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Healthy Older Women Advised Against Taking Calcium
Date:2/26/2013

00 mg of calcium, and that women older than 50 and men older than 70 get 1,200 mg of calcium, according to Khosla.

Khosla said the IOM and the USPSTF were each "looking at different parts of the elephant." He said that the USPSTF was focused just on what it took to prevent fracture, ignoring the fact that among healthy people who haven't yet had a break, it would be difficult to detect whether supplements are effective.

"With the IOM taking the physiological perspective, their work might be considered more sensitive [more able to pick up potential benefits or risks]," he said

Marion Nestle, a professor of nutrition, food studies and public health at New York University, co-wrote a journal editorial suggesting that statements from the task force are unlikely to settle the ongoing debate about the use of vitamin D and calcium. "The task force looks at one or two nutrients and one condition at a time, but that's not how people eat or live," she said.

Yet Nestle said she thinks the guidelines suggest reasonable approaches to prevention. "Clinicians ought to be advising healthy diets, plenty of activity and at least 15 minutes a day of sun exposure," she said.

Dr. Margery Gass, executive director of the North American Menopause Society, helped create clinical guidelines on osteoporosis for the American College of Obstetricians and Gynecologists published last year. Gass said she thinks the sheer number of guidelines being disseminated from a variety of different groups is "likely to stir up a little confusion and frustration" among clinicians and the public. But she added that the core message of the USPSTF guidelines is actually simple. "The good thing is that healthy people who do eat a variety of foods may not need to feel compelled to take supplements," she said.

Some expressed concern that the guidelines from the USPSTF are often slow to be implemented because doctors typically practice medicine the way they were trained, and ar
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Healthy Older Women Advised Against Taking Calcium
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