Table 4. Non-Pharmacological Intervention.
| Statements | Level of Evidence* | Median Response | n/N (%)1 |
|---|---|---|---|
| Increase physical activity in order to increase muscle strength and bone density | 2 | Strongly Agree | 34/34 (100) |
| In order to increase physical activity, refer to a physiotherapist for development of an optimal physical activity plan | 4 | Strongly Agree | 33/34 (97.0) |
| For those who are wheelchair bound, where possible: | ) | ||
| Encourage supported standing during transferring | 1 | Agree | 33/34 (97.0) |
| Use a standing frame for at least 30 minutes a day | 1 | Strongly Agree | 28/33 (84.8) |
| For those who are able to walk, aim to increase the distance and/or the length of time walked each day (aiming for 2 hours per day where possible) | 1 | Agree | 29/32 (90.6) |
| Where mobility is limited, targeted exercise such as body weight supported treadmill or assisted walking is recommended | 2 | Strongly Agree | 31/32 (96.9) |
| If calcium intake is low, increase dietary intake of calcium rich or calcium fortified foods | 1,2,3 | Strongly Agree | 31/32 (96.9) |
| If dietary calcium intake is low and difficult to increase using dietary means, prescribe calcium supplements to meet the local recommended daily intake. The current recommended dietary intake levels within Australia are: 1-3yr 500mg/day, 4-8yr 700mg/day, 9-11yr 1000mg/day, 12-13yr 1300mg/day, 14-18yr 1300mg/day, >18yr 1000mg/day of elemental calcium. When prescribing medication please verify the content of elemental calcium in the preparation | 1 | Strongly Agree | 31/32 (96.9) |
| If 25 hydroxyvitamin D levels are lower than 75nmol/L: | |||
| Use local protocols for treatment and supplementation | 1 | Strongly Agree | 27/32 (84.4) |
| Re-assess 25 hydroxyvitamin D levels after 4–8 weeks, then annually | 4 | Agree | 32/32 (100) |
| Advise an appropriate amount of sunlight exposure based on latitude, time of day, season and skin type | 1,2 | Agree | 27/31 (87.1) |
*Scottish Intercollegiate Guidelines network
1Numerator is the number of responses with median response or 1 category either side and denominator is the number of clinicians in the panel whose expertise were relevant to this item