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Supplementation with vitamin D every four months for five years reduced
the number of first fractures in men and women aged 65 and older living
in the community. Trivedi and colleagues (p 469) found that
supplementation with 100 000 IU oral vitamin D reduced the incidence
of fracture by 22%. Most fracture prevention trials have focused on
clinically defined high risk groups and women, and many effective
interventions may not be feasible or cost effective in the general
population. This simple, safe, and low cost intervention may reduce
osteoporotic fractures in the general community.