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Saul B. Gilson, MD
New York, NY

JAMA. 1989;262(3):352-353.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

In a State of the Art/Review of senile osteoporosis, Drs Resnick and Greenspan¹ make the following observations:

1. "Empiric support for supplemental calcium in older women is sparse and conflicting.... Supplemental calcium in older women is more likely to cause adverse side effects.... Without more data, it is difficult to know whether to recommend supplemental calcium, and, if so, how much."
   
2. "Data supporting the use of cholecalciferol (vitamin D) are conflicting.... Toxicity (manifest as hypercalcemia) can occur with dosages as low as 50 µg/d, especially in elderly individuals."
   
3. "Exercise is potentially a twoedged sword.... Further study is required to determine whether prescribing exercise for older individuals will be beneficial for fracture prevention."
   

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