Preventing falls and fractures in low-level aged-care residents by increasing dairy food intake by two serves per day.

INTERVENTION: Addition of two serves of dairy foods per day to the menu of low‐level aged care residents for 2 years. Dairy foods provided will be a combination of milk, cheese, yoghurt and custard, using standard serving sizes (250ml of milk, 30g of cheese, 200g of yoghurt or custard. CONDITION: Fractures Malnutrition Osteoporosis Sarcopenia PRIMARY OUTCOME: Fractures ; Determined from incident reports, that are mandatory to complete for all incidences in aged care facilities. Fractures will be verified from hospital medical records. SECONDARY OUTCOME: Activities of Daily Living assessed using the Bristol ADL questionnaire All‐cause mortality determined from the Australian Institute Health and Welfare Death Registry. Body composition ; Determined using densitometry (DXA) Bone metabolism / metabolic regulation ; (Serum sample) Bone structure at the tibia and radius (high resolution peripheral quantitative computed tomography) ; Bone density at the femoral neck and lumbar spine(DXA) Depression risk assessed using the Geriatric Depression Scale. Falls ; Determined from incident reports, that are mandatory to complete for all incidences in aged care facilities Health status assessed using the SP‐36 (Health) questionnaire Malnutrition. Nutritional status is determined using the Mini Nutrition Assessment Tool. Muscle strength at the ankle, knee and hip ; (Nicholas Manual Muscle tester) ; Hand‐grip strength ; (Dynomometer) ; Physical function ; (timed up and go, walk velocity, short physical performance battery) Quality of Life assessed using ED‐5D, ICE‐CAP INCLUSION CRITERIA: Low‐level aged care resident. Dietary calcium intake below 600 mg/day