Three doses of vitamin D, bone mineral density, and geometry in older women during modest weight control in a 1-year randomized controlled trial

Summary The effects of higher than recommended vitamin D doses on bone mineral density (BMD) and quality are not known. In this study, higher intakes, in postmenopausal women undergoing weight control over 1 year, had no effect on areal or volumetric BMD but prevented the deterioration in cortical b...

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Veröffentlicht in:Osteoporosis international 2017, Vol.28 (1), p.377-388
Hauptverfasser: Pop, L. C., Sukumar, D., Schneider, S. H., Schlussel, Y., Stahl, T., Gordon, C., Wang, X., Papathomas, T. V., Shapses, S. A.
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container_end_page 388
container_issue 1
container_start_page 377
container_title Osteoporosis international
container_volume 28
creator Pop, L. C.
Sukumar, D.
Schneider, S. H.
Schlussel, Y.
Stahl, T.
Gordon, C.
Wang, X.
Papathomas, T. V.
Shapses, S. A.
description Summary The effects of higher than recommended vitamin D doses on bone mineral density (BMD) and quality are not known. In this study, higher intakes, in postmenopausal women undergoing weight control over 1 year, had no effect on areal or volumetric BMD but prevented the deterioration in cortical bone geometry. Introduction Studies examining how bone responds to a standard dose of vitamin D supplementation have been inconsistent. In addition, the effects of higher doses on BMD and quality are not known. Postmenopausal women undergoing weight control to improve health outcomes are particularly at risk for bone loss and might benefit from supplemental vitamin D intake above the recommended allowance. Methods This 1-year-long, randomized, double-blind controlled study addresses whether vitamin D supplementation, in healthy overweight/obese older women, affects BMD and bone structural parameters. In addition, bone turnover and serum total, free, and bioavailable 25-hydroxyvitamin D (25OHD) responses to one of three daily levels of vitamin D 3 (600, 2000, 4000 IU) with 1.2 Ca g/day during weight control were examined. Results Fifty-eight women (age, 58 ± 6 years; body mass index, 30.2 ± 3.8 kg/m 2 , serum 25OHD, 27.3 ± 4.4 ng/mL) were randomized to treatment. After 1 year, serum 25OHD concentrations increased to 26.5 ± 4.4, 35.9 ± 4.5, and 41.5 ± 6.9 ng/mL, in groups 600, 2000, and 4000 IU, respectively, and differed between groups ( p  
doi_str_mv 10.1007/s00198-016-3735-z
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C. ; Sukumar, D. ; Schneider, S. H. ; Schlussel, Y. ; Stahl, T. ; Gordon, C. ; Wang, X. ; Papathomas, T. V. ; Shapses, S. A.</creator><creatorcontrib>Pop, L. C. ; Sukumar, D. ; Schneider, S. H. ; Schlussel, Y. ; Stahl, T. ; Gordon, C. ; Wang, X. ; Papathomas, T. V. ; Shapses, S. A.</creatorcontrib><description>Summary The effects of higher than recommended vitamin D doses on bone mineral density (BMD) and quality are not known. In this study, higher intakes, in postmenopausal women undergoing weight control over 1 year, had no effect on areal or volumetric BMD but prevented the deterioration in cortical bone geometry. Introduction Studies examining how bone responds to a standard dose of vitamin D supplementation have been inconsistent. In addition, the effects of higher doses on BMD and quality are not known. Postmenopausal women undergoing weight control to improve health outcomes are particularly at risk for bone loss and might benefit from supplemental vitamin D intake above the recommended allowance. Methods This 1-year-long, randomized, double-blind controlled study addresses whether vitamin D supplementation, in healthy overweight/obese older women, affects BMD and bone structural parameters. In addition, bone turnover and serum total, free, and bioavailable 25-hydroxyvitamin D (25OHD) responses to one of three daily levels of vitamin D 3 (600, 2000, 4000 IU) with 1.2 Ca g/day during weight control were examined. Results Fifty-eight women (age, 58 ± 6 years; body mass index, 30.2 ± 3.8 kg/m 2 , serum 25OHD, 27.3 ± 4.4 ng/mL) were randomized to treatment. After 1 year, serum 25OHD concentrations increased to 26.5 ± 4.4, 35.9 ± 4.5, and 41.5 ± 6.9 ng/mL, in groups 600, 2000, and 4000 IU, respectively, and differed between groups ( p  &lt; 0.01). Weight change was similar between groups (−3.0 ± 4.1 %). Cortical (Ct) thickness of the tibia changed by −1.5 ± 5.1 %, +0.6 ± 3.2 %, and +2.0 ± 4.5 % in groups 600, 2000, and 4000 IU, respectively, and each group was significantly different from each other ( p  &lt; 0.05). Conclusion The decline in Ct thickness was prevented with higher vitamin D 3 supplementation, but there were no other significant changes due to treatment over 1 year. Whether these findings translate to changes in biomechanical properties leading to reduced fracture risk should be addressed in future studies.