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Vitamin D and Health

SACN_Vitamin_D_and_Health_report

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Adults (under 50 years)<br />

Table 14: RCTs on effect of vitamin D supplementation on bone health indices in adults < 50y<br />

Author/Year Population Intervention/<br />

duration<br />

Mean baseline 25(OH)D<br />

concentration (nmol/L)<br />

Mean post intervention<br />

25(OH)D concentration<br />

(nmol/L)<br />

Effects on bone health indices<br />

Islam et al (2010)<br />

Dhaka, Bangladesh<br />

Pre-menopausal<br />

women (n=200)<br />

Age: 8-36 y<br />

1. 10 µg/d<br />

2. 10 µg/d & 600 mg calcium<br />

3. 10 µg/d & 600 mg calcium<br />

& multiple mineral<br />

supplement<br />

4. Placebo<br />

Duration: 1 year<br />

1. 37.1 (12.1)<br />

2. 37.8 (10.9)<br />

3. 36.9 (12.5)<br />

4. 35 (9.4)<br />

Increased by:<br />

1. 32.2 (23.6)<br />

2. 32.4 (24.3)<br />

3. 27.9 (24.8)<br />

4. 0.5 (13.8)<br />

Significant increase in BMD & BMC at<br />

femoral neck in supplemented groups<br />

compared to placebo (p < 0.001)<br />

Significant increase in BMD & BMC of greater<br />

trochanter <strong>and</strong> Ward’s triangle compared<br />

with the placebo group (p < 0.05).<br />

No significant differences in BMD <strong>and</strong> BMC<br />

of the lumbar spine.<br />

Table 15: Meta-analyses on effects of vitamin D supplementation on muscle strength in adults < 50y<br />

Study Methods Results Conclusions<br />

Tomlinson et al (2014)<br />

Selection criteria<br />

Inclusion: publication in English, inclusion of control<br />

group, muscle strength measured as one of the<br />

primary outcomes; at least one arm of study<br />

included supplementation of participants with<br />

vitamin D only.<br />

Included trials<br />

6 RCTs, 1 controlled trial (n=310 adults; mean age 24.1y (range 21.5-31.5y).<br />

<strong>Vitamin</strong> D supplement dose range: 50 µg/d to 1500 µg/wk.<br />

6 trials administered D3; 1 trial did not specify vitamin D type.<br />

Outcome measures<br />

<strong>Vitamin</strong> D<br />

supplementation improves<br />

upper <strong>and</strong> lower limb<br />

muscle strength in adults<br />

under 40y.<br />

Exclusion: Aged < 18 y; non-healthy participants.<br />

Outcome measure<br />

Upper <strong>and</strong> lower limb muscle strength.<br />

Upper limb strength<br />

<strong>Vitamin</strong> D supplementation had significant effect<br />

SMD= 0.32 (95% CI, 0.10-0.54) (p = 0.005)<br />

Lower limb strength<br />

<strong>Vitamin</strong> D supplementation had significant effect<br />

SMD= 0.32 (95% CI, 0.01-0.63) (p = 0.04))<br />

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