{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T16:53:21Z","timestamp":1775148801773,"version":"3.50.1"},"reference-count":48,"publisher":"American Spinal Injury Association","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024]]},"abstract":"\n Background:<\/jats:title>\n Osteoporotic fractures occur in almost half of patients with a spinal cord injury (SCI) and are associated with significant morbidity and excess mortality. Paralyzed Veterans Administration (PVA) guidelines suggest that adequate calcium and vitamin D intake is important for skeletal health, however, the association of these supplements with osteoporotic fracture risk is unclear.<\/jats:p>\n <\/jats:sec>\n \n Objectives:<\/jats:title>\n To determine the association of filled prescriptions for calcium and vitamin D with fracture risk in Veterans with an SCI.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n The 5897 persons with a traumatic SCI of at least 2 years\u2019 duration (96% male; 4% female) included in the VSSC SCI\/D Registry in FY2014 were followed from FY2014 to FY2020 for incident upper and lower extremity fractures. Filled daily prescriptions for calcium or vitamin D supplements for \u22656 months with an adherence \u226580% were examined.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n Filled prescriptions for calcium (hazard ratio [HR] 0.65; 95% CI, 0.54-0.78) and vitamin D (HR 0.33; 95% CI, 0.29-0.38) supplements were associated with a significantly decreased risk for incident fractures.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Calcium and vitamin D supplements are associated with decreased risk of fracture, supporting PVA guidelines that calcium and vitamin D intake are important for skeletal health in persons with an SCI.<\/jats:p>\n <\/jats:sec>","DOI":"10.46292\/sci23-00057","type":"journal-article","created":{"date-parts":[[2024,2,16]],"date-time":"2024-02-16T10:22:56Z","timestamp":1708078976000},"page":"98-112","source":"Crossref","is-referenced-by-count":3,"title":["Association of Calcium and Vitamin D Supplements with Fractures in Persons with a Traumatic SCI"],"prefix":"10.46292","volume":"30","author":[{"given":"Brian","family":"Le","sequence":"first","affiliation":[{"name":"Charlie Norwood Veterans Administration Medical Center, Augusta, Georgia"},{"name":"Department of Medicine, Division of Rheumatology, Medical College of Georgia at Augusta University, Augusta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hongyan (Nathan)","family":"Xu","sequence":"additional","affiliation":[{"name":"Division of Biostatistics & Data Science, Department of Population Health Sciences, Medical College of Georgia, Augusta University, Augusta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frances M.","family":"Weaver","sequence":"additional","affiliation":[{"name":"Center of Innovation for Complex Chronic Healthcare (CINCCH), Health Services Research & Development, Department of Veterans Affairs, Hines VA Hospital, Hines, Illinois"},{"name":"Department of Public Health Sciences, Parkinson School of Health Sciences and Public Health, Loyola University, Maywood, Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhiping (Jenny)","family":"Huo","sequence":"additional","affiliation":[{"name":"Center of Innovation for Complex Chronic Healthcare (CINCCH), Health Services Research & Development, Department of Veterans Affairs, Hines VA Hospital, Hines, Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryan","family":"Avidano","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Rheumatology, Medical College of Georgia at Augusta University, Augusta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Piper","family":"Hurlburt","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Rheumatology, Medical College of Georgia at Augusta University, Augusta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Morgan","sequence":"additional","affiliation":[{"name":"Division of Clinical Immunology and Rheumatology, The University of Alabama at Birmingham, Birmingham, Alabama"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Carbone","sequence":"additional","affiliation":[{"name":"Charlie Norwood Veterans Administration Medical Center, Augusta, Georgia"},{"name":"Department of Medicine, Division of Rheumatology, Medical College of Georgia at Augusta University, Augusta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"25425","reference":[{"issue":"4","key":"b1","series-title":"Spinal Cord","doi-asserted-by":"publisher","first-page":"484","DOI":"10.1038\/s41393-019-0387-9","article-title":"Osteoporosis-related fractures after spinal cord injury: A retrospective study from Brazil","volume":"58","author":"Champs\n APS","year":"2020","unstructured":"Champs\n APS\n , MaiaGAG, OliveiraFG, de MeloGCN, SoaresMMS. 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