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This Clinical practice guideline for management of osteoporosis and fracture prevention in Canada: 2023 is an update of the 2010 Osteoporosis Canada clinical practice guideline on the diagnosis and management of osteoporosis in Canada.  The new guideline has 25 key recommendations and 10 good practice statements with emphasis on the areas of exercise, nutrition, fracture risk assessment, treatment, and interventions.

The guideline has been published in the Canadian Medical Association Journal (CMAJ) and can be viewed here: https://www.cmaj.ca/content/195/39/E1333.

For information on calcium, vitamin D, protein, vitamin K and magnesium and the Osteoporosis Canada recommended daily amounts visit https://osteoporosis.ca/nutrition/

Reference List

Overall

Morin SN, Feldman S, Funnell L, et al.  Osteoporosis Canada 2023 Guideline Update Group. Clinical practice guideline for management of osteoporosis and fracture prevention in Canada: 2023 update. CMAJ. 2023 Oct 10;195(39):E1333-E1348. doi: 10.1503/cmaj.221647. PMID: 37816527; PMCID: PMC10610956.

https://osteoporosis.ca/2023-clinical-practice-guideline/

https://food-nutrition.canada.ca/cnf-fce/?lang=eng

Calcium

https://osteoporosis.ca/2023-clinical-practice-guideline/

https://www.canada.ca/en/health-canada/services/food-nutrition/healthy-eating/dietary-reference-intakes/tables/reference-values-elements.html

Magnesium

https://osteoporosis.ca/2023-clinical-practice-guideline/

https://www.canada.ca/en/health-canada/services/food-nutrition/healthy-eating/dietary-reference-intakes/tables/reference-values-elements.html

Vitamin D

https://osteoporosis.ca/2023-clinical-practice-guideline/

https://www.canada.ca/en/health-canada/services/food-nutrition/healthy-eating/dietary-reference-intakes/tables/reference-values-vitamins.html

Zhao J-G, Zeng X-T, Wang J, et al. Association between calcium or vitamin D supplementation and fracture incidence in community-dwelling older adults. JAMA 2017;318:2466–82.

Bolland MJ, Grey A, Avenell A. Effects of vitamin D supplementation on musculoskeletal health: a systematic review, meta-analysis, and trial sequential analysis. Lancet Diabetes Endocrinol 2018;6:847–58.

Bolland MJ, Grey A, Gamble GD, et al. Vitamin D supplementation and falls: a trial sequential meta-analysis. Lancet Diabetes Endocrinol 2014;2:573–80.

Protein

https://osteoporosis.ca/2023-clinical-practice-guideline/

https://www.canada.ca/en/health-canada/services/food-nutrition/healthy-eating/dietary-reference-intakes/tables/reference-values-macronutrients.html

Groenendijk I, den Boeft L, van Loon LJC, et al. High versus low dietary protein intake and bone health in older adults: a systematic review and meta-analysis. Comput Struct Biotechnol J 2019;17:1101–12.

Darling AL, Manders RJF, Sahni S, et al. Dietary protein and bone health across the life-course: an updated systematic review and meta-analysis over 40 years. Osteoporos Int 2019;30:741–61.

Vitamin K

https://osteoporosis.ca/2023-clinical-practice-guideline/

https://www.canada.ca/en/health-canada/services/food-nutrition/healthy-eating/dietary-reference-intakes/tables/reference-values-vitamins.html

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