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CompletedNCT02293187Updated Mar 21, 2019

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

An interventional study of vitamin D3 and Placebo in Vitamin D Deficiency and Sarcopenia, sponsored by Tufts University. Completed at 1 site in United States. Open to participants aged 60 Years to 85 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-03-21.

Sponsored by Tufts University · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
60 Years to 85 Years
Sex
All
01

Study 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.

Read the 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 most likely to benefit. Vitamin D supplements are being widely recommended, however the amount of vitamin D needed to achieve the desired level of 25-hydroxyvitamin D in the circulation varies widely among individuals. In this randomized, placebo-controlled trial, we will determine whether treating older adults with low starting 25OHD levels for one year with up to 1600 IU per day of vitamin D3 will improve muscle performance (e.g., lower extremity muscle power) and reduce muscle wasting (defined as reducing nitrogen excretion). Subjects in the vitamin D group will initially take 800 IU of vitamin D3 daily. If they have not achieved the desired level of 70 nmol/L after 4 mo, their dose will be doubled to 1600 IU per day for the remainder of the one-year study. The maximal dose of vitamin D3 to be taken in this study,1600 IU per day, is lower than the current safe upper limit of 4,000 IU per day set by the Institute of Medicine. Up to 100 healthy men and women, age 60 years and older will participate in this study. This investigation should increase our understanding of the impact of supplemental vitamin D on muscle performance.

02

Conditions studied

  • Vitamin D Deficiency
  • Sarcopenia

Keywords

  • vitamin D
  • muscle performance
  • falls
03

In context

Sarcopenia

1,208 studies on the registry are indexed under Sarcopenia; 402 are open to participants now.

This study's enrollment of 100 is above the median of 60 across 775 interventional studies indexed under Sarcopenia.

Browse Sarcopenia studies →

Lead sponsor

Tufts University is the lead sponsor of 225 studies on the registry; 24 are open to participants now.

Of its 10 completed or terminated interventional studies of FDA-regulated products, 7 (70%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
60 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • 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 criteria

Exclusion Criteria:

  • 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)
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Factorial assignment
Masking
Double (Participant, Investigator)
Enrollment
100 participants (actual)

Study arms

  • Active comparator
    vitamin D3

    Vitamin D3, 800 IU will be given initially; after 4 months if D level \< 70 nmol/L, increase dose to 1600 IU for remainder of study.

    Dietary Supplement: vitamin D3

  • Placebo comparator
    Placebo

    Placebo, microcrystalline cellulose

    Other: Placebo

Interventions

  • Dietary supplementvitamin D3

    Dose for intervention arm is 800 IU/day for first 4 months. At 4 months, if vitamin D level \<70 nmol/L, a second 800 IU capsule will be added to regimen (total of 1600 IU/d) for remainder of study.

    Also known as: cholecalciferol

  • OtherPlacebo

    Those in the placebo group will receive 1 capsule for first 4 months. At 4 month visit, one capsule will be added to regimen to be taken throughout the remainder of the study.

    Also known as: microcystalline cellulose

06

What researchers measure

Primary outcomes

  1. The effect of supplemental vitamin D3 vs placebo on leg power and nitrogen excretion.

    Aim of the study is to look at the effect of supplemental vitamin D3 vs placebo on leg power and nitrogen excretion.To determine Vitamin D will improve leg power and reduce muscle wasting, as measured by 24-hr nitrogen excretion.

    Time frame: 12 months

Secondary outcomes

  1. To describe the safety (assessed by serum calcium) of the administered doses of vitamin D3.

    To describe the safety (assessed by serum calcium) of the administered doses of vitamin D3.

    Time frame: 12 months

Other outcomes

  1. To determine the effect of supplemental vitamin D3 vs placebo on SPPB.

    To determine the effect of supplemental vitamin D3 vs placebo on SPPB.

    Time frame: 12 months

  2. To determine the effect of supplemental vitamin D3 vs placebo on handgrip.

    To determine the effect of supplemental vitamin D3 vs placebo on handgrip.

    Time frame: 12 months

  3. To determine the effect of supplemental vitamin D3 vs placebo on stair climb.

    To determine the effect of supplemental vitamin D3 vs placebo on stair climb.

    Time frame: 12 months

  4. To determine the effect of supplemental vitamin D3 vs placebo on backward walking.

    To determine the effect of supplemental vitamin D3 vs placebo on backward walking.

    Time frame: 12 months

07

Study locations

1 site
  • Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University
    Boston, Massachusetts 02111, United States
08

References and documents

Publications

  • Shea MK, Fielding RA, Dawson-Hughes B. The effect of vitamin D supplementation on lower-extremity power and function in older adults: a randomized controlled trial. Am J Clin Nutr. 2019 Feb 1;109(2):369-379. doi: 10.1093/ajcn/nqy290. PubMed 30715090 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 21, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02293187
Lead sponsor
Tufts University
Responsible party
Bess Dawson-Hughes (Director, Bone Metabolism Laboratory, HNRCA, Tufts University) — Principal investigator
First posted
Nov 18, 2014
Start date
Mar 23, 2015
Primary completion
Sep 13, 2017
Completion
Dec 31, 2018
Last update
Mar 21, 2019

Study contacts

Bess Dawson-Hughes, MD
principal investigator · Tufts Medical Center

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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