</description><identifier>ISSN: 0937-941X</identifier><identifier>EISSN: 1433-2965</identifier><identifier>DOI: 10.1007/s00198-016-3735-z</identifier><identifier>PMID: 27535752</identifier><language>eng</language><publisher>London: Springer London</publisher><subject>25-Hydroxyvitamin D ; Aged ; Anthropometry - methods ; Body Composition - physiology ; Body mass index ; Body weight ; Body Weight - physiology ; Bone density ; Bone Density - drug effects ; Bone Density - physiology ; Bone Density Conservation Agents - administration &amp; dosage ; Bone Density Conservation Agents - pharmacology ; Bone loss ; Bone mineral density ; Bone turnover ; Cholecalciferol - administration &amp; dosage ; Cholecalciferol - pharmacology ; Cortical bone ; Diet, Reducing - adverse effects ; Dietary Supplements ; Dose-Response Relationship, Drug ; Double-Blind Method ; Endocrinology ; Exercise - physiology ; Female ; Humans ; Mechanical properties ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Obesity - physiopathology ; Obesity - therapy ; Older people ; Original Article ; Orthopedics ; Osteoporosis ; Osteoporosis, Postmenopausal - etiology ; Osteoporosis, Postmenopausal - prevention &amp; control ; Overweight ; Post-menopause ; Postmenopause - physiology ; Rheumatology ; Supplements ; Tibia ; Vitamin D ; Vitamin D3 ; Weight Loss - physiology</subject><ispartof>Osteoporosis international, 2017, Vol.28 (1), p.377-388</ispartof><rights>International Osteoporosis Foundation and National Osteoporosis Foundation 2016</rights><rights>Osteoporosis International is a copyright of Springer, (2016). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c405t-cf63f5548d9044c1e7b6ae59fda93ff3857e6f12ba1a84a7afb9d7dbbe47e4813</citedby><cites>FETCH-LOGICAL-c405t-cf63f5548d9044c1e7b6ae59fda93ff3857e6f12ba1a84a7afb9d7dbbe47e4813</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00198-016-3735-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00198-016-3735-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27535752$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pop, L. C.</creatorcontrib><creatorcontrib>Sukumar, D.</creatorcontrib><creatorcontrib>Schneider, S. H.</creatorcontrib><creatorcontrib>Schlussel, Y.</creatorcontrib><creatorcontrib>Stahl, T.</creatorcontrib><creatorcontrib>Gordon, C.</creatorcontrib><creatorcontrib>Wang, X.</creatorcontrib><creatorcontrib>Papathomas, T. V.</creatorcontrib><creatorcontrib>Shapses, S. A.</creatorcontrib><title>Three doses of vitamin D, bone mineral density, and geometry in older women during modest weight control in a 1-year randomized controlled trial</title><title>Osteoporosis international</title><addtitle>Osteoporos Int</addtitle><addtitle>Osteoporos Int</addtitle><description>Summary The effects of higher than recommended vitamin D doses on bone mineral density (BMD) and quality are not known. In this study, higher intakes, in postmenopausal women undergoing weight control over 1 year, had no effect on areal or volumetric BMD but prevented the deterioration in cortical bone geometry. Introduction Studies examining how bone responds to a standard dose of vitamin D supplementation have been inconsistent. In addition, the effects of higher doses on BMD and quality are not known. Postmenopausal women undergoing weight control to improve health outcomes are particularly at risk for bone loss and might benefit from supplemental vitamin D intake above the recommended allowance. Methods This 1-year-long, randomized, double-blind controlled study addresses whether vitamin D supplementation, in healthy overweight/obese older women, affects BMD and bone structural parameters. In