Evidence map›Paper›PMID 34678177›Full record

Trial reportAmerican journal of obstetrics and gynecology2022

Effect of vitamin D supplementation on urinary incontinence in older women: ancillary findings from a randomized trial.

Alayne D Markland, Camille Vaughan, Alison Huang, Eunjung Kim, Vadim Y Bubes, Vin Tangpricha, Julie Buring, I-Min Lee, Nancy Cook, JoAnn E Manson and 1 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of obstetrics and gynecology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

5 citing papers in PubMed, 17 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
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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

11 authors at 5 institutions in 1 country.

Alayne D MarklandDepartment of Veterans Affairs, Birmingham/Atlanta Geriatric Research, Education, and Clinical Center, Birmingham, AL, and Atlanta, GA; Department of Medicine, The University of Alabama at Birmingham, Birmingham, AL. Electronic address: amarkland@uabmc.edu.
Camille VaughanDepartment of Veterans Affairs, Birmingham/Atlanta Geriatric Research, Education, and Clinical Center, Birmingham, AL, and Atlanta, GA; Atlanta Veterans Affairs Medical Center, Department of Medicine, Emory University School of Medicine, Atlanta, GA.
Alison HuangDepartment of Medicine, University of California San Francisco, San Francisco, CA.
Eunjung KimDivision of Preventive Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Vadim Y BubesDivision of Preventive Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Vin TangprichaDepartment of Veterans Affairs, Birmingham/Atlanta Geriatric Research, Education, and Clinical Center, Birmingham, AL, and Atlanta, GA; Atlanta Veterans Affairs Medical Center, Department of Medicine, Emory University School of Medicine, Atlanta, GA.
Julie BuringDivision of Preventive Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
I-Min LeeDivision of Preventive Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Nancy CookDivision of Preventive Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
JoAnn E MansonDivision of Preventive Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Francine GrodsteinSchool of Public Health, Rush University, Chicago, IL.
Brigham and Women's Hospital · USEmory University · USRush University · USUniversity of Alabama at Birmingham · USUniversity of California, San Francisco · US

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
VITamin D and omegA-3 triaL (VITAL)U01CA138962 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI BURING, JULIE E., MANSON, JOANN ELISABETH · 2009 to 2014
$23.6M
The VITamin D and OmegA-3 TriaL (VITAL)R01CA138962 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI BURING, JULIE E., MANSON, JOANN ELISABETH · 2015 to 2019
$20.9M
The VITamin D and OmegA-3 TriaL (VITAL): Post-Intervention Follow-UpR01AT011729 · NCCIH · BRIGHAM AND WOMEN'S HOSPITAL · PI Jun Li, JoAnn Elisabeth Manson · 2021 to 2026
$5.2M
Role of Vitamin D in the Prevention and Progression of Urinary IncontinenceR01DK115473 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI MARKLAND, ALAYNE DENISE · 2018 to 2021
$1.4M
Patient-Oriented Research and Mentoring in Genitourinary AgingK24AG068601 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Alison Huang · 2020 to 2026
$1.2M
Research and Mentoring Program in Improving Access to Incontinence Care for Older AdultsK24AG073586 · NIA · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Alayne Denise Markland · 2022 to 2026
$619k
NCATS NIH HHS UL1 TR002378NCCIH NIH HHS R01 AT011729NCI NIH HHS R01 CA138962NCI NIH HHS U01 CA138962NIA NIH HHS K24 AG068601NIA NIH HHS K24 AG073586NIDDK NIH HHS R01 DK115473
6 · The paper itself

Abstract

backgroundObservational studies among older women have associated vitamin D insufficiency with a greater prevalence and incidence of urinary incontinence. However, little is known about the effect of vitamin D supplementation in reducing urinary incontinence.

objectiveThis study aimed to evaluate the effects of vitamin D supplementation in reducing the frequency of urinary incontinence in older women. STUDY

designWe conducted an ancillary study of women aged ≥55 years in the Vitamin D and Omega-3 Trial, a randomized trial with a 2×2 factorial design. Recruitment of participants started from 2011 to 2014 across 50 US states, and the follow-up of participants ended in January 2018. Randomized treatments in the parent study included (1) vitamin D

resultsAmong the randomized women who provided urinary incontinence data, 11,646 women at year 2 and 10,527 women at year 5, the mean age was 70 years at year 2, with 29% racial and ethnic minorities. The prevalence of urinary incontinence that occurred at least weekly was 29% at year 2 and increased to 37% at year 5. Vitamin D supplementation compared to with placebo was not associated with lower odds of urinary incontinence occurring at least weekly at year 2 (odds ratio, 1.08; 95% confidence interval, 0.99-1.19) or year 5 (odds ratio, 1.04; 95% confidence interval, 0.94-1.15). Vitamin D supplementation compared to placebo was not associated with lower incidence or progression of urinary incontinence from year 2 to year 5: incidence (odds ratio, 1.06; 95% confidence interval, 0.83-1.35) or progression (odds ratio, 0.94; 95% confidence interval, 0.82-1.08). Women with prerandomization of low serum levels of vitamin D (n=836) did not have lower odds of the prevalence, incidence, or progression of urinary incontinence. The findings were null in subgroups according to incontinence type, women with obesity, and African American women. Only women with healthy weight randomized to vitamin D had lower odds of progression of urinary incontinence (odds ratio, 0.78; 95% confidence interval, 0.63-0.95; P=.01).

conclusionVitamin D supplementation compared to placebo for 2 to 5 years was not associated with differences in the prevalence, incidence, or progression of urinary incontinence in older women with and without adequate serum vitamin D levels, with inconsistent differences among subgroups. The findings showed that the broad use of moderate doses of vitamin D supplementation did not reduce urinary incontinence in older women.

Indexed as

Dietary SupplementsUrinary IncontinenceAgedCholecalciferolDouble-Blind MethodFemaleHumansMiddle AgedVitamin DVitaminsCholecalciferolVitamin DVitaminsepidemiologylongitudinalomega-3 fatty acidsurinary incontinencevitamin Dwomen

Identifiers

PMID34678177
PMCPMC8983596
OpenAlexW3207403944

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.