Conclusions

The general view of dietary phosphorus, supplied in foods as phosphates, is that too much relative to calcium skews the Ca:P ratio to much less than 0.5. Another view, however, has been emerging that suggests that many elderly subjects, especially women, have very low phosphorus intakes in addition to low calcium intakes and that they may benefit from increased consumption of both calcium and phosphate from foods and supplements. In dietary trials designed to reduce fractures of elderly women and men, especially nonvertebral fractures, calcium plus vitamin D has been the treatment, but at least one trial that used calcium phosphate plus vitamin D has shown significant reduction in fractures over 18 and 36 months of follow-up. Further studies are needed to target the role of phosphate ions in reducing fractures among the elderly.

See also: Aging. Bone. Calcium.

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