Table 4.
Agent | Dose | Evidence in Institutionalized Older Persons | Hip Fracture (RRR) General Population |
---|---|---|---|
Cholecalciferol | 800–1000 IU/day | Yes (Fx prevention) (level I) | 0.12–0.29 |
Alendronate | 70 mg/weekly | Yes (only BMD) (level II) | 0.45–0.51 |
Risedronate | 35 mg/weekly | No | 0.30–0.40 |
Zoledronate | 5 mg/annually | No | 0.41 |
Denosumab | 60 mg/6 mo | No | 0.40 (0.60 in older) |
Teriparatide | 40 μg/day | No | 0.25 |
BMD, bone mineral density; Fx, fracture; RACF, residential aged care facility; RRR, relative risk reduction.