Evidence map›Paper›PMID 30531305›Full record

Trial reportJournal of acquired immune deficiency syndromes (1999)2019

A Randomized Placebo-Controlled Trial of Low- Versus Moderate-Dose Vitamin D3 Supplementation on Bone Mineral Density in Postmenopausal Women With HIV.

Michael T Yin, Arindam RoyChoudhury, Mariana Bucovsky, Ivelisse Colon, David C Ferris, Susan Olender, Sanchita Agarwal, Anjali Sharma, Cosmina Zeana, Barry Zingman and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of acquired immune deficiency syndromes (1999), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.0field-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.

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

6 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
  2. Effect of vitamin DAntiviral therapy · 2020
    Trial
  3. Osteoporosis and HIV Infection.Calcified tissue international · 2022
    Review
  4. People living with HIV and fracture risk.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2020
    Review
  5. Article
  6. 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

11 authors at 6 institutions in 1 country.

Michael T YinDepartment of Medicine, Columbia University Medical Center, New York, NY.
Arindam RoyChoudhuryDivision of Biostatistics and Epidemiology, Department of Healthcare Policy and Research, Weill Cornell Medical College, Cornell University, New York, NY.
Mariana BucovskyDepartment of Medicine, Columbia University Medical Center, New York, NY.
Ivelisse ColonDepartment of Medicine, Columbia University Medical Center, New York, NY.
David C FerrisDepartment of Medicine, Mt. Sinai St. Luke's and Mt. Sinai West, New York, NY.
Susan OlenderDepartment of Medicine, Columbia University Medical Center, New York, NY.
Sanchita AgarwalDepartment of Medicine, Columbia University Medical Center, New York, NY.
Anjali SharmaDepartment of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY.
Cosmina ZeanaDepartment of Medicine, Bronx-Lebanon Hospital Center, Bronx, NY.
Barry ZingmanDepartment of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY.
Elizabeth ShaneDepartment of Medicine, Columbia University Medical Center, New York, NY.
Columbia University Irving Medical Center · USAlbert Einstein College of Medicine · USBronx-Lebanon Hospital Center · USCornell University · USMontefiore Medical Center · USMount Sinai Hospital · US

Funding

Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
HIV and the menopausal transition: effects on musculoskeletal healthR01AI095089 · NIAID · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI YIN, MICHAEL T · 2011 to 2015
$3.3M
Bone mass and mineral metabolism in HIV+ womenK23AI059884 · NIAID · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI YIN, MICHAEL T · 2004 to 2008
$647k
NCATS NIH HHS UL1 TR001873NIAID NIH HHS K23 AI059884NIAID NIH HHS R01 AI095089
6 · The paper itself

Abstract

backgroundPrevalence of osteoporosis and fracture is increased among older people with HIV. We compared the effects of low (1000 IU) vs moderate (3000 IU) vitamin D3 (VitD) supplementation on areal bone mineral density (aBMD) and volumetric bone mineral density (vBMD) in African American and Hispanic postmenopausal women with HIV on antiretroviral therapy.

methodsWe performed a 12-month prospective, randomized, double-blind, placebo-controlled study with primary outcomes of change in aBMD by dual-energy X-ray absorptiometry (DXA) and secondary outcomes of change in vBMD by quantitative computed tomography and bone turnover markers. An intent-to-treat analysis was performed on 85 randomized subjects (43 low and 42 moderate) for primary DXA outcomes, and complete case analysis was performed for secondary outcomes.

resultsMean age was 56 ± 5 years, median CD4 count was 722 cells/mm, and 74% had HIV RNA ≤ 50 copies/mL. Serum 25-OHD was higher in the moderate than low VitD group at 6 months (33.1 ± 10.3 vs 27.8 ± 8.1 ng/mL, P = 0.03) and 12 months, but parathyroid hormone levels remained similar. Percent change in aBMD, vBMD, and bone turnover markers did not differ between low and moderate VitD groups before or after adjustment for baseline aBMD.

conclusionsVitD supplementation at 3000 IU daily increased mean total 25-OHD levels in postmenopausal women with HIV, but we did not find evidence of an effect on BMD beyond those observed with 1000 IU daily. Future studies are necessary to determine whether VitD supplementation is beneficial in this patient population, and if so, what dose is optimal for skeletal health.

Indexed as

HIV InfectionsAdultAgedBone and BonesBone DensityCalciumCholecalciferolDietary SupplementsDouble-Blind MethodFemaleHumansMiddle AgedPostmenopauseVitamin D25-hydroxyvitamin DCalciumCholecalciferolVitamin D

Identifiers

PMID30531305
PMCPMC6375749
OpenAlexW2905011294

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.