Evidence map›Paper›PMID 22136481›Full record

Trial reportBMC geriatrics2011

Rationale and design of the B-PROOF study, a randomized controlled trial on the effect of supplemental intake of vitamin B12 and folic acid on fracture incidence.

Janneke P van Wijngaarden, Rosalie A M Dhonukshe-Rutten, Natasja M van Schoor, Nathalie van der Velde, Karin M A Swart, Anke W Enneman, Suzanne C van Dijk, Elske M Brouwer-Brolsma, M Carola Zillikens, Joyce B J van Meurs and 4 more

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC geriatrics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00696514 (Vitamin B12 and Folic Acid Supplementation for Preventing Fractures in Elderly People), which is not on this map. Cited by 49 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 4 pooled it
6.0field-weighted citation impact, top 3% 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.

NCT00696514 phase1unknown statusnot on this map

Vitamin B12 and Folic Acid Supplementation for Preventing Fractures in Elderly People

TypeinterventionalSponsorWageningen UniversityRan2008 to 2013Enrolled3,000ConditionsOsteoporosis, Cognitive DeclineArmsVitamin B12, folic acid, Vitamin D3, Placebo (Vitamin D3) - 600 IU per day
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 4 syntheses or guidelines pooled it, 94 citations in OpenAlex.

  1. Pooled it
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  4. Homocysteine-lowering interventions for preventing cardiovascular events.The Cochrane database of systematic reviews · 2017
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  8. Folate and Vitamin BNutrients · 2016
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  13. Effect of folic acid on bone metabolism: a randomized double blind clinical trial in postmenopausal osteoporotic women.Daru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences · 2014
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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

14 authors at 4 institutions in 1 country.

Janneke P van WijngaardenDepartment of Human Nutrition, Wageningen University, P,O, Box 8129 6700 EV Wageningen, the Netherlands. janneke.vanwijngaarden@wur.nl
Rosalie A M Dhonukshe-Rutten
Natasja M van Schoor
Nathalie van der Velde
Karin M A Swart
Anke W Enneman
Suzanne C van Dijk
Elske M Brouwer-Brolsma
M Carola Zillikens
Joyce B J van Meurs
Johannes Brug
André G Uitterlinden
Paul Lips
Lisette C P G M de Groot
Erasmus University Rotterdam · NLWageningen University & Research · NLEMGO Institute for Health and Care Research · NLAmsterdam UMC Location VUmc · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOsteoporosis is a major health problem, and the economic burden is expected to rise due to an increase in life expectancy throughout the world. Current observational evidence suggests that an elevated homocysteine concentration and poor vitamin B12 and folate status are associated with an increased fracture risk. As vitamin B12 and folate intake and status play a large role in homocysteine metabolism, it is hypothesized that supplementation with these B-vitamins will reduce fracture incidence in elderly people with an elevated homocysteine concentration. METHODS/

designThe B-PROOF (B-Vitamins for the PRevention Of Osteoporotic Fractures) study is a randomized double-blind placebo-controlled trial. The intervention comprises a period of two years, and includes 2919 subjects, aged 65 years and older, independently living or institutionalized, with an elevated homocysteine concentration (≥ 12 μmol/L). One group receives daily a tablet with 500 μg vitamin B12 and 400 μg folic acid and the other group receives a placebo tablet. In both tablets 15 μg (600 IU) vitamin D is included. The primary outcome of the study is osteoporotic fractures. Measurements are performed at baseline and after two years and cover bone health i.e. bone mineral density and bone turnover markers, physical performance and physical activity including falls, nutritional intake and status, cognitive function, depression, genetics and quality of life. This large multi-center project is carried out by a consortium from the Erasmus MC (Rotterdam, the Netherlands), VUmc (Amsterdam, the Netherlands) and Wageningen University, (Wageningen, the Netherlands), the latter acting as coordinator. DISCUSSION: To our best knowledge, the B-PROOF study is the first intervention study in which the effect of vitamin B12 and folic acid supplementation on osteoporotic fractures is studied in a general elderly population. We expect the first longitudinal results of the B-PROOF intervention in the second semester of 2013. The results of this intervention will provide evidence on the efficacy of vitamin B12 and folate supplementation in the prevention of osteoporotic fractures.

trial registrationThe B-PROOF study is registered with the Netherlands Trial (NTR NTR1333) and with ClinicalTrials.gov (NCT00696514).

Indexed as

Dietary SupplementsAgedAged, 80 and overDouble-Blind MethodFemaleFolic AcidFractures, BoneHumansIncidenceMaleOsteoporosisTreatment OutcomeVitamin B 12Folic AcidVitamin B 12

Identifiers

PMID22136481
PMCPMC3266639
OpenAlexW2162128649

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.