<i>Background</i>: Vitamin D has been known to play an important role in musculoskeletal health. As a result, it is postulated that low vitamin D status is responsible for falls in the elderly due to the genomic role of the vitamin on Vitamin-D-receptors (VDR) in muscle cells and its non-genomic role in calcium influx into muscles. Hence, the present study aimed to establish the relationship between serum vitamin D levels and fall events in the elderly to reduce morbidity. <i>Methods</i>: It was a prospective, case-controlled, and cross-sectional study of 89 patients aged ≥ 60 years that had experienced at least one fall in the previous 12 months in three rural communities of Enugu State and their 124 age-matched controls. Serum 25(OH)D was assayed by enzyme-linked immune-sorbent assay and the number of falls was obtained from interviewer-administered questionnaires. Acquired data were analyzed using descriptive and comparative statistical methods. <i>Result</i>: The mean serum 25(OH)D level of patients was significantly lower than that of controls (patients 24.6±7.2 ng/mL versus controls 56.0±9.2 ng/mL; p=0.0001), and showed a significant negative correlation with the number of falls in the elderly (r=-0.347, p=0.002). Nevertheless, no significant difference in serum 25(OH)D levels of male and female patients and control groups was observed (p>0.05). There was a statistically increasing number of falls with increasing age and decreasing serum 25(OH)D levels (p=0.0001) among the patients. <i>Conclusion</i>: It can be concluded from this study that serum 25(OH)D level is inversely related to the number of falls experienced by the elderly irrespective of gender.
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