Evidence map›Paper›PMID 38615341›Full record

SynthesisBiomolecules & biomedicine2024

Effects of intermittent overload doses of oral vitamin D3 on serum 25(OH)D concentrations and the incidence rates of fractures, falls, and mortality in elderly individuals: A systematic review and meta-analysis.

Xiaoyang Tao, Wupeng Yang, Qinxin Zhang, Yongjiang Wang, Feng Gao, Yuehan Wang, Tingxin Zhang, Hao Liu, Jindong Chen

Open access · diamondAbstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Biomolecules & biomedicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 40% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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 1 institution in 1 country.

Xiaoyang TaoOrthopedics Department, Ordos Central Hospital, Ordos, China.
Wupeng YangOrthopedics Department, Ordos Central Hospital, Ordos, China.
Qinxin ZhangOrthopedics Department, Ordos Central Hospital, Ordos, China.
Yongjiang WangOrthopedics Department, Ordos Central Hospital, Ordos, China.
Feng GaoOrthopedics Department, Ordos Central Hospital, Ordos, China.
Yuehan WangOrdos No.1 Middle School, Ordos, China.
Tingxin ZhangOrthopedics Department, Ordos Central Hospital, Ordos, China.
Hao LiuOrthopedics Department, Ordos Central Hospital, Ordos, China.
Jindong ChenOrdos School of Clinical Medicine, Inner Mongolia Medical University, Ordos, China.
Inner Mongolia Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vitamin D is commonly used to prevent and treat osteoporosis, with studies indicating its potential to reduce fractures, falls, and mortality. However, meta-analyses present inconsistent findings regarding its efficacy, particularly reflecting significant variability in data and outcomes related to various dosing regimens. In this meta-analysis, we assessed the impact of high-dose intermittent oral administration of vitamin D3 on serum 25(OH)D levels, fractures, falls, and mortality among elderly individuals. We included 14 randomized controlled trials (RCTs) and employed Review Manager 5.4 for statistical analysis. Our findings indicate that intermittent monthly administration of vitamin D3 (over 800 IU per day) significantly raised serum 25(OH)D levels at all timepoints after six months, maintaining levels above 75 nmol/L throughout the year. This regimen showed no increase in all-cause mortality, with a risk ratio (95% CI) of 0.95 (0.87-1.04). Likewise, it did not significantly reduce the risks of falls and fractures, with risk ratios of 1.02 (0.98-1.05) and 0.95 (0.87-1.04) respectively. Although one-year intermittent administration significantly increased the concentration of 25(OH)D in serum, further research is needed to determine if this method would increase the incidence of falls. Therefore, it is not recommended at this stage due to the lack of demonstrated safety in additional relevant RCTs. This study had been registered at PROSPERO (CRD42022363229).

Indexed as

Accidental FallsCholecalciferolFractures, BoneVitamin DAdministration, OralHumansIncidenceRandomized Controlled Trials as Topic25-hydroxyvitamin DCholecalciferolVitamin D

Identifiers

PMID38615341
PMCPMC11379009
OpenAlexW4394781100

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.