Reproductive endocrinology

Association of standardized serum 25-hydroxyvitamin D with falls in post-menopausal women

Osteoporos IntPublished Secondary analysis of a calcium/vitamin D supplementation randomised trial

Primary result · Falls by s25D groupResult — go to the resultAdjusted OR of ≥ 2 falls 1.99 CI 1.2–3.3

Authors' conclusion

s25D up to 60 ng/mL was not associated with greater risk for ≥ 1 or ≥ 2 falls. Women with a s25D ≥ 60 ng/mL were at higher odds for ≥ 2 falls, however this group included only ~ 2% of study observations; therefore, confirmation in other cohorts is necessary.

Study context

Population
Postmenopausal women in a 4-year calcium/vitamin D supplementation trial; falls recorded by diary5,732 pooled observations
Participants
2,303 women
Comparison
Standardized 25D groups
Primary endpoint
Incidence of ≥ 1 fall and ≥ 2 falls by s25D group
Follow-up
Years 2-4
Methodological detailsplanned secondary analysis, 4-year trial, pooled data from years 2-4, multivariable logistic regression
  • Planned secondary analysis
  • 4-year trial
  • Pooled data from years 2-4
  • Multivariable logistic regression

Primary result

Falls by s25D group

Adjusted OR of ≥ 2 falls

1.99

CI 1.2–3.3

≥ 60 ng/mLvs 30- < 40 ng/mL
adjusted OR of ≥ 2 falls 1.99 (CI 1.2–3.3)

As reported in the abstract

Incidence of ≥ 1 fall across s25D groups
22-32% (p = 0.19)
Incidence of ≥ 2 falls varied, from 6% (< 20 ng/mL) to 17% (≥ 60 ng/mL)
P = 0.03

Further findings

ng/mL

Mean (SD) baseline s25D, no difference between supplement and placebo
32.6 (8.3)
s25D at year 2 in supplement group, then stable
41.3

Original publication

Association of standardized serum 25-hydroxyvitamin D with falls in post-menopausal women. Osteoporos Int. Published 25 November 2024. doi:10.1007/s00198-024-07310-2

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