Status:

COMPLETED

Impact of Vitamin D on 25-hydroxyvitamin D Levels and Physical Function

Lead Sponsor:

Tufts University

Conditions:

Vitamin D Deficiency

Sarcopenia

Eligibility:

All Genders

60-85 years

Phase:

NA

Brief Summary

This one-year study will test the hypothesis that supplementation with vitamin D will improve lower extremity muscle performance in older men and women with vitamin D insufficiency.

Detailed Description

Vitamin D may have favorable effects on muscle but evidence is mixed. It appears that subjects with low starting levels of 25-hydroxyvitamin D (25OHD) who receive adequate doses of vitamin D are the m...

Eligibility Criteria

Inclusion

  • Men and postmenopausal women age 60 years and older
  • Women must be at least 1 year since last menses.
  • Subjects must agree not to take their own vitamin D in amounts \>600 IU/day (for ages 51-70 years) or \>800 IU/day (for ages 71 - 80 years) or more than 600 mg/day of supplemental calcium.
  • Subjects must agree not to have had more than 30 minutes/day of sun exposure at a southern latitude (\< 34 degrees N) in the 2-month period prior to screening and not to travel south and be exposed to sunshine in the 3-month period prior to their final visit.
  • They will agree not to use tanning salons during the study.
  • Screening serum 25OHD of 20 to 50 nmol/L (8.0 to 20 ng/ml).

Exclusion

  • Kidney stones - in the last 3 years
  • Calculated glomerular filtration rate \< 30 ml/min
  • Screening fasting spot urinary calcium:creatinine ratio (Ca:Cr) \> 0.325 (corresponding to a 24-hr urine calcium of 350 mg)
  • Serum calcium exceeding upper normal limit (reference range 8.3 -10.2 mg/dl)
  • Other abnormalities in screening labs, at the discretion of the study physician (PI)
  • Sarcoidosis
  • Evidence of chronic liver disease, including alcoholism
  • Cancer treatment in the last year (except basal cell carcinoma) or terminal illness
  • Treatment in the last 6 months with estrogen, raloxifene, calcitonin, or testosterone (vaginal estrogen use okay)
  • High dose thiazide therapy (\>37.5 mg).
  • Treatment in the last year with teriparatide or denosumab
  • Treatment in the lsat 2 years with bisphosphonates
  • Oral corticosteroid therapy for over 3 weeks within the last 6 months
  • Anticonvulsant therapy
  • Physical conditions such as osteoarthritis, rheumatoid arthritis, heart failure or hemiplegia severe enough to prevent reasonable physical activity.
  • Non-English speaking subjects (We can't be confident that non-English speaking subjects could accurately identify intakes of calcium and vitamin D from non-study sources and this could increase their risk of toxicity from study drug.
  • Other abnormalities in screening labs, at the discretion of the study physician (the PI)

Key Trial Info

Start Date :

March 23 2015

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 31 2018

Estimated Enrollment :

100 Patients enrolled

Trial Details

Trial ID

NCT02293187

Start Date

March 23 2015

End Date

December 31 2018

Last Update

March 21 2019

Active Locations (1)

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1

Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University

Boston, Massachusetts, United States, 02111