addition, bone turnover and serum total, free, and bioavailable 25-hydroxyvitamin D (25OHD) responses to one of three daily levels of vitamin D 3 (600, 2000, 4000 IU) with 1.2 Ca g/day during weight control were examined. Results Fifty-eight women (age, 58 ± 6 years; body mass index, 30.2 ± 3.8 kg/m 2 , serum 25OHD, 27.3 ± 4.4 ng/mL) were randomized to treatment. After 1 year, serum 25OHD concentrations increased to 26.5 ± 4.4, 35.9 ± 4.5, and 41.5 ± 6.9 ng/mL, in groups 600, 2000, and 4000 IU, respectively, and differed between groups ( p  &lt; 0.01). Weight change was similar between groups (−3.0 ± 4.1 %). Cortical (Ct) thickness of the tibia changed by −1.5 ± 5.1 %, +0.6 ± 3.2 %, and +2.0 ± 4.5 % in groups 600, 2000, and 4000 IU, respectively, and each group was significantly different from each other ( p  &lt; 0.05). Conclusion The decline in Ct thickness was prevented with higher vitamin D 3 supplementation, but there were no other significant changes due to treatment over 1 year. Whether these findings translate to changes in biomechanical properties leading to reduced fracture risk should be addressed in future studies.</description><subject>25-Hydroxyvitamin D</subject><subject>Aged</subject><subject>Anthropometry - methods</subject><subject>Body Composition - physiology</subject><subject>Body mass index</subject><subject>Body weight</subject><subject>Body Weight - physiology</subject><subject>Bone density</subject><subject>Bone Density - drug effects</subject><subject>Bone Density - physiology</subject><subject>Bone Density Conservation Agents - administration &amp; dosage</subject><subject>Bone Density Conservation Agents - pharmacology</subject><subject>Bone loss</subject><subject>Bone mineral density</subject><subject>Bone turnover</subject><subject>Cholecalciferol - administration &amp; dosage</subject><subject>Cholecalciferol - pharmacology</subject><subject>Cortical bone</subject><subject>Diet, Reducing - adverse effects</subject><subject>Dietary Supplements</subject><subject>Dose-Response Relationship, Drug</subject><subject>Double-Blind Method</subject><subject>Endocrinology</subject><subject>Exercise - physiology</subject><subject>Female</subject><subject>Humans</subject><subject>Mechanical properties</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Middle Aged</subject><subject>Obesity - physiopathology</subject><subject>Obesity - therapy</subject><subject>Older people</subject><subject>Original Article</subject><subject>Orthopedics</subject><subject>Osteoporosis</subject><subject>Osteoporosis, Postmenopausal - etiology</subject><subject>Osteoporosis, Postmenopausal - prevention &amp; control</subject><subject>Overweight</subject><subject>Post-menopause</subject><subject>Postmenopause - physiology</subject><subject>Rheumatology</subject><subject>Supplements</subject><subject>Tibia</subject><subject>Vitamin D</subject><subject>Vitamin D3</subject><subject>Weight Loss - physiology</subject><issn>0937-941X</issn><issn>1433-2965</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkUFvFCEUx4nR2G31A3gxJF566FgYYICjqbWaNPHSJt4IMzy2NDOwwozN7qfwI8tmW01MjCde4Pf-D_gh9IaS95QQeV4IoVo1hHYNk0w0u2doRTljTas78RytiGay0Zx-O0LHpdyT2qO1fImOWimYkKJdoZ83dxkAu1Sg4OTxjzDbKUT88Qz3KQKuNWQ7YgexhHl7hm10eA1pgjlvcQXT6CDjh7oRsVtyiGs8JQdlxg8Q1nczHlKccxr3rMW02YLNONeUNIUduKfjsZZzDnZ8hV54OxZ4_bieoNtPlzcXn5vrr1dfLj5cNwMnYm4G3zEvBFdOE84HCrLvLAjtndXMe6aEhM7TtrfUKm6l9b120vU9cAlcUXaCTg-5m5y-L_W-ZgplgHG0EdJSDFWdYpSI-rH_R4UgHVMdq-i7v9D7tORYH2JaQhTjSui2UvRADTmVksGbTQ6TzVtDidmbNQezppo1e7NmV3vePiYv_QTud8eTygq0B6Bs9hYg_xn979RfnmCwlA</recordid><startdate>2017</startdate><enddate>2017</enddate><creator>Pop, L. 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C. ; Sukumar, D. ; Schneider, S. H. ; Schlussel, Y. ; Stahl, T. ; Gordon, C. ; Wang, X. ; Papathomas, T. V. ; Shapses, S. 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C.</creatorcontrib><creatorcontrib>Sukumar, D.</creatorcontrib><creatorcontrib>Schneider, S. H.</creatorcontrib><creatorcontrib>Schlussel, Y.</creatorcontrib><creatorcontrib>Stahl, T.</creatorcontrib><creatorcontrib>Gordon, C.</creatorcontrib><creatorcontrib>Wang, X.</creatorcontrib><creatorcontrib>Papathomas, T. V.