79-year-old woman admitted for an osteoporotic hip fracture. Regarding secondary prevention of fragility fractures, point out the WRONG answer:
There are doubts regarding the efficacy of calcium or vitamin D administered in monotherapy for the treatment of osteoporosis; they point out that "administered together they seem to have a certain degree of efficacy in the prevention of non-vertebral fractures, which is clearer in people who are deficient in them, as may be the case of elderly people living in residences. There is practically no evidence of their efficacy in the prevention of vertebral fractures.
Low adherence to treatment is associated with an increased risk of fracture.
Bone remodeling markers may be useful for early monitoring of response to treatment.
Vitamin D monotherapy is effective in reducing these fractures in non-institutionalized elderly people.
Increasing dietary calcium or taking calcium supplements in isolation does not protect against the occurrence of fractures.
There are doubts regarding the efficacy of calcium or vitamin D administered in monotherapy for the treatment of osteoporosis;