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Effects of collagen membranes enriched with in vitro-differentiated N1E-115 cells on rat sciatic nerve regeneration after end-to-end repair
Authors:Sandra Amado  Jorge M Rodrigues  Ana L Luís  Paulo AS Armada-da-Silva  Márcia Vieira  Andrea Gartner  Maria J Simões  António P Veloso  Michele Fornaro  Stefania Raimondo  Artur SP Varejão  Stefano Geuna  Ana C Maurício
Affiliation:1. Department of Internal Medicine and Geriatrics, Angers University Hospital; Angers University Memory Center; UPRES EA 2646, University of Angers, UNAM, Angers, France
2. Department of Medicine, Division of Geriatric Medicine, University of Western Ontario, London, Ontario, Canada
3. Department IMER, Lyon University Hospital; EA 4129, RECIF, University of Lyon; Inserm, U831, Lyon, France
4. Department of Geriatrics, Nantes University Hospital; University of Nantes, UNAM, Nantes, France
Abstract:
Preventing falls and fall-related fractures in the elderly is an objective yet to be reached. There is increasing evidence that a supplementation of vitamin D and/or of calcium may reduce the fall and fracture rates. A vitamin D-calcium supplement appears to have a high potential due to its simple application and its low cost. However, published studies have shown conflicting results as some studies failed to show any effect, while others reported a significant decrease of falls and fractures. Through a 15-year literature overview, and after a brief reminder on mechanism of falls in older adults, we reported evidences for a vitamin D action on postural adaptations - i.e., muscles and central nervous system - which may explain the decreased fall and bone fracture rates and we underlined the reasons for differences and controversies between published data. Vitamin D supplementation should thus be integrated into primary and secondary fall prevention strategies in older adults.
Keywords:
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