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CompletedNCT02636348MCRD-PIUpdated Oct 28, 2016

Evaluation of Calcium and Vitamin D Supplementation During Marine Corps Training

An interventional study of Calcium/Vitamin D and Placebo in Nutrition Status and Bone Health, sponsored by United States Army Research Institute of Environmental Medicine. Completed at 1 site in United States. Open to participants aged 17 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2016-10-28.

Sponsored by United States Army Research Institute of Environmental Medicine · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
380
Allocation
Randomized
Ages
17 Years and older
Sex
All
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Study summary

The primary objective of this randomized, double-blind, placebo-controlled trial is to determine the efficacy and effectiveness of Ca and vitamin D supplementation provided daily throughout Marine Corps recruit training on maintenance of PTH and indices of bone strength in Marine Corps recruits. The investigators hypothesize that Ca+D will prevent elevations in PTH and result in greater increases in indices of bone strength compared to placebo.

Read the detailed description

Military recruits undergoing initial military training (IMT) are 17 times more likely to develop stress fractures compared to active duty service members. Up to 800 male and female recruits will be enrolled at the MCRD, Parris Island, SC over two seasons (summer/fall and winter/spring) in order to account for seasonal variation in vitamin D status. Ca (2000 mg/d) and vitamin D (1000 IU/d) will be supplied as either capsules or a fortified food product daily throughout training. This study will provide novel data for the military, medical and scientific communities regarding the relationship between Ca and vitamin D supplementation and biomarkers of immune function, and the requirements for calcium and vitamin D to support bone health during IMT.

02

Conditions studied

  • Nutrition Status
  • Bone Health

Keywords

  • Calcium
  • Vitamin D
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In context

Lead sponsor

United States Army Research Institute of Environmental Medicine is the lead sponsor of 67 studies on the registry; 9 are open to participants now.

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

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Who can participate

Ages eligible
17 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Male or female Marine Corps recruit at least 17 years of age.

Exclusion criteria

Exclusion Criteria:

  • Pregnant or breastfeeding
  • History of kidney stones or kidney disease
  • History of endocrine disorders
  • Allergies to any component of the food product bar
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Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
380 participants (actual)

Study arms

  • Experimental
    Calcium/Vitamin D Bar

    Dietary supplement consumed as 2 calcium and vitamin D fortified snack bars per day

    Dietary Supplement: Calcium/Vitamin D

  • Experimental
    Calcium/Vitamin D Pill

    Dietary supplement consumed as several capsules per day

    Dietary Supplement: Calcium/Vitamin D

  • Placebo comparator
    Placebo Bar

    Placebo consumed as 2 isocaloric, unfortified snack bars per day

    Dietary Supplement: Placebo

  • Placebo comparator
    Placebo Pill

    Placebo consumed as several capsules per day

    Dietary Supplement: Placebo

Interventions

  • Dietary supplementCalcium/Vitamin D

    2000 mg calcium and 1000 IU vitamin D administered daily as 8 pills or 2 fortified snack bars.

  • Dietary supplementPlacebo

    Administered daily as 8 placebo pills or 2 unfortified snack bars.

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What researchers measure

Primary outcomes

  1. Serum Bone Health Biomarkers (Composite)

    Effect of calcium/vitamin D on the following serum biomarkers: 25(OH)D (ng/ml), parathyroid hormone (PTH) (pg/ml), C-telopeptide cross-links of type 1 collagen (CTX) (ng/ml), tartrate-resistant acid phosphatase (TRAP) (U/L), bone alkaline phosphatase (BAP) (ug/L), procollagen I N-terminal peptide (P1NP) (ug/L)

    Time frame: Measures will be taken at the beginning and end of Initial Military Training (IMT) which is approximately 12 weeks

Secondary outcomes

  1. Bone Strength Indices (Composite)

    Effect of calcium/vitamin D on the following indices of bone strength as assessed by peripheral quantitative computed tomography (pQCT): volumetric bone mineral density (vBMD) (mg/cm3), bone strength index (BSI) (mg/mm4), cortical bone mineral content (Crt BMC) (mg/mm), cortical volumetric bone mineral density (Crt vBMD) (mg/cm3), strength strain index (SSI) (no units)

    Time frame: Measures will be taken at the beginning and end of Initial Military Training (IMT) which is approximately 12 weeks

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Study locations

1 site
  • Marine Corps Recruit Depot Parris Island
    Parris Island, South Carolina 29905, United States
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References and documents

Publications

  • Nakayama AT, Lutz LJ, Hruby A, Karl JP, McClung JP, Gaffney-Stomberg E. A dietary pattern rich in calcium, potassium, and protein is associated with tibia bone mineral content and strength in young adults entering initial military training. Am J Clin Nutr. 2019 Jan 1;109(1):186-196. doi: 10.1093/ajcn/nqy199. PubMed 30615068 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 28, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02636348
Lead sponsor
United States Army Research Institute of Environmental Medicine
Collaborators
Uniformed Services University of the Health Sciences
Responsible party
Sponsor
First posted
Dec 21, 2015
Start date
Jul 2015
Primary completion
Apr 2016
Completion
Oct 2016
Last update
Oct 28, 2016

Study contacts

Erin Gaffney-Stomberg, Ph.D., R.D.
principal investigator · United States Army Research Institute of Environmental Medicine

Oversight

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

Not currently enrolling

This study is completed, as verified in Oct 2016. You cannot join it, but the record below documents what was studied.

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