamin D – Nov 2017 |.” [Online]. Available: https://vitamindwiki.com/Indonesian+women+%E2%80%93+95+percent+do+not+have+sufficient+Vitamin+D+%E2%80%93+Nov+2017. [Accessed: 17-Apr-2019].
[48] D. Sari, D. Harun Alrasyid, L. Nurlndrawaty, and L. Zulkif Ii, “Occurrence of vitamin D deficiency among women in North Sumatera, Indonesia,” Malays. J. Nutr., vol. 20, pp. 63–70, Jan. 2014.
[49] “(PDF) Is vitamin D defiiency associated with using veil in female garment workers?” [Online]. Available: https://www.researchgate.net/publication/304671112_Is_vitamin_D_defiiency_associated_with_using_veil_in_female_garment_workers. [Accessed: 22-Apr-2019].
[50] M. Wanner, A. Richard, B. Martin, J. Linseisen, and S. Rohrmann, “Associations between objective and self-reported physical activity and vitamin D serum levels in the US population,” Cancer Causes Control CCC, vol. 26, no. 6, pp. 881–891, Jun. 2015.
[51] M. R. Fernandes, “Association between physical activity and vitamin D: A narrative literature review,” Rev Assoc Med Bras, p. 7.
[52] J. Valtueña, D. Dominguez, L. Til, M. González-Gross, and F. Drobnic, “High prevalence of vitamin D insufficiency among elite Spanish athletes the importance of outdoor training adaptation,” Nutr. Hosp., vol. 30, no. 1, pp. 124–131, Jul. 2014.
[53] R. Scragg and C. A. Camargo, “Frequency of leisure-time physical activity and serum 25-hydroxyvitamin D levels in the US population: results from the Third National Health and Nutrition Examination Survey,” Am. J. Epidemiol., vol. 168, no. 6, pp. 577–586; discussion 587-591, Sep. 2008.
[54] I. S. Wicherts et al., “Vitamin D status predicts physical performance and its decline in older persons,” J. Clin. Endocrinol. Metab., vol. 92, no. 6, pp. 2058–2065, Jun. 2007.
[55] Y. Dionyssiotis, I. Paspati, G. Trovas, A. Galanos, and G. P. Lyritis, “Association of physical exercise and calcium intake with bone mass measured by quantitative ultrasound,” BMC Womens Health, vol. 10, p. 12, Apr. 2010.
[56] T. E. Howe et al., “Exercise for preventing and treating osteoporosis in postmenopausal women,” Cochrane Database Syst. Rev., no. 7, p. CD000333, Jul. 2011.
[57] J. M. Muir, C. Ye, M. Bhandari, J. D. Adachi, and L. Thabane, “The effect of regular physical activity on bone mineral density in post-menopausal women aged 75 and over: a retrospective analysis from the Canadian multicentre osteoporosis study,” BMC Musculoskelet. Disord., vol. 14, p. 253, Aug. 2013.
[58] B. K. Poh et al., “25-hydroxy-vitamin D demography and the risk of vitamin D insufficiency in the South East Asian Nutrition Surveys (SEANUTS).,” Asia Pac. J. Clin. Nutr., vol. 25, no. 3, pp. 538–548, 2015.
[59] H. A. Bischoff-Ferrari, J. R. Rees, M. V. Grau, E. Barry, J. Gui, and J. A. Baron, “Effect of calcium supplementation on fracture risk: a double-blind randomized controlled trial,” Am. J. Clin. Nutr., vol. 87, no. 6, pp. 1945–1951, Jun. 2008.
[60] I. R. Reid, “Should We Prescribe Calcium Supplements For Osteoporosis Prevention?,” J. Bone Metab., vol. 21, no. 1, pp. 21–28, Feb. 2014.
[61] R. Rajatanavin, L. Chailurkit, S. Saetung, A. Thakkinstian, and H. Nimitphong, “The efficacy of calcium supplementation alone in elderly Thai women over a 2-year period: a randomized controlled trial,” Osteoporos. Int. J. Establ. Result Coop. Eur. Found. Osteoporos. Natl. Osteoporos. Found. USA, vol. 24, no. 11, pp. 2871–2877, Nov. 2013.
[62] R. L. Prince, A. Devine, S. S. Dhaliwal, and I. M. Dick, “Effects of calcium supplementation on clinical fracture and bone structure: results of a 5-year, double-blind, placebo-controlled trial in elderly women,” Arch. Intern. Med., vol. 166, no. 8, pp. 869–875, Apr. 2006.
[63] V. Janakiraman, A. Ettinger, A. Mercado-Garcia, H. Hu, and M. Hernandez-Avila, “Calcium supplements and bone resorption in pregnancy: A randomized crossover trial,” Am. J. Prev. Med., vol. 24, no. 3, pp. 260–264, Apr. 2003.
