Evidence map›Paper›PMID 18755319›Full record

Trial reportJournal of the American Dietetic Association2008

Calcium, vitamin D supplementation, and physical function in the Women's Health Initiative.

Robert L Brunner, Barbara Cochrane, Rebecca D Jackson, Joseph Larson, Cora Lewis, Marian Limacher, Milagros Rosal, Sally Shumaker, Robert Wallace, Women's Health Initiative Investigators

Open access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Dietetic Association, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 7 pooled it
4.0field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 7 syntheses or guidelines pooled it, 83 citations in OpenAlex.

  1. Pooled it
  2. Vitamin D supplementation and its influence on muscle strength and mobility in community-dwelling older persons: a systematic review and meta-analysis.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2017
    Pooled it
  3. Vitamin D supplementation for prevention of cancer in adults.The Cochrane database of systematic reviews · 2014
    Pooled it
  4. Vitamin D supplementation for prevention of mortality in adults.The Cochrane database of systematic reviews · 2014
    Pooled it
  5. Pooled it
  6. Effect of vitamin D supplementation on muscle strength: a systematic review and meta-analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2011
    Pooled it
  7. Vitamin D-related changes in physical performance: a systematic review.The journal of nutrition, health & aging · 2009
    Pooled it
  8. Trial
  9. Trial
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  12. Cancer incidence and mortality during the intervention and postintervention periods of the Women's Health Initiative dietary modification trial.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2014
    Trial
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. Fatigue and Vitamin D Status in Iranian Female Nurses.Global journal of health science · 2015
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Robert L BrunnerUniversity of Nevada School of Medicine, PMB 251, MS 145, Reno, NV 89557, USA. bbrunner@medicine.nevada.edu
Barbara Cochrane
Rebecca D Jackson
Joseph Larson
Cora Lewis
Marian Limacher
Milagros Rosal
Sally Shumaker
Robert Wallace
Women's Health Initiative Investigators
University of Nevada, Reno · US

Funding

CLIN CTR CLIN TRIAL/OBSERVATIONAL STUDY OF WHIN01WH042113 · WH · UNIVERSITY OF NEVADA RENO · PI DAUGHERTY, SANDRA A · 1994 to 2000
$514k
WHI NIH HHS N01 WH042113
6 · The paper itself

Abstract

objectivesThe Women's Health Initiative (WHI) randomized trial of calcium/vitamin D supplementation found reduced bone loss with active treatment compared to placebo. Now we examine whether the treatment affected self-reported physical functioning and objective measures of physical functioning.

designA randomized, double-blind, placebo-controlled trial of 1,000 mg calcium carbonate plus 400 IU vitamin D(3) per day or matching placebo pills. SUBJECTS/

settingThe study included 33,067 women (50 to 79 years old) at 40 US study centers.

main outcome measuresPhysical functioning was assessed by questionnaire at enrollment in WHI, 1 year prior to calcium/vitamin D trial randomization and at study close-out (average follow-up 7.1 years). Objective physical performance and self-reported exercise measures were collected at WHI baseline (1 year prior to calcium/vitamin D enrollment) and 2 years and 4 years after calcium/vitamin D trial enrollment in a subsample (n=3,137). STATISTICAL ANALYSES PERFORMED: Calcium/vitamin D effects were tested in unadjusted and interaction linear models for each of the physical function measures. Covariates were baseline total calcium intake, fracture risk score, treatment arm in the hormone therapy and dietary modification trials (ie, active drug or placebo, low-fat diet intervention or usual diet, respectively) and age.

resultsNeither intention to treat nor high adherence analyses produced substantial effects of calcium/vitamin D compared to placebo on physical functioning or performance. The interaction analyses also did not result in differences because of calcium/vitamin D.

conclusionsAs the first long-term randomized trial to examine the effectiveness of calcium and vitamin D in protecting against decline of physical functioning in older women, the results did not support benefit.

Indexed as

Activities of Daily LivingWomen's HealthAgedAgingBone Density Conservation AgentsCalcium, DietaryDietary SupplementsDouble-Blind MethodFemaleFractures, BoneHumansLinear ModelsMiddle AgedPostmenopauseUnited StatesVitamin DBone Density Conservation AgentsCalcium, DietaryVitamin D

Identifiers

PMID18755319
PMCPMC3875323
OpenAlexW2139368794

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.