</creatorcontrib><creatorcontrib>Shapses, S. A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Nursing &amp; Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Osteoporosis international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pop, L. C.</au><au>Sukumar, D.</au><au>Schneider, S. H.</au><au>Schlussel, Y.</au><au>Stahl, T.</au><au>Gordon, C.</au><au>Wang, X.</au><au>Papathomas, T. V.</au><au>Shapses, S. A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Three doses of vitamin D, bone mineral density, and geometry in older women during modest weight control in a 1-year randomized controlled trial</atitle><jtitle>Osteoporosis international</jtitle><stitle>Osteoporos Int</stitle><addtitle>Osteoporos Int</addtitle><date>2017</date><risdate>2017</risdate><volume>28</volume><issue>1</issue><spage>377</spage><epage>388</epage><pages>377-388</pages><issn>0937-941X</issn><eissn>1433-2965</eissn><abstract>Summary The effects of higher than recommended vitamin D doses on bone mineral density (BMD) and quality are not known. In this study, higher intakes, in postmenopausal women undergoing weight control over 1 year, had no effect on areal or volumetric BMD but prevented the deterioration in cortical bone geometry. Introduction Studies examining how bone responds to a standard dose of vitamin D supplementation have been inconsistent. In addition, the effects of higher doses on BMD and quality are not known. Postmenopausal women undergoing weight control to improve health outcomes are particularly at risk for bone loss and might benefit from supplemental vitamin D intake above the recommended allowance. Methods This 1-year-long, randomized, double-blind controlled study addresses whether vitamin D supplementation, in healthy overweight/obese older women, affects BMD and bone structural parameters. In addition, bone turnover and serum total, free, and bioavailable 25-hydroxyvitamin D (25OHD) responses to one of three daily levels of vitamin D 3 (600, 2000, 4000 IU) with 1.2 Ca g/day during weight control were examined. Results Fifty-eight women (age, 58 ± 6 years; body mass index, 30.2 ± 3.8 kg/m 2 , serum 25OHD, 27.3 ± 4.4 ng/mL) were randomized to treatment. After 1 year, serum 25OHD concentrations increased to 26.5 ± 4.4, 35.9 ± 4.5, and 41.5 ± 6.9 ng/mL, in groups 600, 2000, and 4000 IU, respectively, and differed between groups ( p  &lt; 0.01). Weight change was similar between groups (−3.0 ± 4.1 %). Cortical (Ct) thickness of the tibia changed by −1.5 ± 5.1 %, +0.6 ± 3.2 %, and +2.0 ± 4.5 % in groups 600, 2000, and 4000 IU, respectively, and each group was significantly different from each other ( p  &lt; 0.05). Conclusion The decline in Ct thickness was prevented with higher vitamin D 3 supplementation, but there were no other significant changes due to treatment over 1 year. Whether these findings translate to changes in biomechanical properties leading to reduced fracture risk should be addressed in future studies.</abstract><cop>London</cop><pub>Springer London</pub><pmid>27535752</pmid><doi>10.1007/s00198-016-3735-z</doi><tpages>12</tpages></addata></record>
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source MEDLINE; SpringerLink Journals - AutoHoldings
subjects 25-Hydroxyvitamin D
Aged
Anthropometry - methods
Body Composition - physiology
Body mass index
Body weight
Body Weight - physiology
Bone density
Bone Density - drug effects
Bone Density - physiology
Bone Density Conservation Agents - administration & dosage
Bone Density Conservation Agents - pharmacology
Bone loss
Bone mineral density
Bone turnover
Cholecalciferol - administration & dosage
Cholecalciferol - pharmacology
Cortical bone
Diet, Reducing - adverse effects
Dietary Supplements
Dose-Response Relationship, Drug
Double-Blind Method
Endocrinology
Exercise - physiology
Female
Humans
Mechanical properties
Medicine
Medicine & Public Health
Middle Aged
Obesity - physiopathology
Obesity - therapy
Older people
Original Article
Orthopedics
Osteoporosis
Osteoporosis, Postmenopausal - etiology
Osteoporosis, Postmenopausal - prevention & control
Overweight
Post-menopause
Postmenopause - physiology
Rheumatology
Supplements
Tibia
Vitamin D
Vitamin D3
Weight Loss - physiology
title Three doses of vitamin D, bone mineral density, and geometry in older women during modest weight control in a 1-year randomized controlled trial
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