Evidence map›Paper›PMID 27683872›Full record

ArticleThe Journal of nutrition2016

Lifestyle and Other Factors Explain One-Half of the Variability in the Serum 25-Hydroxyvitamin D Response to Cholecalciferol Supplementation in Healthy Adults.

Judy R Rees, Leila A Mott, Elizabeth L Barry, John A Baron, Roberd M Bostick, Jane C Figueiredo, Robert S Bresalier, Douglas J Robertson, Janet L Peacock

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in The Journal of nutrition, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00153816 (Vitamin D/Calcium Polyp Prevention Study), which is not on this map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
2.5field-weighted citation impact, top 12% 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.

NCT00153816 phase2 / phase3completednot on this map

Vitamin D/Calcium Polyp Prevention Study

TypeinterventionalSponsorDartmouth-Hitchcock Medical CenterRan2004 to 2016Enrolled2,813ConditionsColorectal Cancer, Polyps, AdenomasArmsCalcium Carbonate, Vitamin D3, placebo
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Efficacy of Vitamin DNutrients · 2020
    Pooled it
  4. Trial
  5. Evolution of Serum 25OHD in Response to Vitamin DJournal of the American College of Nutrition · 2018
    Trial
  6. Article
  7. Article
  8. Review
  9. Article
  10. Impact of daily vitamin DFrontiers in nutrition · 2022
    Article
  11. Article
  12. Review
  13. 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

9 authors at 4 institutions in 2 countries.

Judy R ReesDepartments of Epidemiology and judith.r.rees@dartmouth.edu.
Leila A MottDepartments of Epidemiology and.
Elizabeth L BarryDepartments of Epidemiology and.
John A BaronDepartments of Epidemiology and.
Roberd M BostickDepartment of Epidemiology, Rollins School of Public Health.
Jane C FigueiredoSamuel Oschin Comprehensive Cancer Institute, Cedars-Sinai Medical Center.
Robert S BresalierDepartment of Gastroenterology, Hepatology and Nutrition, the University of Texas MD Anderson Cancer Center, Houston, TX.
Douglas J RobertsonMedicine, Geisel School of Medicine at Dartmouth, Lebanon, NH.
Janet L PeacockDepartments of Epidemiology and.
Dartmouth College · USEmory University · USThe University of Texas MD Anderson Cancer Center · USUniversity of Southern California · US

Funding

Translational Engineering in Cancer (TEC)P30CA023108 · NCI · DARTMOUTH COLLEGE · PI Steven D Leach · 1985 to 2026
$91.3M
Relation Between In-utero Vitamin D and Immune Function in Early Childhood P20GM104416 · NIGMS · DARTMOUTH COLLEGE · PI CHRISTENSEN, BROCK CLARKE · 2013 to 2022
$23.7M
NCI NIH HHS P30 CA023108NIGMS NIH HHS P20 GM104416
6 · The paper itself

Abstract

backgroundMany factors have been associated with serum 25-hydroxyvitamin D [25(OH)D] concentrations in observational studies, with variable consistency. However, less information is available on factors affecting the magnitude of changes in serum 25(OH)D resulting from vitamin D supplementation.

objectiveThis study aimed to identify factors associated with the serum 25(OH)D response to supplementation with 1000 IU cholecalciferol/d during the first year of a large, multicenter, randomized, placebo-controlled colorectal adenoma chemoprevention trial.

methodsEligible older adults who were not vitamin D-deficient [serum 25(OH)D ≥12 ng/mL] were randomly assigned in a modified 2 × 2 factorial design to 1 of 4 groups: daily 1000 IU cholecalciferol, 1200 mg Ca as carbonate, both, or placebo. Women could elect 2-group (calcium ± cholecalciferol) random assignment. In secondary analyses, we used multivariable models to assess factors associated with serum 25(OH)D concentrations in all enrollees (n = 2753) and with relative changes in serum 25(OH)D after 1 y cholecalciferol supplementation among those randomly assigned (n = 2187).

resultsIn multivariable models, 8 factors accounted for 50% of the variability of proportional change in serum 25(OH)D after cholecalciferol supplementation. Larger increases were associated with being female (34.5% compared with 20.5%; P < 0.001) and with lower baseline serum 25(OH)D (P < 0.0001), optimal adherence to study pill intake (P = 0.0002), wearing long pants and sleeves during sun exposure (P = 0.0002), moderate activity level (P = 0.01), use of extra vitamin D-containing supplements during the trial (P = 0.03), and seasons of blood draw (P ≤ 0.002). Several genetic polymorphisms were associated with baseline serum 25(OH)D and/or serum response, but these did not substantially increase the models' R

conclusionsThe factors that most affected changes in serum 25(OH)D concentrations in response to cholecalciferol supplementation included sex, baseline serum 25(OH)D, supplement intake adherence, skin-covering clothes, physical activity, and season. Genetic factors did not play a major role. This trial was registered at www.clinicaltrials.gov as NCT00153816.

Indexed as

AgedAged, 80 and overCholecalciferolCholestanetriol 26-MonooxygenaseCytochrome P450 Family 2Dietary SupplementsFemaleGenetic VariationHumansLife StyleMaleMiddle AgedVitamin D25-hydroxyvitamin DCholecalciferolCholestanetriol 26-MonooxygenaseCYP2R1 protein, humanCytochrome P450 Family 2Vitamin D25-hydroxyvitamin Dcalciumcholecalciferoldose responserandomized controlled trialvitamin D3

Identifiers

PMID27683872
PMCPMC5086794
OpenAlexW2413369419

What OpenQuestion holds

Textmetadata
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.