Statins, Vitamin D, and Exercise in Older Adults

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Statins, Vitamin D, and Exercise in Older Adults
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Mengru Wang, MD, reviews several recently published articles and guidelines relevant to the care of older adults in primary care.

In this article, I will review several recently published articles and guidelines relevant to the care of older adults in primary care . The articles of interest address statins for primary prevention, vitamin D supplementation and testing, and physical activity for healthy aging.A common conundrum in primary care is whether an older adult should be on a statin for primary prevention.

Statins, the study suggests, are appropriate and safe to initiate for primary prevention in older adults and can lead to substantial benefits in reduction of CVD. While time to benefit was not explicitly examined in this study, a prior The dosage should remain within the recommended daily allowance outlined by the Institute of Medicine of 800 IU daily for adults over 70, and the panel recommends low-dose daily vitamin D supplementation over high-dose interval supplementation. The panel noted that routine screening of vitamin D levels should not be used to guide decision-making on whether to start supplementation, but vitamin D levels should be obtained for patients who have an indication for evaluation.

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