[64] A. N. Hacker, E. B. Fung, and J. C. King, “Role of calcium during pregnancy: maternal and fetal needs,” Nutr. Rev., vol. 70, no. 7, pp. 397–409, Jul. 2012.
[65] H. A. Bischoff-Ferrari et al., “A pooled analysis of vitamin D dose requirements for fracture prevention,” N. Engl. J. Med., vol. 367, no. 1, pp. 40–49, Jul. 2012.
[66] H. A. Bischoff-Ferrari, W. C. Willett, J. B. Wong, E. Giovannucci, T. Dietrich, and B. Dawson-Hughes, “Fracture prevention with vitamin D supplementation: a meta-analysis of randomized controlled trials,” JAMA, vol. 293, no. 18, pp. 2257–2264, May 2005.
[67] R. H. Harwood, O. Sahota, K. Gaynor, T. Masud, D. J. Hosking, and Nottingham Neck of Femur (NONOF) Study, “A randomised, controlled comparison of different calcium and vitamin D supplementation regimens in elderly women after hip fracture: The Nottingham Neck of Femur (NONOF) Study,” Age Ageing, vol. 33, no. 1, pp. 45–51, Jan. 2004.
[68] P. Dewansingh, A. Melse-Boonstra, W. P. Krijnen, C. P. van der Schans, H. Jager-Wittenaar, and E. G. H. M. van den Heuvel, “Supplemental protein from dairy products increases body weight and vitamin D improves physical performance in older adults: a systematic review and meta-analysis,” Nutr. Res. N. Y. N, vol. 49, pp. 1–22, 2018.
[69] A. A. Ginde, A. F. Sullivan, J. M. Mansbach, and C. A. Camargo, “Vitamin D insufficiency in pregnant and nonpregnant women of childbearing age in the United States,” Am. J. Obstet. Gynecol., vol. 202, no. 5, pp. 436. e1-436. e8, May 2010.
[70] A. Avenell, J. C. Mak, and D. O’Connell, “Vitamin D and vitamin D analogues for preventing fractures in post‐menopausal women and older men,” Cochrane Database Syst. Rev., no. 4, 2014.
[71] C. M. Weaver et al., “Calcium plus vitamin D supplementation and risk of fractures: an updated meta-analysis from the National Osteoporosis Foundation,” Osteoporos. Int., vol. 27, pp. 367–376, 2016.
[72] H. A. Bischoff-Ferrari, S. Bhasin, and J. E. Manson, “Preventing Fractures and Falls: A Limited Role for Calcium and Vitamin D Supplements?,” JAMA, vol. 319, no. 15, pp. 1552–1553, Apr. 2018.
[73] R. D. Jackson et al., “Calcium plus vitamin D supplementation and the risk of fractures,” N. Engl. J. Med., vol. 354, no. 7, pp. 669–683, Feb. 2006.
[74] B. M. P. Tang, G. D. Eslick, C. Nowson, C. Smith, and A. Bensoussan, “Use of calcium or calcium in combination with vitamin D supplementation to prevent fractures and bone loss in people aged 50 years and older: a meta-analysis,” Lancet Lond. Engl., vol. 370, no. 9588, pp. 657–666, Aug. 2007.
[75] M. Kärkkäinen et al., “Effect of calcium and vitamin D supplementation on bone mineral density in women aged 65–71 years: a 3-year randomized population-based trial (OSTPRE-FPS),” Osteoporos. Int., vol. 21, no. 12, pp. 2047–2055, Dec. 2010.
[76] M. C. Chapuy et al., “Vitamin D3 and Calcium to Prevent Hip Fractures in Elderly Women,” N. Engl. J. Med., vol. 327, no. 23, pp. 1637–1642, Dec. 1992.
[77] M. C. Chapuy et al., “Combined calcium and vitamin D3 supplementation in elderly women: confirmation of reversal of secondary hyperparathyroidism and hip fracture risk: the Decalyos II study,” Osteoporos. Int. J. Establ. Result Coop. Eur. Found. Osteoporos. Natl. Osteoporos. Found. USA, vol. 13, no. 3, pp. 257–264, Mar. 2002.
[78] “Prostate Cancer & Calcium Concerns.” [Online]. Available: https://www.oncologynutrition.org/erfc/eating-well-when-unwell/prostate-cancer-calcium-concerns. [Accessed: 24-Apr-2019].
[79] “Calcium and Vitamin D Supplements May Increase Stone Risk,” Renal and Urology News, 29-Jun-2012. [Online]. Available: https://www.renalandurologynews.com/home/news/urology/kidney-stones/calcium-and-vitamin-d-supplements-may-increase-stone-risk/. [Accessed: 24-Apr-2019].
[80] K. M. Sanders et al., “Annual High-Dose Oral Vitamin D and Falls and Fractures in Older Women: A Randomized Controlled Trial,” JAMA, vol. 303, no. 18, pp. 1815–1822, May 2010.
Cite This Article
  • APA Style

