Evidence map›Paper›PMID 24614995›Full record

Trial reportJACC. Heart failure2013

A randomized controlled trial of high dose vitamin D3 in patients with heart failure.

Rebecca S Boxer, Anne M Kenny, Brian J Schmotzer, Marianne Vest, Justin J Fiutem, Ileana L Piña

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in JACC. Heart failure, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 4 pooled it
8.3field-weighted citation impact, top 2% 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

45 citing papers in PubMed, 4 syntheses or guidelines pooled it, 98 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. Pooled it
  4. Pooled it
  5. Trial
  6. Vitamin DEuropean journal of nutrition · 2017
    Trial
  7. Trial
  8. Trial
  9. Article
  10. Review
  11. Review
  12. Review
  13. Review
  14. Review
  15. The Dual Burden of Frailty and Heart Failure.International journal of heart failure · 2024
    Review
  16. Review
  17. Review
  18. Review
  19. Article
  20. Understanding the Role of Vitamin D in Heart Failure.Reviews in cardiovascular medicine · 2023
    Review
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

6 authors at 3 institutions in 1 country.

Rebecca S BoxerDepartment of Medicine, Case Western Reserve University, Cleveland, Ohio.
Anne M KennyCenter on Aging, Department of Medicine, University of Connecticut, Farmington, Connecticut.
Brian J SchmotzerCenter for Clinical Investigation, Case Western Reserve University, Cleveland, Ohio.
Marianne VestHarrington Heart and Vascular Institute, Department of Medicine, Case Western Reserve University.
Justin J FiutemDepartment of Pediatrics, Case Western Reserve University, Cleveland, Ohio.
Ileana L PiñaDepartment of Medicine, Albert Einstein College of Medicine, New York, New York.
Case Western Reserve University · USAlbert Einstein College of Medicine · USUniversity of Connecticut · US

Funding

Clinical and Translational Science Collaborative of ClevelandUL1TR000439 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$50.0M
Clinical and Translational Science Collaborative of ClevelandKL2TR000440 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$11.1M
Case Western Reserve University/Cleveland Clinic CTSA (KL2)KL2RR024990 · NCRR · CASE WESTERN RESERVE UNIVERSITY · PI DAVIS, PAMELA B · 2007 to 2011
$9.5M
NCATS NIH HHS KL2 TR000440NCATS NIH HHS UL1 TR000439NCATS NIH HHS UL1TR000439NCRR NIH HHS KL2 RR024990NCRR NIH HHS KL2RR024990
6 · The paper itself

Abstract

objectiveTo investigate the effect of Vitamin D3 on physical performance in patients with HF.

backgroundHF is associated with functional decline and frailty. Vitamin D deficiency is associated with loss of muscle strength and poor outcomes in patients with HF.

methodsSixty-four patients participated in a 6-month parallel design double blind RCT to test the hypothesis that oral vitamin D3 would improve physical performance. Vitamin D3 50,000 IU or placebo was given weekly; all received daily calcium. Patients were included regardless of EF and 25OHD ≤ 37.5 ng/ml. The primary outcome was peak VO2, and secondary outcomes were the 6MW, TGUG and knee isokinetic muscle strength. Between group comparisons were made using ANCOVA models that adjust for baseline measures.

resultsPatients were age 65.9 ± 10.4 years old, 48% women, 64% African American, EF 37.6±13.9, 36% NYHA III, the remainder NYHA II. At baseline the vitamin D group 25OHD was 19.1 ± 9.3 ng/ml and increased to 61.7 ± 20.3 ng/ml; in the placebo group baseline 25OHD was 17.8 ± 9.0 ng/ml and decreased to 17.4 ± 9.8 ng/ml at 6 months (between groups p<0.001). There was no significant change from baseline to 6 months in peak VO2, 6MW, TGUG or isokinetic muscle strength.

conclusionsVitamin D3 did not improve physical performance for patients with HF despite a robust increase in serum 25OHD. Vitamin D repletion in patients with HF should conform to standard adult guidelines for vitamin D supplementation.

Indexed as

AgedCholecalciferolDouble-Blind MethodExercise TestExercise ToleranceFemaleHeart FailureHumansMaleMuscle, SkeletalMuscle StrengthVitamin D DeficiencyVitaminsCholecalciferolVitaminsheart failuretrialvitamin D

Identifiers

PMID24614995
PMCPMC3845907
OpenAlexW2076816665

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.