Evidence map›Paper›PMID 18824662›Full record

Trial reportHypertension (Dallas, Tex. : 1979)2008

Effect of calcium and vitamin D supplementation on blood pressure: the Women's Health Initiative Randomized Trial.

Karen L Margolis, Roberta M Ray, Linda Van Horn, Joann E Manson, Matthew A Allison, Henry R Black, Shirley A A Beresford, Stephanie A Connelly, J David Curb, Richard H Grimm and 6 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Hypertension (Dallas, Tex. : 1979), 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 86 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed, 11 pooled it
18.7field-weighted citation impact, top 1% 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

86 citing papers in PubMed, 11 syntheses or guidelines pooled it, 249 citations in OpenAlex.

  1. Pooled it
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  5. Vitamin D supplementation for prevention of cancer in adults.The Cochrane database of systematic reviews · 2014
    Pooled it
  6. Vitamin D supplementation for prevention of mortality in adults.The Cochrane database of systematic reviews · 2014
    Pooled it
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  11. ASH Position Paper: Dietary approaches to lower blood pressure.Journal of clinical hypertension (Greenwich, Conn.) · 2009
    Guideline
  12. Trial
  13. The effect of calcium and vitamin D supplements on blood pressure in postmenopausal women: myth or reality?Hypertension research : official journal of the Japanese Society of Hypertension · 2022
    Trial
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26 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 1 institution in 1 country.

Karen L MargolisHealthPartners Research Foundation, Box 1524, Mailstop 21111R, Minneapolis, Minnesota 55440-1524, USA. Karen.L.Margolis@HealthPartners.com
Roberta M Ray
Linda Van Horn
Joann E Manson
Matthew A Allison
Henry R Black
Shirley A A Beresford
Stephanie A Connelly
J David Curb
Richard H Grimm
Theodore A Kotchen
Lewis H Kuller
Sylvia Wassertheil-Smoller
Cynthia A Thomson
James C Torner
Women's Health Initiative Investigators
Fred Hutch Cancer Center · US

Funding

WOMENS HEALTH INITIATIVE-N01WH22110N01WH022110 · WH · FRED HUTCHINSON CANCER RESEARCH CENTER · PI ROSS, PRENTICE · 1992 to 2006
$1.2M
PHS HHS 2105-32106PHS HHS 24152PHS HHS 32100-32102PHS HHS 32108-32109PHS HHS 32111-32113PHS HHS 32115PHS HHS 32122PHS HHS 42107-42126PHS HHS 42129-42132PHS HHS 44221WHI NIH HHS N01 WH022110
6 · The paper itself

Abstract

Experimental and epidemiological studies suggest that calcium and vitamin D supplements may lower blood pressure. We examined the effect of calcium plus vitamin D supplementation on blood pressure and the incidence of hypertension in postmenopausal women. The Women's Health Initiative Calcium/Vitamin D Trial randomly assigned 36 282 postmenopausal women to receive 1000 mg of elemental calcium plus 400 IU of vitamin D3 daily or placebo in a double-blind fashion. Change in blood pressure and the incidence of hypertension were ascertained. Over a median follow-up time of 7 years, there was no significant difference in the mean change over time in systolic blood pressure (0.22 mm Hg; 95% CI: -0.05 to 0.49 mm Hg) and diastolic blood pressure (0.11 mm Hg; 95% CI: -0.04 to 0.27 mm Hg) between the active and placebo treatment groups. This null result was robust in analyses accounting for nonadherence to study pills and in baseline subgroups of interest, including black subjects and women with hypertension or high levels of blood pressure, with low intakes of calcium and vitamin D or low serum levels of vitamin D. In 17 122 nonhypertensive participants at baseline, the hazard ratio for incident hypertension associated with calcium/vitamin D treatment was 1.01 (95% CI: 0.96 to 1.06.) In postmenopausal women, calcium plus vitamin D3 supplementation did not reduce either blood pressure or the risk of developing hypertension over 7 years of follow-up.

Indexed as

AgedBlood PressureCalciumDietary SupplementsDose-Response Relationship, DrugFemaleFollow-Up StudiesHumansHypertensionIncidenceLongitudinal StudiesMiddle AgedPatient ComplianceRisk FactorsVitamin DCalciumVitamin D

Identifiers

PMID18824662
PMCPMC2791957
OpenAlexW2159722563

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.