Evidence map›Paper›PMID 39585370›Full record

Trial reportOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2025

Association of standardized serum 25-hydroxyvitamin D with falls in post-menopausal women.

Neil Binkley, Christopher T Sempos, Gretta Borchardt, Jennifer Larsen, Mark L Stacey, Samuel Mosiman, Joan M Lappe

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

  1. The Effect of Vitamin DJournal of the American Geriatrics Society · 2026
    Trial
  2. [Interpretation of the Expert Consensus Statement on the Role of Vitamin D in Metabolic Health].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
    Article
  3. Review
  4. Too much vitamin D? a drug safety review.Reviews in endocrine & metabolic disorders · 2026
    Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Standardized 25(OH)D and fall risk: overcoming challenges and enhancing clinical applications.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Article
  10. 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

7 authors.

Neil BinkleyOsteoporosis Clinical Research Program and Institute On Aging, University of Wisconsin-Madison, 2870 University Avenue, Madison, WI, USA. nbinkley@wisc.edu.ORCID http://orcid.org/0000-0002-9905-461X
Christopher T SemposVitamin D Standardization Program, Havre de Grace, MD, USA.
Gretta BorchardtOsteoporosis Clinical Research Program and Institute On Aging, University of Wisconsin-Madison, 2870 University Avenue, Madison, WI, USA.
Jennifer LarsenCreighton University School of Nursing and Osteoporosis Research Center, Omaha, NE, USA.
Mark L StaceyCreighton University School of Nursing and Osteoporosis Research Center, Omaha, NE, USA.
Samuel MosimanDepartment of Orthopedics and Rehabilitation, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Joan M LappeCreighton University School of Nursing and Osteoporosis Research Center, Omaha, NE, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vitamin D status has long been related to falls risk. In this planned secondary analysis of a vitamin supplementation trial in postmenopausal women, standardized 25-hydroxyvitamin D concentration up to 60 ng/mL was not associated with increased falls. Women with 25(OH)D ≥ 60 ng/mL had higher odds of ≥ 2 falls. PURPOSE: Falls are common and cause fractures. High circulating 25(OH)D may increase falls risk; thus, recent guidance recommends 25(OH)D not exceed 50 ng/mL. Prior falls studies have not reported standardized 25(OH)D (s25D) data. The purpose of this planned secondary analysis of a 4-year calcium/vitamin D supplementation trial was to evaluate the association of s25D with falls.

methodsThis study recruited 2,303 postmenopausal women. The analytic dataset consisted of pooled concatenated data from years 2-4 (N

resultsMean (SD) baseline s25D was 32.6 ng/mL (8.3) with no difference between supplement and placebo groups. s25D increased to 41.3 ng/mL at year 2 in the supplement group then remained stable. By s25D group, incidence for ≥ 1 fall varied from 22-32% (p = 0.19). For ≥ 2 falls incidence varied (p = 0.03) from 6% (< 20 ng/mL) to 17% (≥ 60 ng/mL.) There was no significant association between s25D and ≥ 1 fall. Those with s25D ≥ 60 ng/mL had a higher adjusted odds of ≥ 2 falls (OR = 1.99 ± 1.2-3.3) compared to women with s25D of 30- < 40 ng/mL.

conclusions25D up to 60 ng/mL was not associated with greater risk for ≥ 1 or ≥ 2 falls. Women with a s25D ≥ 60 ng/mL were at higher odds for ≥ 2 falls, however this group included only ~ 2% of study observations; therefore, confirmation in other cohorts is necessary.

Indexed as

Accidental FallsPostmenopauseVitamin DAgedBone Density Conservation AgentsDietary SupplementsFemaleHumansMiddle AgedRetrospective StudiesRisk AssessmentVitamin D Deficiency25-hydroxyvitamin DBone Density Conservation AgentsVitamin D25-hydroxyvitamin D25(OH)DFallsVDSPVitamin DVitamin D Standardization Program

Identifiers

What OpenQuestion holds

Textmetadata
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.