    Saptawati Bardosono, Andon Hestiantoro, Andri Maruli Tua Lubis, Siti Setiati, Ani Retno Prijanti, et al. (2020). Relevance of Calcium and Vitamin D in Supporting Bone Health: An Expert Panel Recommendation in Indonesia. International Journal of Nutrition and Food Sciences, 9(2), 54-62. https://doi.org/10.11648/j.ijnfs.20200902.13

    Copy | Download

    ACS Style

    Saptawati Bardosono; Andon Hestiantoro; Andri Maruli Tua Lubis; Siti Setiati; Ani Retno Prijanti, et al. Relevance of Calcium and Vitamin D in Supporting Bone Health: An Expert Panel Recommendation in Indonesia. Int. J. Nutr. Food Sci. 2020, 9(2), 54-62. doi: 10.11648/j.ijnfs.20200902.13

    Copy | Download

    AMA Style

    Saptawati Bardosono, Andon Hestiantoro, Andri Maruli Tua Lubis, Siti Setiati, Ani Retno Prijanti, et al. Relevance of Calcium and Vitamin D in Supporting Bone Health: An Expert Panel Recommendation in Indonesia. Int J Nutr Food Sci. 2020;9(2):54-62. doi: 10.11648/j.ijnfs.20200902.13

    Copy | Download

  • @article{10.11648/j.ijnfs.20200902.13,
      author = {Saptawati Bardosono and Andon Hestiantoro and Andri Maruli Tua Lubis and Siti Setiati and Ani Retno Prijanti and Purwantyastuti and Luciana Sutanto and Maria Regina Rachmawati and Sheryl Tan},
      title = {Relevance of Calcium and Vitamin D in Supporting Bone Health: An Expert Panel Recommendation in Indonesia},
      journal = {International Journal of Nutrition and Food Sciences},
      volume = {9},
      number = {2},
      pages = {54-62},
      doi = {10.11648/j.ijnfs.20200902.13},
      url = {https://doi.org/10.11648/j.ijnfs.20200902.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijnfs.20200902.13},
      abstract = {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.},
     year = {2020}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Relevance of Calcium and Vitamin D in Supporting Bone Health: An Expert Panel Recommendation in Indonesia
    AU  - Saptawati Bardosono
    AU  - Andon Hestiantoro
    AU  - Andri Maruli Tua Lubis
    AU  - Siti Setiati
    AU  - Ani Retno Prijanti
    AU  - Purwantyastuti
    AU  - Luciana Sutanto
    AU  - Maria Regina Rachmawati
    AU  - Sheryl Tan
    Y1  - 2020/05/14
    PY  - 2020
    N1  - https://doi.org/10.11648/j.ijnfs.20200902.13
    DO  - 10.11648/j.ijnfs.20200902.13
    T2  - International Journal of Nutrition and Food Sciences
    JF  - International Journal of Nutrition and Food Sciences
    JO  - International Journal of Nutrition and Food Sciences
    SP  - 54
    EP  - 62
    PB  - Science Publishing Group
    SN  - 2327-2716
    UR  - https://doi.org/10.11648/j.ijnfs.20200902.13
    AB  - 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.
    VL  - 9
    IS  - 2
    ER  - 

    Copy | Download

Author Information
  • Department of Nutrition, Faculty of Medicine, University of Indonesia/ Cipto Mangunkusumo Hospital, Jakarta, Indonesia

  • Department of Obstetrics & Gynecology, University of Indonesia/ Cipto Mangunkusumo Hospital, Jakarta, Indonesia

  • Department of Orthopaedic Faculty of Medicine, Universitas Indonesia / Cipto Mangunkusumo Hospital, Jakarta, Indonesia

  • Department of Internal Medicine Faculty of Medicine, Universitas Indonesia / Cipto Mangunkusumo Hospital, Jakarta, Indonesia

  • Department Biochemistry and Molecular Biology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia

  • Department of Pharmacology, Faculty of Medicine, Universitas Indonesia / Cipto Mangunkusumo Hospital, Jakarta, Indonesia

  • Department of Nutrition, Universitas Kristen Kr, Jakarta, Indonesia

  • Faculty of Medicine, Universitas Gunadarma / Pasar Minggu Municipal Hospital, Jakarta, Indonesia

  • Medical & Clinical Development, Bayer Consumer Care, Singapore

  • Sections