Evidence map›Paper›PMID 32162241›Full record

Trial reportAging clinical and experimental research2020

Safety and tolerability of 6-month supplementation with a vitamin D, calcium and leucine-enriched whey protein medical nutrition drink in sarcopenic older adults.

Jürgen M Bauer, Lucia Mikušová, Sjors Verlaan, Ivan Bautmans, Kirsten Brandt, Lorenzo M Donini, Marcello Maggio, Tony Mets, Sander L J Wijers, Jossie A Garthoff and 4 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Aging clinical and experimental research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
2.2field-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

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. How Pragmatic Are Sarcopenia Intervention Studies? A Systematic Review.Journal of cachexia, sarcopenia and muscle · 2026
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  18. Editorial: COVID-19 - The Long Road to Recovery.The journal of nutrition, health & aging · 2020
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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 11 institutions in 6 countries.

Jürgen M BauerCenter for Geriatric Medicine, University Heidelberg, Agaplesion Bethanien Krankenhaus Heidelberg, Heidelberg, Germany. Juergen.Bauer@bethanien-heidelberg.de.
Lucia MikušováDanone Nutricia Research, Nutricia Advanced Medical Nutrition, Utrecht, The Netherlands.
Sjors VerlaanDepartment of Internal Medicine, Section of Gerontology and Geriatrics, VU, Amsterdam University Medical Center, Amsterdam, The Netherlands.
Ivan BautmansFrailty in Ageing Research Group (FRIA), Vrije Universiteit Brussel (VUB), Brussels, Belgium.
Kirsten BrandtHuman Nutrition Research Centre, School of Agriculture, Food and Rural Development, Newcastle University Institute for Ageing, Newcastle University, Newcastle upon Tyne, UK.
Lorenzo M DoniniDepartment of Experimental Medicine, Section of Medical Pathophysiology, Endocrinology and Human Nutrition, "Sapienza" University of Rome, Rome, Italy.
Marcello MaggioDepartment of Clinical and Experimental Medicine, Section of Geriatrics, University of Parma, Parma, Italy.
Tony MetsFrailty in Ageing Research Group (FRIA), Vrije Universiteit Brussel (VUB), Brussels, Belgium.
Sander L J WijersDanone Nutricia Research, Nutricia Advanced Medical Nutrition, Utrecht, The Netherlands.
Jossie A GarthoffDanone Food Safety Center, Utrecht, The Netherlands.
Yvette LuikingDanone Nutricia Research, Nutricia Advanced Medical Nutrition, Utrecht, The Netherlands.
Cornel SieberFriedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.
Tommy CederholmDepartment of Public Health and Caring Sciences/Clinical Nutrition and Metabolism, Department of Geriatric Medicine, Uppsala University Hospital, Uppsala, Sweden.
PROVIDE Consortium
Nutricia Research (Netherlands) · NLVrije Universiteit Brussel · BEDanone (Netherlands) · NLDanone Nutricia Research (Netherlands)Friedrich-Alexander-Universität Erlangen-Nürnberg · DEHeidelberg University · DENewcastle University · GBSapienza University of Rome · ITUniversity of Parma · ITUppsala University Hospital · SEVrije Universiteit Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsSafety and tolerability of prolonged supplementation with a vitamin D, calcium and leucine-enriched whey protein medical nutrition drink (WP-MND) was evaluated in sarcopenic older adults.

methodsA 13-week double-blinded, randomized, isocaloric placebo-controlled trial (PROVIDE study; n = 380) was extended with a voluntary 13-week open-label extension (OLE). OLE participants were randomized to receive daily 1 or 2 servings of WP-MND (21 g protein, 3 g leucine, 10 µg vitD and 500 mg calcium per serving). Gastro-intestinal tolerability, kidney function and serum levels of calcidiol, parathyroid hormone (PTH) and calcium were evaluated at week 0, 13 and 26. RESULTS AND DISCUSSION: In response to the high daily protein intake (median1.5; IQR: 1.3, 1.7 g/kg BW/day), the estimated glomerular filtration rate (eGFR) increased in the test group during the RCT (p = 0.013). The same trend was observed for those participants with moderate chronic kidney disease. During OLE no eGFR change was observed in any of the groups. Serum calcidiol and calcium reached a plateau after 13-week WP-MND supplementation. As expected, PTH significantly changed in the opposite direction, decreasing during RCT in the test group (T vs C: p < 0.001) and during OLE in former control groups. During RCT, 20/366 participants with normal baseline calcidiol reached levels ≥ 100 nmol/L (T: n = 18; C: n = 2) and 6 developed albumin-corrected calcium levels > 2.55 mmol/L (T: n = 3; C: n = 3), without associated adverse events.

conclusionA 6 months intervention with up to 2 servings of WP-MND did neither result in kidney function deterioration nor symptoms of vitamin D or calcium toxicity. The product was overall well tolerated.

Indexed as

CalciumDietary SupplementsLeucineSarcopeniaWhey ProteinsAgedDouble-Blind MethodFemaleHumansMaleVitamin DCalciumLeucineVitamin DWhey ProteinsNutritionSafetySarcopeniaTolerabilityVitamin DWhey protein

Identifiers

PMID32162241
PMCPMC7452877
OpenAlexW3012218744

What OpenQuestion holds

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LicenceCC BY
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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.