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Vitamin D and Health

SACN_Vitamin_D_and_Health_report

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Study/<br />

country<br />

Population/<br />

sample size<br />

Intervention/study design<br />

Baseline 25OHD<br />

(nmol/L) (SD)<br />

Post intervention<br />

25(OH)D (nmol/L)<br />

Outcome Results Conclusion<br />

Rees et al<br />

(2013)<br />

USA<br />

Simpson et al<br />

(2015)<br />

Australia<br />

Urashima et al<br />

(2014)<br />

Japan<br />

Participants from<br />

larger double<br />

blind multi centre<br />

vitamin D trial on<br />

prevention of<br />

large bowel<br />

adenomas<br />

(n=759)<br />

Age 45-75 years<br />

Adults (n=34)<br />

Mean age:<br />

1. 30y<br />

2. 35y<br />

Schoolchildren<br />

(n=247)<br />

Age: 15-18 y<br />

1. D3 (25µg/d) + Ca<br />

(1200 mg/d)<br />

2. Placebo<br />

Duration: 3y<br />

1. 500 µg D3/week<br />

2. Placebo<br />

Duration: 17 wks<br />

1. 50 µg D3/d<br />

2. Placebo<br />

2 months<br />

At enrolment<br />

1. 61.9<br />

2. 63.1<br />

At start of study<br />

1. 83.1<br />

2. 62.6<br />

1. 60.5<br />

2. 76.4<br />

(p=0.04)<br />

Not reported<br />

1. 100.7 (23.9)<br />

2. 56 (24.2)<br />

Number of episodes<br />

(winter)<br />

URTI<br />

1. 275 (71.1%)<br />

2. 252 (71.8%)<br />

Colds<br />

1. 267 (69%)<br />

2. 239 (68.1%)<br />

Influenza like illness<br />

1. 46 (11.9%)<br />

2. 51 (14.5%)<br />

Frequency, duration <strong>and</strong><br />

severity of acute<br />

infections.<br />

Not reported Not reported Incidence of influenza A<br />

(diagnosed by a RIDT by<br />

medical doctors).<br />

URTI<br />

RR=0.93 (5% CI, 0.79-1.09)<br />

Colds<br />

RR=0.93 (95% CI, 0.78-1.10)<br />

Influenza like illness<br />

RR=0.95 (95% CI, 0.62-1.46)<br />

Infection risk<br />

All participants<br />

HR: 0.83 (95% CI, 0.53-1.31)<br />

Participants with baseline<br />

25(OH)D < 40 nmol/L (n=4)<br />

HR: 0.56 (95% CI, 0.32-0.96;<br />

p=0.007)<br />

Clinically verified infections<br />

HR: 0.27 (95% CI, 0.07-1.00;<br />

p=0.05)<br />

Total 2 month period<br />

RR=1.11 (95% CI, 0.57-2.18;<br />

p=0.75)<br />

After first month<br />

RR=0.17 (95% CI, 0.04-0.77;<br />

p=0.009)<br />

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

(25µg/d) did not significantly<br />

reduce incidence or duration<br />

of upper RTI in adults with a<br />

baseline serum 25 (OH)D >30<br />

nmol/L.<br />

No difference between<br />

groups for infection risk,<br />

duration or severity.<br />

A treatment effect was<br />

observed amongst those with<br />

24(OH)D < 40 nmol/L at start<br />

of study. However, this only<br />

related to 4 participants.<br />

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

did not decrease the overall<br />

incidence of RIDT-positive<br />

influenza A.<br />

239

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