Evidence map›Paper›PMID 33561963›Full record

Trial reportNutrients2021

Effect of Monthly Vitamin D Supplementation on Preventing Exacerbations of Asthma or Chronic Obstructive Pulmonary Disease in Older Adults: Post Hoc Analysis of a Randomized Controlled Trial.

Carlos A Camargo, Les Toop, John Sluyter, Carlene M M Lawes, Debbie Waayer, Kay-Tee Khaw, Adrian R Martineau, Robert Scragg

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 4 pooled it
4.4field-weighted citation impact, top 5% 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

20 citing papers in PubMed, 4 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Vitamin D for the management of chronic obstructive pulmonary disease.The Cochrane database of systematic reviews · 2024
    Pooled it
  2. Pooled it
  3. Vitamin D for the management of asthma.The Cochrane database of systematic reviews · 2023
    Pooled it
  4. Pooled it
  5. Trial
  6. Vitamin D in pulmonary disease.Breathe (Sheffield, England) · 2026
    Review
  7. Review
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Can vitamin DBreathe (Sheffield, England) · 2021
    Article
  17. Review
  18. Article
  19. Proceedings of the 2023 Santa Fe Bone Symposium: Progress and Controversies in the Management of Patients with Skeletal Diseases.Journal of clinical densitometry : the official journal of the International Society for Clinical Densitometry
    Review
  20. 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

8 authors at 5 institutions in 3 countries.

Carlos A CamargoDepartment of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.ORCID 0000-0002-5071-7654
Les ToopDepartment of General Practice, University of Otago, Christchurch 8140, New Zealand.ORCID 0000-0002-9375-8608
John SluyterSchool of Population Health, University of Auckland, Auckland 1142, New Zealand.ORCID 0000-0002-9722-139X
Carlene M M LawesSchool of Population Health, University of Auckland, Auckland 1142, New Zealand.
Debbie WaayerSchool of Population Health, University of Auckland, Auckland 1142, New Zealand.
Kay-Tee KhawDepartment of Public Health and Primary Care, University of Cambridge, Cambridge CB2 2QQ, UK.
Adrian R MartineauInstitute for Population Health Sciences, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London E1 2AB, UK.
Robert ScraggSchool of Population Health, University of Auckland, Auckland 1142, New Zealand.ORCID 0000-0003-0013-2620
University of Auckland · NZHarvard University · USQueen Mary University of London · GBUniversity of Cambridge · GBUniversity of Otago · NZ

Funding

CSRD VA 1Health Research Council of New Zealand 10/400
6 · The paper itself

Abstract

Randomized controlled trials have suggested that vitamin D supplementation can prevent asthma and chronic obstructive pulmonary disease (COPD) exacerbations. For COPD, the benefit appears to be limited to individuals with baseline 25-hydroxyvitamin D (25OHD) levels <25 nmol/L. We performed a post hoc analysis of data from a randomized, double-blinded, placebo-controlled trial to investigate the effect that monthly, high-dose vitamin D supplementation (versus placebo) had on older adults with asthma and/or COPD. Specifically, we investigated whether vitamin D supplementation prevented exacerbations of these conditions. Participants were randomly assigned either to an initial oral dose of 200,000 IU vitamin D3 followed by 100,000 IU monthly or to placebo, with an average follow-up period of 3.3 years. Among the 5110 participants, 775 had asthma or COPD at the beginning of the study, and were eligible for inclusion in this analysis. Exacerbations were defined by the prescription of a short-burst of oral corticosteroids. The mean age of the participants was 67 years old, and 56% were male. The mean baseline blood 25OHD level was 63 nmol/L; 2.3% were <25 nmol/L. Overall, we found that vitamin D supplementation did not affect the exacerbation risk (hazard ratio 1.08; 95%CI 0.84-1.39). Among those with baseline 25OHD <25 nmol/L, however, the hazard ratio was 0.11 (95%CI 0.02-0.51);

Indexed as

Dietary SupplementsAgedAsthmaDouble-Blind MethodDrug Administration ScheduleFemaleHumansMaleMiddle AgedProportional Hazards ModelsPulmonary Disease, Chronic ObstructiveSecondary PreventionSymptom Flare UpTreatment OutcomeVitamin DVitamin D Deficiency25-hydroxyvitamin DVitamin DVitaminsasthmachronic obstructive pulmonary diseaseexacerbationsoral corticosteroidsrandomized controlled trialsupplementvitamin D

Identifiers

PMID33561963
PMCPMC7915442
OpenAlexW3128714156

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.