Evidence map›Paper›PMID 24937025›Full record

Trial reportMenopause (New York, N.Y.)2014

Incidence of hypercalciuria and hypercalcemia during vitamin D and calcium supplementation in older women.

John Christopher Gallagher, Lynette M Smith, Vinod Yalamanchili

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Menopause (New York, N.Y.), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05863949 (STOP Vertigo), which is not on this map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% 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.

NCT05863949 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

STOP Vertigo: Supplementation of Vitamin D for Termination of Recurrences From Benign Paroxysmal Positional Vertigo

TypeinterventionalSponsorOttawa Hospital Research InstituteRan2025 to 2026Enrolled860ConditionsBPPV, Benign Paroxysmal Positional Vertigo, Vertigo, Vertigo, PeripheralArmsvitamin D +/- calcium, Placebo
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 68 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. 1,24,25(OH)Scientific reports · 2025
    Article
  6. Article
  7. Article
  8. Calcium Supplementation- Efficacy and Safety.Current osteoporosis reports · 2025
    Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Review
  16. Reference range for 24-h urine calcium, calcium/creatinine ratio, and correlations with calcium absorption and serum vitamin D metabolites in normal women.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2021
    Article
  17. Review
  18. Vitamin D supplementation: upper limit for safety revisited?Aging clinical and experimental research · 2021
    Review
  19. Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

John Christopher GallagherFrom the 1Bone Metabolism Unit, Creighton University, Omaha, NE; and 2College of Public Health, University of Nebraska Medical Center, Omaha, NE.
Lynette M Smith
Vinod Yalamanchili
Creighton University · USUniversity of Nebraska Medical Center · US

Funding

Determination of RDA for Vitamin D in Caucasian and African American WomenR01AG028168 · NIA · CREIGHTON UNIVERSITY · PI GALLAGHER, JOHN CHRISTOPHER · 2006 to 2009
$1.9M
NIA NIH HHS AG28168NIA NIH HHS R01 AG028168
6 · The paper itself

Abstract

objectiveThis study aims to prospectively assess the incidence of hypercalciuria and hypercalcemia with different doses of vitamin D and with a calcium intake of approximately 1,200 mg/day.

methodsThis was a 1-year randomized placebo-controlled study of vitamin D (400-4,800 IU/d) in 163 white women aged 57 to 90 years. Calcium citrate tablets (200 mg) were added to the diet to achieve a total calcium intake of approximately 1,200 mg/day in all groups. All women had vitamin D insufficiency at baseline, with serum 25-hydroxyvitaminD levels lower than 20 ng/mL (50 nmol/L). Serum and 24-hour urine calcium were collected every 3 months on supplementation, any test result above the upper reference range represented an episode of hypercalcemia or hypercalciuria. Mixed-effects models and multivariate logistic regression were used in the analysis.

resultsHypercalcemia (>10.2 mg/dL [2.55 mmol/L]) occurred in 8.8% of white women. Hypercalciuria (>300 mg/d [7.5 mmol]) occurred in 30.6% of white women. Episodes of hypercalciuria were transient in half of the group and recurrent in the other half. No relationship between hypercalcemia or hypercalciuria and vitamin D dose was found, and hypercalciuria was equally common in the placebo group.

conclusionsHypercalciuria and hypercalcemia commonly occur with vitamin D and calcium supplements. Whether hypercalciuria and hypercalcemia are caused by calcium, vitamin D, or both is unclear. These findings may have relevance to the reported increase in kidney stones in the Women's Health Initiative trial. Because calcium 1,200 mg and vitamin D 800 IU/day are widely recommended in postmenopausal women, systematic evaluation of the safety of supplements is warranted in clinical management and in future studies.

Indexed as

AgedAged, 80 and overCalciumCalcium CitrateDietary SupplementsDose-Response Relationship, DrugFemaleHumansHypercalcemiaHypercalciuriaMiddle AgedPlacebosPostmenopauseProspective StudiesROC CurveVitamin D25-hydroxyvitamin DCalciumCalcium CitratePlacebosVitamin D

Identifiers

PMID24937025
PMCPMC4209182
OpenAlexW2031922577

What OpenQuestion holds

Textmetadata
LicenceTDM
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.