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Vitamin D Deficiency in Homebound Elderly Persons-Reply FREE

F. Michael Gloth, III, MD; Jordan D. Tobin, MD
JAMA. 1996;275(11):839-839. doi:10.1001/jama.1996.03530350020024
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In Reply.  —We appreciate the interest in our work and the opportunity to respond to the thoughtful comments of Dr Whit-more. There are many studies of vitamin D status in nonhomebound elderly, including the BLSA cohort.1-3 The control population in our study consisted of a subset of the BLSA. Sherman et al3 reported findings about the vitamin D status in this BLSA population in which participants were screened for diseases and for medications that affect calcium or vitamin D metabolism. The expected seasonal fluctuation was observed, but vitamin D status remained adequate. The vitamin D status also did not decline with age. In this population, without other factors interfering with vitamin D status, vitamin D deficiency generally does not occur. It is conceivable that differences in vitamin D status between the BLSA and other study groups exist because the BLSA represents a carefully screened, healthy ambulatory group. Other

REFERENCES

Omdahl JL, Garry PJ, Munsaker LA, et al.  Nutritional status in a healthy elderly population: vitamin D. Am J Clin Nutr . 1982;;36:1225-1233.
Van der Wielen RPJ, Lowik MRH, van den Berg M.  Serum vitamin D concentrations among elderly people in Europe. Lancet . 1995;;346:207-210.
Sherman SS, Hollis BW, Tobin JD.  Vitamin D status and related parameters in a healthy population: the effects of age, sex, and season. J Clin Endocrinol Metab . 1990;;71:405-413.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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Omdahl JL, Garry PJ, Munsaker LA, et al.  Nutritional status in a healthy elderly population: vitamin D. Am J Clin Nutr . 1982;;36:1225-1233.
Van der Wielen RPJ, Lowik MRH, van den Berg M.  Serum vitamin D concentrations among elderly people in Europe. Lancet . 1995;;346:207-210.
Sherman SS, Hollis BW, Tobin JD.  Vitamin D status and related parameters in a healthy population: the effects of age, sex, and season. J Clin Endocrinol Metab . 1990;;71:405-413.
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